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Pus�i� rvoRKs <br />PERMIT <br />PU�UC WORKS DEPART�dENT <br />3200 Cedar Streel <br />Everetl, WA 98201 <br />(425) 257-8810 <br />"�•""""^"' 3on1 rGLEP <br />3VEHETT <br />PHONE a 5.�.�]?GIIUI� <br />1AX PARCEL I D. � <br />OESCRIPTION OF iii�F.T Pt <br />PROPJSEO WORN. <br />PERMIT CONDITIONS <br />APPUCANTNAME <br />ANDADDFESS� <br />W71 P5:ii1 <br />PHONE <br />p; ?; 30�?UUd <br />Pu6licWarksPermdn r'���.�.�:-��-;�' <br />Builtling Permit a <br />Planning Relerenca u <br />PublicWorksFecS .1��,�1-...'L <br />Guaranlee 5 <br />PROJ[f.TA�DR[55'. B1U�I EEJEF:LS LN <br />i�u:.-i.a-ua A11G is- <br />1. All calls tor inspection shall be made 24 hours in advance • phone (A25) 257-8810 <br />2. All worh shall te performed in accordznce wi�h th;s permit and current City ol Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underqround Service 48 hrs. before you dia. TOLL FREE NUMBER 1-tl00-424-5555 <br />-�. �E:. .��.Lo��� F�.ris c*.�r•t� a-?o-o � <br />FINAL INSPECTION <br />afFro�+e.� as GrnSirpCletl <br />Date <br />�dIC <br />���� :v-oq s.w�:F.9 <br />:i 4p90:.`i <br />!'b1; k4fJ �µ^o. _�• <br />�'!J; UFF' S9. _ . +" <br />Y-=!T;.L 1�?��^�3.":. <br />N ;'ri�9�'9 <br />W <br />h <br />� <br />W <br />0 <br />� <br />C'�iE !��•;�%1 <br />O <br />'�^ <br />VJ <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� The untlersignetl owneriappiicaN hereby �grees t0 hold and <br />' U save harmless tho Ciry ol Everetl from rny and all claims lor <br />d�mages, cosis. �xpenses, or causes of action Ihal may arise <br />beca�se ol installaUon and malNenance of Ihe improvement or <br />other nghbol�way uso hmelo ap hed for antl lurthcr agrees to <br />_ remove samn u�on not e Irom 1 e City antl to replace publlc <br />property�0amag d Ih b � <br />� t�l ' <br />7_.. � ('/�!o pl _ <br />Signalwe ol Apphc �I � dale <br />PIORN AU7HOP:2[� D I iH15 Pf.P�Alt t1UST l3E S7ARiFD IVITHIN tB0 DAVS OF DA7E PERIdIT IS ISSU[D AND THEPEAFTER IS TO BE DI�IGENTLY PUiiSUE� <br />i0 C06�PLCTIC!i T�1i5 �r.r�' �IT!,7Fv UE Ci.NCEL�LD !3V THE CITV UPON AN' STOPPAGE OF WOIiK ON iH15 PROJECT OVER 90 DAYS OURATION. <br />