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PUBLIC WORKS <br />PERNIIT <br />PU�LIC WORKS CEPARTMENT <br />3200 Cedai Strccl <br />� Everett, N'A 98201 <br />(425) 2:i7�8810 <br />IWNERkAME 1R;1LSCdJ F?J4IL}' I'i,G.T. <br />,NDA��RESS. <br />3b15 t1'7i7LT"r.�: YI':'I� <br />F:S'EF:ETT 4;p. ..�6..�.�_�. <br />PHO^lE y; 4;�.. �: r.10 1 <br />Tnxrnnce�it, . <br />DESCRIPTIONOF T„�y����, {�IF; !�p",', <br />PFiOV'OSED JJOPN <br />9 <br />PEFMIT CONDITIONS <br />Date .�,:��:,.I�ii�a <br />PublicWorksPermita p00q09-i'��i <br />BuAding Pcrmit a <br />Planning Feference » <br />PubGc Works Fca 5 <br />GuaraNeo 5 <br />APPLICANi NAME <br />ANDADDRESS. <br />PHONE�. /_ r � � <br />(�� ��� <br />PROJECTAUDAESS: / � — . � � <br />-�r--'r �.--?_` F'J : . . ✓_ <br />, <br />5 d, ,L.. .' �I <br />1. All calls for inspection shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be perlormed in accordance wilh ihis permil and current Cily ol Everett Design and Gonslruction <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-024-5555 <br />"t'r.F. '�.Pif(�/}'( �..'�.'r' '�T.'i'.:I� � ..�i� <br />��O PO��TING.Mc�R...�.2..zoo� <br />Se�•! fv P�s;�„y �KcP ��(�1 <br />�-�{a�� F,.�.f a u�a.�t' <br />Y'�5—�yr �� <br />- �, <br />i <br />� � <br />/�- j � i" � � . . / <br />— •-'-��l..s.,��- , � -_ <br />Ap: iovrtl foi Cunsbi�clu,n Date <br />HNAL INSPECTIJN <br />App�ovr�l:u CnnsVur,leA D;tle <br />�,h 1. <br />;i )Q3G'.:�; <br />� � �,�r roo. :�, <br />. 409U'�< <br />;iHER 39.cu <br />,"e!I�UW 21�7. i;, <br />i'I��i' ti=�S,�i.ti�: <br />� , c?3. i4 <br />ACKNOVJLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrecs to hold and <br />save harmless the Ciry ol Everetl irom any and all claims lor <br />damages, costs, �■penses, or causes ol aclion Ihat may arise <br />because o1 inslallation and maintewnce ol Ihe improvement or <br />other nghl-obway uso hereto applied lor and further agmes to <br />remove same upon natice Irom ihe Ciry and ta replace public <br />prope ama e thmeb � <br />�F���'��.�]�f----`� �YI c�� <br />Si9nalurt+olAppl�cznt Dale <br />WOFiH AUiNOPIZcD UV 7HIS PBR�dIT MU£T BE S7ARTE� WI7HIN 100 �AYS OF DAT[ PERMIT IS ISSUED AND THEPEAFTER IS TO BE DILIGEN7LV PURSUED <br />10 C061P1f TIOD. 7HIS PER�dI71dAY �E CANCELLED OY 7HE CRV UPON ANY SIOPPTGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. <br />