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� <br /> Date 9!6l3007 <br /> PUBLIC WORKS pub!icWorksPermit# pW07QS-nOq <br /> PERM IT Building Pcrmit/! <br /> PUBLIC WORKS DEPARTMENT planning Relerence x <br /> 3200 Cedar Street <br /> Everelt,WA 98201 Public Works Fee 5 <br /> (425`257-8810 $r., :}Q?.�l S <br /> Guaranlee 5 <br /> OWNER NAM[ APPLICANT NAME <br /> ANDADDRESS: ,_,pU$ T;I7 LLC ANDADDRESS: <br /> 915 113TH AVE SE SUIT'E <br /> BELLEVUE �e��5 <br /> PIiONE: 9�5 q C�`��� PHONE: <br /> 7AXPARCELI.Da PROJECTADDRESS: <br /> � <br /> f1ESCRIPT10N OF <br /> PROPOSEDWORK: NEW PARKING L4T <br /> PERMIT CONDITIONS <br /> 1. Ail calls for inspeclion shall be made 24 hours in ativance. <br /> 2. All work shall be per(ormed in accordance wilh ihis permit and current City o(Everett Design and Conslruction <br /> Standards and Specilications. � <br /> 3. Call Location Underground Service 48 hrs. before you dio.TOLL FREE NUMBER 1-800-424•5555 <br /> � <br /> :t. at�i,r.,;:�n'r� yt,p.li:S ��/� <br /> --- .. V/ <br /> -. • W <br /> , . =�'_� n� O <br /> �. � ��r=c� • l <br /> G � <br /> O `''' Z <br /> �-, <br /> O � O <br /> "�s..� � <br /> !�I i fV <br /> 4� tlf � <br /> -.^ `�� <br /> -,:f_���.., -�-'•_ - _ O <br /> _ =;� a <br /> - —— ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersi9ned owner/applicanl hereby agreos lo ho'and <br /> �L�^���,�����_ _,--� save harmless the Ciry ol Everett Irom any and all c!�i.n,!or <br /> � damages,costs,expenses,or causes ol aciion ihat may arise <br /> .�ppmyaqlor Cons�mceo Dale because ol installation and maintenance ol the improvement or <br /> /// / � /� � other nght-o�-w2y use hereto applied lor and lurlhcr agrees lo <br /> ,�._ �, '���/` Z — �' �[) remove samo upon notice Imm the Ciry and ro replace public <br /> � �--�'� pmp y damaged reby. <br /> FINAL INSPH ION O ,�� <br /> Approvetl as Oonstrucled Dalo � �`•�' 7 <br /> c'c�/T�.vci E�v r v.�x/ /�y�Jr 2c S y r•n.,,t'�: `/ <br /> �. �'.�: [�7y,,�.P(.0� !.t/ /�.f?L��H �b SignaNm of Appl�canl Uatc <br /> �— <br /> TO COIIPL[T�IOP?T�S PERM TEMAV BE CANCEL ED Y�THE CITY�UPON ANSSTOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS IDURATIONPURSUED <br /> OATAOAR.INC. <br /> f PN'P p:01) <br />