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. . - � 1 . .. � . . . � . . . . ,w. . . . ..,.. . . . . .. <br /> PUB��a: woRKs I ��,; �i3r�� <br /> Public Works Permit a �J(,��s-0QZ <br /> PERMITBuildingPermitM ��.��� <br /> PUBLIC WORKS DEPARTMENT Planning Reterence p <br /> 3200 Cedar Streel <br /> Everett,WA!18201 Public Works Fee S ZC,� <br /> (425)257-8810 Guarantee$ (,J�A <br /> OWNERNAME / �, 1 APPLICANTNAME YO'�C•f���� <br /> ANDADDRESS: L I � . (.� V N,v A �� ANDADORESS: �� <br /> Z215 I�IEK�I�C�K ���7 N���TH�.+��. I'KW`( NST <br /> Evtx�"i'r, rv� y3zo3 IobTH��.� , wA �go�� <br /> PHONE: PHONE: <br /> 4Z5 -zCv � - IUvc� �4L� -34 -343c.v <br /> TA%PARCELI.D.+ PROJECTADDRESS: 2Z1 S M�^�LI�C� r <br /> DESCRIPTIONOF .J�l��, A I�E ���✓ �N ��� �EvE►-. S�Eap�KS N <br /> PROPOSED WORK: f` f.1 � <br /> �X�ST I N C� C��ss �.,I tJ� ,SW At.E � �E �' tA nT <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance•phone(425)257-8810 <br /> 2. All work shali be performed in accordance with ihis permit and current City of Everelt Desiyn and Conslruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> 4� Ah �r„���Pro✓ed ��Restorat�onSi � pl���� shec� a1, i F" <br /> N <br /> dUt,Cd 5�3/00. � <br /> , 0 <br /> osov-oo �.:SSPn <br /> � <br /> u 000+o.0 Z ,I <br /> - RlIILO b44.25 O li <br /> SRCY�i 4.5U f <br /> OTHFfi 25.00 � <br /> TOTAL 673.75 (/� <br /> CHEK 6�3 <br /> A 0�17313 V <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> ��f�p `'j/,��p� �/3� save harmless the Ciry oi Everett from any and atl claims for <br /> �� damages,costs,axpenses,or causes ol action that may arise <br /> Appmvetl lor Conslmction Da1e�- <br /> because of instaliaUon and maintenance of�ha improvemant or <br /> other right-of•way use hereto applied for and further egrees to <br /> remove same upon notice irom the Ciry and to replace public <br /> FINAL INSPECTION� properry dam d th1ereby. <br /> ApproveU ns Constructetl Da�e �._ I /'i� ,. .�� C.� <br /> 7v Cl <br /> � Signatu loer�IkaN ^� Da1e <br /> WORK AUTHORIZED BV THIS PERMIT MUST 8E STARTED WITHIN 180 DA�S OF DATE PERMIT IS ISSUED AND THEREAF�ER IS TO BE DILIGEN7LV PURSUED <br /> TO COMPLETION.THIS PERMIT MAY 8E CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON TMIS PR0.IECT OVER 9D DAYS DURATION. <br />