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- PUB�ic woRKs <br />�ERMIT <br />PU81 IC WORKS DEPARTMFNT <br />3200 Cedar Slrect <br />Evaeil. WA 98201 <br />�a i US�U'�TING JUN 1 2_ 2006 <br />78:.2 BEVEkLY LN <br />F.VERETT Wh <br />PIIONG <br />NEW DF,TACHFD GAF.�GE <br />o�.scva��noN or <br />rrvnvosEo tvor�n <br />PERMIT CONGITIONS <br />APf l ICAN! NAME <br />nNn nnn�Ess <br />� 8:: fr3 <br />ri�oni_ <br />PROJF.CTAD:iRESS <br />o,iE <br />Publ�c Woiks Permil tl <br />6wldin� Permit � <br />Plinninc� Reference a <br />Public Works Fee 5 <br />Guarantec 5 <br />Oo: lc„.:;in5 <br />Po050P-�25 <br />B0508-D41 <br />5�5.00 <br />1. All calls for inspection shall be inade 24 hours in advance - phane (4251 257�8870 <br />2. All work sha'I be performed in accordance with this permit and current City of Everett Desigr and Consfruction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FAEE NUMBEFi 1-800-424-5555 ��� ('/. <br />�L The contr.,^tc,i mu::t me-rt vith !h� Fublic 4oiV:� inspector t4_'5-'s_�;�-7403) [c, discuss W <br />��otant.a: dc:;in,�;., cr,ut�.ny prioc : I_«.�;innino i.h,= pco��ct. � <br />V/ <br />`.�`.�`f f "' � 's <br />�} � - f=— �/1� c, <br />Ap�m,,y Cons�uG.on Dat� % <br />// / � � <br />//�` [�(�l� l �'� C -�: • <br />F' INl.L INS E ION —� <br />Appiove�f as�Gom;vucicd D.tlr <br />6Y <br />O <br />� <br />Z <br />O <br />H <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tue undersigned ownenapplicant hereby� agrees �o hold:.ntl <br />savo harmless Ihe City ol FvereU trom any and all claims lor <br />damages. cosls, e.penses. or causes ol action thal may anse <br />because ol installation and mainlenance of ihe improvement or <br />other righbof-way use rero applieA for A furiher agrees to <br />remove same upon tice frpm Ihe � and to replace publlc <br />properly d a Ihor� <br />�r - <br />�BfUti__ <br />S.. atwe ol'Anol nt ;� Date ' <br />SlUHk AUIHUHIlf U 0'! 7HI5 PCR1.711 IdUST f3C STAR�ED WIiI1IN 190 OAVS OF �A7E P[RMIT IS ISSUED AND TNERFAFTER IS TO BE DILIGENTLV PURSUED � <br />u� r.r,�,7P; t nUr� nub Pf n1.711 I.I;�V GF G�nCLLLCf) FlY tHE Ciiv UPON ANv STOPPAGE OF WORK ON 7HIS PROJEC7 OVER 90 DAVS DURATION. � 2 <br />