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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />�b!/WALGF:UN 15IT7•SI <br />5 36TH 57 <br />TACCL"SA ?r` 40ii <br />PHONE: <br />PHONE: <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />TAX PARCEL IDA I PROJECT ADDRESS: _ ..... — <br />DESCRIPTICN OF .r <br />PROPOSED WORK:. .. _ .�.._. . <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <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 />WILL FREE <br />1.800-424-5555 <br />3. Call Location Underground Service 48 hrs. before you dig. NUMBER <br />Jr: e dcne per approved plan* dated 2/23/2007 <br />= <br />Stre••:,.: are t_I he kept clean at all times <br />6. Provide eren]cn anntrol as dir-ctwl by the City Pullin- <br />works Inspector lRand}try <br />G71 <br />Allen, 4:_5--�-'•a-74117i <br />•- �� <br />5� <br />CLy <br />M <br />C7Fd -�q� <br />O <br />fi <br />R <br />z <br />O <br />F" <br />ars <br />co <br />m� I- J fir`^ <br />`/,V/r/A�/f► <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages. costs, expenses, or causes of action that may arse <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from tl -e City and to replace public <br />property coma ed thereby. <br />Signatu pliWjt �/ DAIB <br />WORK AUTHGRIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENT[ Y PURSUED <br />TO COMPLETIOU THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE JF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />EPWP (7MG) DATABAR. INC <br />