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PUBLIC WORKS <br />PERMIT <br />?U�LIC WOPKS �EPAHTMENT <br />3200 Cedar Slrcet <br />Everett, WA98201 <br />(425) 257�8910 <br />OWNEF NAML <br />ANDAD�flESS: . i - , � . - � . <br />. . ._. .:fc_ r.�� <br />_ � . _i-_T': <br />PHONE: , 4_q_�.; <br />TA% PARCEL I.�.M <br />. °9i1�G�liunl' <br />DESCRIPTIONOF ;..� r��F,rr.� <br />PFOPOSED WORK: � - <br />PERMIT CONDITIUNS <br />i,. <br />PHONE: <br />Dato <br />Pubhc Works Pennit M <br />Building Pormit N <br />Planning Relerenco q <br />F'ublic Works Fao 5 <br />Guarantoo 3 <br />s�E AUG 0 5 2008 <br />�o PosTi��r _____ __� <br />PRQIECTADDRESS: <br />'�2�- .;4ZS- 9Go3 <br />.'__ ._ ..I�rc.S; : � . _... .. ., <br />1. All calls for inspection shall b:: n ade 24 hours in advance. <br />2. Ali work shall be performed in accordancA wilh Ihis permit and current Ciry ol Everetl Design and Construclion <br />Slandards and Specilications. <br />3. Call Location Undergrou�d Service 4B hrs. be�ore you dig. TOLL FREE NUMBER 1-80U-02A-5555 <br />... -`. �l�-'. ��.� ..i - -. . .. <br />co tr�•• ;.Ir:��nagF �ystem �: <br />i JLY;J IJYC -S`Y ��f Ev�«r . , . � , . r .,, _ <br />,ryll �x�-av�re; rc�:�t�ri.,i !c�rr f,:�un�la'�on, ..ldc.v3)k :ind d:,.-•4�ay� shall h=_ h�;:i. .. <br />3Fnir.u.c�j� 'L'ID_tCB�� �1'S. :V^ '.�n..'1[7: ^L ID3r•iC131 15 ,317nW_�� 9:1 '�119 )iU1Lj177,-' . <br />]in din. ir�ud, iock.s _. deDeis t:, k�e�tiecke9 •:�nto eea�Jvay. <br />N�� t�nil�iinrl �oate[iai� tn i',e :Lacked on si�ievalks arnJ �idewaiks to b�-- 1:�=�t .. ., ., <br />-n fi�c pe��l?rtrian *�avel. <br />. Adju.t watec marec hny: 1" ab���•? sida•.�31E: �acsdN. <br />. k•'-mova anci cEFlaca cucb, auttsi and sldev.�alk as pFe City c,f Everett :. _ <br />.. 3�15h b;n., on rhi:; � rn},��>:al'., fc�:ntai�� ae dir.�-�-t,s-:i ... ... . �'.r; . <br />._. ��ii] nmiev.t' diive-vyys �n�l ;ny t,rnkc.n ��r damaqed � .. � . . <br />Approvctl lar <br />D <br />FMAL INSPf <br />Approvclr <br />%;,, <br />O <br />cled ? Dato <br />- . / L-.. _'L_'— � — z. S ' <br />U/ <br />ACKNOWLE�GEMENT OF CONDITIONS <br />Tho undersigned owner'applicanl hereby agrees to hold and <br />savo harnless Uia City ol Evorel� Irom any and all claims lor <br />damages, costs, oxpenses, or causes of action Ihat may arise <br />becauso ol inslallation and mainlanance ol �ho improvement or <br />olher rign4obway use herolo applied lor and lurthor agreos b <br />rertiovo samo upon nolico Irom Ihe City and lo replaco puhlic <br />property damaged Ihereby. <br />Signaluro ol Appliwnt Oalo <br />v <br />70 COMPLETOION T� S PERMIICMAV BE CAN� FL [� OY�TIIETCI7V�UPON ANSSTOP AGE OF WORK ON TMI4 PRUJEC OVER 90 DAVS D RAT?ONPUPSUED <br />UAT�B�R, MC. <br />I Pwr P,txl <br />� <br />N <br />W <br />O <br />� <br />� <br />O <br />V+ <br />a <br />