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PI�BLIC WORKS Date 05/Q�/2004 <br /> PERMIT PublicWorksPermit� P�0405-019 <br /> Building Permit a <br /> PU�LIC WORKS DEPARTMENT Planning Relerence p <br /> 3200 Cedar Street <br /> Everen,WA 98201 Public Works Fce 5 50.00 <br /> (425)257•8870 <br /> Guaranl�o E <br /> OWNERNAME � �(Rb p�� APPLICIINTNAME ,T�� ��� <br /> ANDADDRE55: ANDADDRESS'. <br /> 1315 �1I.L S1' 3019 16�1fl PL 5E <br /> EVERETT YR 98201 801�LL Q11 98012 <br /> PMONE: PHONE: 42SZZOS�3O <br /> TA%PARCELI.D.� PPOJECTADDRESS: 2930 RQCRER �VE <br /> DESCRIP'IONOF SIDFI01Llf REP�IR �{p�t✓��r,�rviCA {�(,c,t✓++etit <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be msde 24 hours in advance•phone(425)257-8810 <br /> 2. All work shall be perlormed in accordance wilh ihis permit and current City of Everetl Design and Cons�ruction <br /> S�andards and Specifications. <br /> 3. Call Location C��derground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-12�-5555 <br /> 4. Cut, re�ove 4 ceatore aidevalk aa directed Dy Public ibrka inspectoc. W <br /> r <br /> � <br /> � <br /> m <br /> � <br /> 7 <br /> Z <br /> � <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> S�/ � The undersigneA owner/applicant hereby agrees to hold and <br /> save harmless the City ol Everetl from any and all claims lo� <br /> n� �ea to .,ons�mcoo D e damages,costs,expenses,or causes ol action that may arise <br /> � because ol inslallation and maimenance of the improvement or <br /> �, // �� / other right-oi�way u�e�ereto applieA lor and luriher agrees to <br /> IL C` (L� �—Lb� mmove same upon notice lram Ihe C"y and to repWce public <br /> AL INSPECTION property dama e he by. <br /> Apprwe0 as Conslmcied Da;e �/ O Y <br /> tm <br /> SigJr a re ol Apptie I D te <br /> � <br /> WORK AUTHORIZED 6Y TIilS PERMIT MUS i BE STAF:fED WI7HIN 1B0 DAYS OF DATE PEflM1T IS ISSUED AND TMEFEAFTER IS TO BE DILIGEN7LY PURSUED <br /> T(�COtdPL[TION.THIS PEPMIT MAV�E CANCELLFD BY THE CITV U^ON ANY STOPPAGE Of WORN ON THIS PRQ�ECT OVER 90 DAVS DURATION. <br />