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�-� PUBLIC WORKS.,; �:., �_;,,;
<br />� PERMIT � ���� � 61','�
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<br />PUBLIC WORKS-0EPAfljnENT�,II'•��,
<br />3200 Cetlar Strael
<br />Evcrett, WA9�201
<br />(425)251�D�10�.. .... "; '��.
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<br />Ol'!N[RNAME -. ���...,.�.
<br />ANDAOORESS: ��,F;�WAT G�RPORATT�iHi ;,.:-
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<br />T,� � no�; �nia l;
<br />EVERETT WA c�c.��r,�
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<br />rF�oNe: �_c,30gB.04 1 ;;Yo �� V
<br />fAX PARC[L IA.k
<br />OLSCfiIPTION OF
<br />PROPOSED WORK:
<br />NEW HiHISF
<br />PERMIT CONDITIONS
<br />Dale
<br />Public Works Permit a
<br />Building Permit 4
<br />Planning Relemnca a
<br />Public Works fce 5
<br />Guarai�;ee S
<br />APPL ICANT NA^i�y j
<br />ANDADDR�S9:�_•;�; (�WTjf.�
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<br />PHONE:�-. ';=f _�.�
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<br />Li�T _. :.Ais,. Ft,AT 1::(�-----'
<br />1. All calls for inspection shall be made 24 hours in advance.
<br />2. All work shall be pertormed in accordance wilh this permit and currenl City of Everett Oesign and Consiruction
<br />Standards and Specificalions.
<br />3. Call Localion Underground Sorvice 4B hrs. be(or� you dig. TOLL FREE NUMBER 1-800-424-5555
<br />,. :CqrAr` ;i�j2 ;4:,dC �:��L f'1'1 .`it3tP13Pj i/'� r:iil, nt)_', r„ti.
<br />. �:nn�ct i,oftop duun::peuL� to the dLaina�u sy.tem peovici�•:i ic�i th�c; lot.
<br />. The .���ntract:nr muot me�t with th•? puf?llr 4k�ck� In�pa�-r�-.;� r„ d1���-u:;, ��.ot•rnti.�i
<br />.:n.i�:t�• �cmt:ug Pcioc tn b�.r��nn�ng the peo7er•t.
<br />. Inar311 er�:si.n rnpt�ql meas��re:, as detecmined L'�y the Yublic Wocks in�perrn�, c+ach
<br />;ilt fenc�, stcaw bales, �v51es or eio�ion blankets.
<br />. T�.r�moyN ern::lnn cn��trol. m�=a.^.veea upnn �-otnpletinn nf [he prn�a,-t pri•_�r rn final
<br />�o��al :i the permi..*..
<br />. Aii •�:•-3vated marNcial fcoo ir.i�ndation, �idevalk an�i d«��W.3v:� :�n3ii n� Ilaule,i *'.
<br />�n .�p�:��ove�d, permittFr�i ��te, t7n vastin�� of mate�xal is a11o�.+F•d �:�n thi� buildinq i:�t.
<br />. Nn d�rc, nud, rnrks nr dei?rt^ tn he rracked nntn ro�dway.
<br />.!io t�u:ldino matexial^ to Y�e s.y=}:�d on :ideaalks 3nd �idevalks to be ):=pt cl�,n
<br />,.. -.pen fce pede:r_cian tcavel.
<br />�� . i,dlust v,ter met�e bux 1" abnve ;;idev��lk gr. �r,
<br />.�-emov�� 3nd r=.�,lace �-ucb, ��uttar and -idee,..�lk a� :,ec i:ity nf F.ver.e`t °taiiaanl Y?an
<br />. ?O�A p Ifir. p❑ rhi_ pcopo�al'� fec�ntsgu a� dicerted Dv the Yublic �x�ri�s Ir.�F,:.-t:r
<br />.. a:l unuged �icivevay� and .any L-,evken n� damag��� acea nusr. I;A ca�-1.--: .
<br />.. Pave dnvewa}' fi,7m th�• fcont piop-rcty line o�rt t.o thc. s*„r�� p;r.�nri.
<br />:. I�I.tj.'L:C W�:P.}C$ ?17SFECTI017S CALL F.\NPv �.LLE?7 A; 4_'r.,_ �?n_�q;�,.
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<br />', A> ove ConsVuction DNc
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<br />I FINAL INSPEC 1 N
<br />I, Approvod as nslrucled D�tlo
<br />ACKNO'1lLEDGEMEM OF CONDITIONS
<br />The undersignsd ownei'ap,-fcant hereby agreos lo hold and
<br />save harmless the Ci�y ol Everntt Irom any and all claims lor
<br />damn�es, costs, expenses, or causos ol action �hat may anso
<br />becauso ol inetallalion a.nd main�enanco ol �he improvement or
<br />olher ngh4ol�way uso hsioto applied lor aM luriher agreos to
<br />removo same upon nohce Irom Iho Ciry antl to replace public
<br />propohy demage.l iher:�bV.
<br />"`�. LL�I'�L4[ �Z`'� ,�T _
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<br />Signa�uro 01 ApphqOFil
<br />10 COIdPLLT�ION T�lil�.�. PEHU TCIdAV fiE CANCELLE� UY� METG V'UPON ANV�ST�OPPAGE OF WORN ON TIUS PROJECT OVER W DAYS �UR TIONPUFSUED
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