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PIJBLIC WORKS
<br />PERMI'i'
<br />� PUf3LIC WORK` D[P�HTI,if:Ni
<br />32nll crdai Slroai
<br />Fvc�eB.V1A 58201
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<br />Pf�.HM1T CONDITIONS
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<br />Datc
<br />Public Works Pcrmit a
<br />Ou�idmg Permif C
<br />Planr.ing Rclmo�n���� n
<br />Public Works i • � _
<br />GuaraNce S
<br />.. L�; ..�.�(i5
<br />p4i;508-033
<br />'i+q5p8-90:
<br />1 �II calls for inspection shatl be made 24 hours m advance - phone (425) 257�(1010
<br />,'. All work shall be per�ormed in accordance with this permit and current City ot Everen De;�qn and Conslructron
<br />Standards and Specilications.
<br />3 Call Localion Underground Service 48 hrs. balore you d,g. TOLL FREE NUPdBER 1-IiJO•424-5555
<br />,. A1: _�xc�•:�t_...; matc•[ial feom found;�t:<�r, .._�.ic�+.•:��:�: .:�n�i ......�.•.,;s ::hal; be ::.+ul<".' -
<br />,. a�:,�.�,.:v��-��, p..u;,itr_..,� 91ta. N,i �7.lDillly , ���;t.,i::.: ,-, �_-. �u>.f ���n ;hi:� buil�iin,� .r,r.
<br />. i�iv� it ,_.. � f��:�m r��:. ic��t�: j� .F.:.it�,� :iie out .. .. _�.ti:.�.[ i�:,•r�n•;i.
<br />ACKNOWLEDGEMENT OF CONDITIONS
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<br />_�/ � ihe unders�gncd ownerapplicaN heraby agrecs to hold and
<br />/ 7�,.r. f%/ , 7 �% �) �� s;rve hannless the Gry of Evcreu Irom any and all clanns for
<br />��,� i� .� -��„�� i, ,.,� � damages, costs, e�penses, or oauses ol action thnt mny ar,sr,
<br />. - brrause ol mstallation and maintenance al the improv�ment or
<br />/�' � other righbobway use hereto applied br antl lutlher a9recs to
<br />��__ -� -,(l/ ��/�_� � romo�e same upon nouce Irom the Cny and to repl,�ce puulic
<br />41NAL INSPEC,�ON , P��P�`hYa�1O1p9Cd Ihercby
<br />ACProvM ati Cannuurl�,d 1'.�tn / / -
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<br />Siqn. �,i of "npbcam � / Dale
<br />t:pRN AUlNOPIZCU 13Y i111U PI RIdI11dU5T lif SiAHI[D 1YITIIPJ IBO UAVS OF DF7E PER69il ISSUEDANU THEAEAFTER IS T06E DILIGENTLY PUFSUED
<br />li � COL�PI IJf �r: I IiP�. PI !�r'� f r.�nv H[ LA.'�LI ! I I�D f7Y iHL GIIY UPON ANv SIOPPnGC OF WOi7K ON 7HIS PPOJECT OVEP 90 �AYS OURATION
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