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PUBLIC WORKS °°'° 7;�15;���,i4 � <br /> P E R M 1 T Publ�c Works Permil a <br /> FG0507-CZ5 <br /> E3undmg Permil a 80507-��5 <br /> PU�LIC WORKS DEPARTM1"ENT Planning Reference a <br /> 3200 Cedar Streel <br /> Everett.WA98201 PublicWorksFecS 585 .OU <br /> (425)257-8�10 Guarantee 5 <br /> T(� i�(�STI�G MAY 0 7 20D6 <br /> Ol7NLR NA1dE PHUNG ��!UANG APPLICANT kAME <br /> ANDADDR[5& F1�� b4T•A DF hl ��NDF�OPESS <br /> NAFYSVILLE idl�. ?5::�0 <br /> r�+orar 92520817F,? v�ioue <br /> rnxrnr�ce�io.a U04:8233hii�3u,'; rr�aecrno�nEss lcil6 BF.C��,DWAF <br /> D[SCRIPTIOrJOF •._ ,.... .__. .. .,.. <br /> PqOP05[D WOFK'. <br /> LC+T 2; � i9 BLi�'K :;u DZV }7 i'�'EF'F�i"I <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance- phone (a25) 257-8810 <br /> 2. All work shall be performed in accordaoce with Ihis permit and current Cily uf Everett Design and Construction <br /> Stand���ds and S;�ecilicalions. <br /> 3. Call L. .a�ion Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 7-800-424-5555 Y , , <br /> 4. As pe� .���rovea �ta�, dated 7-�9-05 and the public vucks inaper.toc's dicect.on in W <br /> the field. � <br /> 5. Dciveway to BC03(IW3y shall be as pee City of Everet.t. Standa[d Plan N307 oe 9308. ♦/� <br /> o. Side nerrec sUall be a� pee City of Evecett Standani Pian. fti�l, 602 a o04. V� <br /> 7. Add 9as t�apiflostable metecial 3epaeator to the �xistin� CB as per City of Evec�;t M <br /> Standard Plan 1?910 (if not tliece alceady) . _ V'� <br /> � �; � � <br /> ., -?; �s in'c ' � � <br /> i: <br /> �� < �^'a Fx�'hu��?"l � � <br /> �7 <br /> tir�«, a <br /> , � <br /> � � 4' ' ,,,rv.� �"' <br /> �^����p�����C � <br /> c�'.����'iO��:ijU t.:+� � � <br /> � <br /> ACKNOWLEDGEM[NT OF CONDITIONS <br /> Z� � The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless thc Cip�ol Everett from any and all claims lor <br /> Appiovea lo Con, io �n;� damages,costs,ezpenses,or causes ol action that may arise <br /> because ot installation and maintenance ol Ihe improvemenl or <br /> / � .� olher righl-of�way use herclo applied tor and further agrees lo <br /> � vl� : ci .r, ., — J l"L� ' rentovn same upon notice�r i,lhe City nnd to replace pubtir <br /> FINAL INS CT dN p�operty,tlamaged theiet�y. J <br /> AppmvedasConstmcted Daic 7,j_� �C�fl� —i � - � S, �. �— <br /> � `; <br /> vs --f --�- -`----- <br /> ignature ol AppL t / Da1e <br /> l':011F AUTHOR17F_D(;Y iH6�f.fl�:�li hdUST 13E STARiIE�VdITHIN �[l�DAYS OF ONG PGRAfIT IS ISSUCD AND THEF7EAFT[R IS TO BE DILIGENTLV PURSUEU <br /> lU C��:'PI I_i101!.THIS PO1L11i L1AV L[CAI.CLI LGl?13V TH[CITY UPON ANV S10PPAGE OF 14'UHK ON THIS PROJ[CT OVER 90 DAYS DUflATION. <br />