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. c,��G�_(ir�� <br /> Dato <br /> � PUBLiC WOF�KS PublicWorksPermit!! PWn7�5 i'�i <br /> �J PERNiIY BuildingPermitx 'i�7n�_�j�� <br /> PUBLIC WOPKS DEPARTMENT Planning Referencc r <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Foa S .:_. _.°` <br /> (425)257-8810 <br /> TO POSTING....�uN..o.s..a.c� Guerantee� �/L `-�.� <br /> OPINER NAME APPLICANT NAME <br /> nNonooRess: �q.p�UNITY HEALTH CENTER OF SNO ANonooaEss: ��STIAN GRANGE BUTfEF2FZELD <br /> 5?29 EVEF?GRk:EN WAY STE 200 <br /> �,.�pgTT pA 98203 <br /> PHONE: PHONE: Q?5�7BLS30 <br /> TA%PARCEL I.D.M PRQIECTADDRESS: <br /> �80413001 2900 850? EVEP.GREEtI WAY <br /> DESCRIPTION OF <br /> PROPOSEOWORK: T�Ep 4�I� B�RI'DItIG <br /> t?� 97.L � <br /> PERMITCONDITIONS ��� /�j, �D <br /> 1. All calls for inspeclion shall be made 24 hours in advance. _�_--- <br /> 2. All work shall bo perlormed fn accordance with this permit and current City oi Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-800-424-5555 � <br /> 1. Civil wor}: to be done per approved plans dated 7!17/07 (included in job :ice ci_:n ^ <br /> �,�ty v� <br /> � , },'r�.,r r;t� r;rrr.r^ r]ein r�t �11 timas . <br /> i--r-r-f+ r r r-F-. r-•r-.- �� � <br /> � � ��c�13������������ � o^ <br /> � / <br /> � ' cq � <br /> � I� O <br /> � <br /> 1 � � <br /> �rp�O-'r� pp N � . <br /> �.� .�0����fA� ����p�� <br /> m . . GOC O�F- G.i�. f0 O <br /> r.��"'i , . . '._nr� —t•. � .� _ <br /> a <br /> ------ ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant herehy agrees to hold and <br /> �����t��� / x save harmloss lhe City ol Everett Irom any and aIi claims for <br /> 'f.l2ru� 7N "'v"'^�—' �1 f / lv� damagos cosls,expenses,or causes ol action that may arise <br /> � ppprovetl lor Construclion �a�e becausa� `instellation and maintenence of lhe improvemen�or <br /> othar rigY -ol•way uso hereto applied lor and lurther aqrees to <br /> j �� //�� ��-� romove s..ma upon notice from lhe Ciry and to repiace public <br /> � ��— proporty damage ther'�U . <br /> I� FNQALIN PS EGTION r� .L <br /> 1(pprovM as Conswcled Dala ��^�-t� 7/2.7/t., �_. <br /> SignaturaolAppliwnl � Uate <br /> :;�:;RK AUTHORIZED BV THIS PERMIT MUST 6E STARTED W�TNIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEH IS TO BE DILIGENTLY PURSU ED <br /> l U C01dPLETION.THIS PEH1dIT MAY�[CAI�CELLED BV THE CIN UPON ANV STOPPAGE OF\YOFiK Otl 7HIS PPOJEC7 OVER e0 0A�5 DURATICN. <br /> ���..i��t�.:•:i , . <br />