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/ <br /> + ? � ri .:���I�i <br /> PUBLIC WORKS °a,� y <br /> Fub6c Works Permit x PW0507-[�:' ; <br /> PERMIT B°5°'-"�� <br /> BwlAmg Permit tt <br /> PU�LIC WORKS DEPAfITIJENT Planring Reterence# <br /> 3200 Cedar Street <br /> Evere7,WA 98 1 ' � � � Q�Public Works Fee$ 53,�45.d 6 <br /> ,42�,,z5�.eE,�O POSTING.n�A.!...�.......... .._ <br /> Guaranlee S <br /> O':fNER NAt,7[ ��'j"r L�'j��Y ,-� �LLr APPLICAIJT NAME <br /> AtIDADDRESS. Z717 RICKEFELLEk AVI ��JDADDRESS�. <br /> EVEFtETT Wh 9E21i1 <br /> r�•��oNe 425::122i10 PHONe, <br /> rax�nHceuoa 0093739250p001 PHa�ctnooaess ;� r �F.CALaI..S <br /> Df SC.PIP71(7N OF r• `-• 1�� :n..in..� - i...��:. ��. <br /> i'li;:l'Oti� (i IVOFK <br /> PER�.41T CONDITIONS <br /> L All calts for inspedion shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2 All work shall be performed in accordance with ihis permit and current City ot Everett Des.iqn aed Ccn;iruction <br /> Standards and Speci�ications. <br /> 3. Call �ocation Underground Service SS hrs.before you dig. TOLL FREE NUMBER 1-800•424-5555 <br /> 4. Sit.� �,�-_}: t,: t�•_ �:i,�,ne p�z �ppe�ve�d F�1aq �.at�_d [;_,(;i i;` ��(;��i ljllql�•L7' / � <br /> J � <br /> �'A <br /> V/ <br /> - W <br /> �� ` .. O <br /> C: � <br /> .d � <br /> �� <br /> ssa <br /> � <br /> ,� <br /> t-+ � <br /> ;S� � <br /> ca��� -, O <br /> a <br /> ACKNOWLEDGEMENT OF CONUITIGNS <br /> � �9 The undersigned cwner;applicant hereby agrees to hold and <br /> �- QlZ�• , o %/i s2ve harmless the City ol Everett irom any and all claims lor <br /> npp �cd br Consirua�o.� D o damages,cosis,expenses.or causes of action Ihat may arise <br /> / hecause ot installation and maintenance ot the impravement or <br /> �/ � olher righl�o6way use hereto applied for and Wriher agrees�o <br /> ��G� t�L�-- S z, D remove samo upon notice irom the Ciry and to replace public <br /> FINAL I PECTION prop ty damaged ihereby. <br /> Approved as CanslmcicA D3te ✓�_ C� <br /> 1 �� oS-_ <br /> r,naNre ol Appliwnt Date <br /> \70ifK l�U7HpHli'i_D IlV i HIS PERId1T MUST BE ETARTED WITHIN 180 DAVS OF�ATE PERMIT IS ISSUE�AND iHEFEAFTGfl IS TO BE DIL1GEViLV PUR:U[D <br /> li i f�-i 1I`I�ii��G iH15 PfI:f.VT t.1AV 3F CANC[l I FI�f3V THF GTV UPON AIJV SiOPPPGG OF WORK ON THIS PROJECT OVER 9�D�VS DURATION_ <br />