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P�� IC WORKS Date ?;3J2004 / <br /> s Public Works Pertnit N Po0402-005 <br /> PERMIT B°°°t-°�8 <br /> Building Pertnil M <br /> PUBLIC WORKS DEPAflTMENT Planning Referance N <br /> 3200�etlar Slreet public Works Fee E Se,J.00 <br /> /T Everr.tt,WA98201 <br /> (425)257-8810 Guarantee S <br /> OWNER NAME APPUCANTNAME <br /> ANDADDRESS: �BQO EVERGRELN G�Y ANDADDRE55: <br /> �/�R� � 48203 <br /> PHONE: Q�S3OBSO31 PHONE: 42F?SZz153 <br /> TA%PAFCELt.D.� PROJECTADDRESS: - <br /> : DE?:RIPTIONOF ' , <br /> � PRGPOSED WORK: <br /> l� <br /> PERMIT CONDITIONS <br /> 1. A�I calls for inspection shall be made 24 hours in advance-phone (425)257•8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> 4. A� per approved plan dated 2-5-04. ` <br /> r <br /> � <br /> ._-04 ;p�i� W <br /> ;{ ��r)1G3� O <br /> cU;.LD 341.'�5 <br /> SfiCHG 4.SD � <br /> t! 40�005 � <br /> '12�4VW 20.O;i <br /> I ;�%1NS? �O.Ov" O <br /> 1 O I AI 4•IJ.�J <br /> I_� , .(�_i'i y�wJ <br /> :1 11Y'�_'j�"C _I <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 1 <br /> � '") 4��C�ev ^ - r � The undersigned ownedapplicant hereby agrees to hold and <br /> K���V G G� � save harmless the Ciy of Everen Irom any and au claims br <br /> pppm�ea ior Constmcuon . oaie damayes,costs,ezpenses,or causes of action that may anse <br /> /� because ol installation and maintenance ol the improvemeM or <br /> / /% • `��� `' / /' other ri�hlo4way use hereto applied for and further agrecs to <br /> � t � , �c�( 7 - �T remove same upon iwtice Irom the City and to replace public <br /> FINAL INSPE TION prop�rfy dam� t�eby. <br /> Appmvetl as Conslructea ���^- � -�}�� �--� <br /> /� �l•� <br /> r <br /> o p�Kam � � Date <br /> W.JRK AUTHORI2ED BV TNIS PERMIT M1tUSI H[STARTLU WITHIN 180 DAVS OF�ATE PERMIT IS ISSU[D AND THERLAFTE(71S TO BE DILIGENTLV PURSUED <br /> TO COMPLETION.THIS PERMIT MAY U[CANCfLLEO U"�HE GTV UPON ANY STOPPAGE OF WOfiN ON THIS PROJ[CT OVER 90 DAYS DURA710N. <br />