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PIJB�.IC WORKS
<br />PERMIT
<br />PU�I IC WORKS DEPAHi616�T
<br />�200 Cedar SVer.t
<br />� [vurr.�t, WA 982G 1
<br />(A25) 257-BB10
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<br />�ar,nn,ie nPAIF. ENTERFF�.ISES LLi' ..... -`Inrrircmnrir�in�.+r
<br />!)UR[SS ANU GD�RF.55
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<br />7AX PAFCLI_ I O n
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<br />Df SCRIPiION Of ''-��
<br />PROPOSED'l.'OHK
<br />PERMIT CONDI710NS
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<br />Date
<br />Pubhr. Works Permit u
<br />Bwldmg Permi� N
<br />Plann�ng Rcic�ence N
<br />P�blic Woiks Fee S
<br />Guarantce S
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<br />1. All a,lis lor inspection shall be made 24 hours in advance - phone (425) 257�A810
<br />�. All �.vork shall be performed ir� accordance with this permit and current Gty ol [cceu Desg�i ard Cunstruction
<br />Standards and Specilicahons.
<br />3. Call Location Underground Service AB hrs. belore you dig. TOLL fREE NUMBER 1-800-424•5555
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<br />u:inimi.iR� �;L r:'� �iiim.-r::e from io�in c,: j,ui:��i;na �
<br />`.. F_�oftop �unotf musi be dis_•ha�Ued (.� a coof cl�_vnaF,;�i�t 1nfiltLati!�n �y::t-m E�e� �icy �
<br />: Eve�ert ;toc�r Ma��ual '-_.r,.�. The appr:oximatc size r��ncl: is :t.5' vide, Z' ��ee�;
<br />_nd �5• lon�a. se�r atcach�r�•_nt f��c moce details. �
<br />r�. F'�NOV� dll�� L'N�i:di^�- CUL'�t� �7�f t�?L' 311�j 31�jNV31iC 39 47�_'I: f'LCj+ �JL EV�'C9'.t SCdll.ldC�j i'lull O
<br />«•„ :n5p S 306 on this peoE�o3a1'y f�emtage as cli�e�•tzd Ly the 2ublic W�:�eY.-� .ins����:to�
<br />.. .�11 w�.:-�_+ dci`��way.-, and an}� Lrokrn or datnag��d acea must be cet�l�-�.] . �
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<br />f� INAL INSP -CTION �
<br />�up�ov��� ,is Cunslru'In�l Il,i�r
<br />ACrCNOWLEDGEME�T OF CONDITIONS
<br />7 hc undrrsignetl owncr ;�pphcaN hereUy agrees tu hold and
<br />sove harmless �he Ciry of Everett Irom any and all daims for
<br />tlamages, rosts, expenses, or causes ol achon tha! may arise
<br />be:ause ol installauon antl maintenance ol ihe improvement or
<br />othe� nght-ol-way use hereto apphed for and Iwther agrees to
<br />mmov^ samc upcn notice Irom Ihc Gty and lo rcplacc Eublic
<br />��roperty Oamaged thcreby.
<br />�"�—`�`��`� t-'—�— -- � G` � I c�_L t, �
<br />S�gnalure otApP6cant U:Jn ������
<br />Vl�)HM. AU7 HONIZED F3V 7HI5 PERIdIT M1�UST HE.- tilAq7H> Yn�I11N I00 DAYS OP DAIE PCHMI7151SSUED AND THEREAFTER IS TO 8[ OILIGENTIY PURuUEO ���'
<br />7U L��"PI I i'�oi: 11nS ��1 HUIT I.��Y f31_ C�NCFi LI D f1Y IHl� CI7V UPON ANY SIOPPAGE OF b70RK ON iNIS PROJECT OVER 90 DAVS DURATION
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