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PUBLIC WORKS <br />PERMIT <br />PU(3LIC WORKS p,qN RT�vt�NT�� _���j ; t <br />3200 GCda�'Str nl' <br />Evmetl, WA38201 <br />(425) 257-Bf310 i��. � '�. <br />u�vr�t-r�Nnnn (�}.�I/ ,�;gE11 <br />nr;nnnorves; 7a�,5 3UOTH ST N4� <br />STANW�X�G YA <br />r��oNr. <br />inx vnnr_ei. i u. 0 q9171000q3?00 <br />nrsaartioN or <br />rr�oros[o woraK <br />PFRMIT CONUITIONS <br />ANU A�DI <br />�8::h. <br />. r��orar <br />ii <br />...,'� PRpJCGI <br />�. �� <br />! :! i! l'" <br />Datc <br />Public Works Permit M <br />Duildmg Permil a <br />Plnnning Relerence a <br />Pubhc Wnrks Fec 5 <br />C'ivarontr.c 5 <br />�ny�, ;`j.AP.Y.Y Y�i7NLEF. <br />4.' . r� <br />,�i' <br />�. .'.Qi!i;ti�1�74l�7 <br />REfiS�..� 481j5 <br />bF.I.VEGE <br />o3iu..i�on= ,� <br />PfJOs03-U�ir� <br />�'0503-001 <br />SJ �,00 <br />EI.A NO"i-iIG5 Li�; 34 iTi <br />t. All cnlls br inspechon shall bc made 24 hours in advance - phone (425) 257�8810 <br />?. All work shall be piufermed in ar.cordance wilh this permit and currenl Cily ul Everelt Design and Construcuon <br />Standards and Specihcalions. <br />3 Call Localion Underground Service 48 hrs bebre you dig. TOLL FHEE NUMBER 1-800-424-5555 <br />4. Connact aide sever per rity S�andacdn F,,�)�, c;ii" <;nq. <br />t,. Connecc cu_�ftop CIOVf19r�i�UC9 i0 ifi@ dC110d4E' :y�tBl/i F�ti�l'ltleC� fPf <br />�•. In:�tall eic,sion rontrnl m«a,ures per rlty of Evec«tt Standacde <br />7. kFm:rve PCU:119❑ ti��tl(C��1 IOP39LICB9 UF�O❑ CUM��IeLlqll i�f the pC6jEi'[ <br />�;:q�covnl of the pecmiY.. <br />. All excavated material from 2oundar3on, ,yidevalk and dciv�vaya <br />,n a���.i..-�ve,�, ��:-iinitt...J ,.�it•-. Nc� w;�t�m,i �.�f mr�triie�l 3s ;11ow,:l •,n <br />� f�19.'� - �^ •, c�% f s <br />__ -_... <br />n t' �u�11 � t..n.iqi� L,in .. . Ddln <br />,1� ! i � . / . . <br />. l [ <br />� � �{ � ��_---- -� ` i <br />yf�INALINSPFC�ION � <br />Approvalas Canspucte0 D�nn <br />C�I1 ; l�:�t . <br />f�,c sm�ll pac•:eL: <br />pcioc t�> tiri3l <br />9naii ��F n,��i..e c,: <br />this buildina l:�t. <br />A(:K�JOWLEDGEMENT OF CONDITIONS <br />W` <br />1�" <br />� <br />W <br />0 <br />� <br />Z <br />O <br />H <br />� <br />O <br />� <br />1 hr undersi�ned ownecapphcant hereby agrues to hold and <br />savr, haimless Ihe Ciry of Evmett 6om any and all claims lor <br />damages, costs, ezpenses, or causes ol action �hat may anse <br />because of insL311ation and maiNenance ot Ihe improvement or <br />oihm righbol�way use here�o apphetl for and lurther agroas to <br />remove same upon nouce Irom ihe Crty antl to repk�ce puhllc <br />proGerry tlamnged Ihemb�• <br />�va-• ���� S / 1. 9�� <br />_ _ .._ .. _ _. <br />!9i�n.vurn ol Appl�carl � � � � Da�e <br />,,, d;r �.iI7H0(il2[f19Y 1MI5 PERMIT MUSi E�i '.i/',��i1 n Y:i��n4 �u t bAPS ol D�If PI.q411i LG ISSUED AND THEflEAF1EP IS TOUE OIUGENTLV PURSUF.D <br />I. � r ��; rl ! TIUN llu ; Pf PMIi �dAY �f CA�di I I! I I� i; � 1��1 �.n � uP��•i n;�� �lOrPn ,( pl WOHN ON TNIS PROJECT OVEP 90 04V5 DURATION <br />