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� ... I Dale I �� . ' <br /> � ■ ���'�;�0• `�� . > 1`��:1'a PublicWorksPermilt! PWOC�':: . '.'-�:. <br />, PERMIT ;,;�,._. <br /> ' ���- BuildingPermilk <br /> CT <br /> PUBLIC VJORKS�EPARTMEfJT�. Planning Relerence a � ��� <br /> 3200CCdarStrecl-� � �-�" 3 <br /> Evorelt,WA 98201 public Works Fee 5 (J"� .�:..- <br /> (425)257-88f0�� ::�:.�.i.(I:I C�-�T� <br /> 9 =��E; -00 Guerantee 5 �,�� �/ <br /> `' :;_:;`;.Ir; � <br /> OWNER NAIdE APPLICANT IJAME <br /> nNonooRess: HALVEFSP'f P.6P•F.R.T ANDADDRESS� ;�Cl}'gF <br /> ?519 WE1I+IOTcE AVE �B <br /> EVERETT WF. pg_:i! <br /> PHONE: ;,;(1pZ55�9!17 PMONE: <br /> TAX PARCELI.DJf PRQIECTADDRESS: <br /> r.�..��,r., E•F.C�SL'�U,AY <br /> DESCAIPTIONOF ' r*,I, Ti� CF�?,,�:, E��ILDIii�.: `i'I- <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspeclion shall Ue made 24 houis in advance. <br /> 2. All work shall be perlonned in accordance with this permit and currenl City ol Ecerctt Design and Construction <br /> Standards and Specilications. � <br /> 3 Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555 <br /> 4 __,. . _ :... . � _ it . r.c-'�"cs---r _ r: _ _u-_ ..si -r,,. :a1 � .. _ �I/� <br /> , _ -, , �, . ,. <br /> ��. . , ..., , _ <br /> 1. EJC: �'_i� _.. lCi. `)� :.VVIi dflti� dU�eOi7l1R1 I �-� ' ' ,:�'l:.- ' � '-�„'' � � ... `/' <br /> S. xill piacement r,hail be done �cc th,a . . . _, , P.., ..�.. r .. , . �' <br /> 6. Keep city stcnPts clFan at all timF:: m <br /> _ ' . '_�rL:_.il:T, rr TLT1}:��`.� ?.LLiti� �-c_ �p_�,� t. O <br /> � <br /> Z <br /> O <br /> H <br /> N <br /> O <br /> a <br /> — � ACKNOWLEDGEMENT OF CONDIT�ONS <br /> The undersigned owner/applicant hereby agrees to hold and <br />� �"� save harmless the Cily o�Everell Irom any and all claiins lor <br /> -� damages,costs,expenses,or causes ol action thal may arise <br /> Approve or nst ron ate because ol installation and maiNenance ol ihe improvemeN or <br /> olher righi-of-way use hereio applied for and furiher agrees to <br /> ' �-'�-� ��.,��^� remove same upqn qo �ilbm ihe Ciry and to replace public <br /> FINALINSPEC' proportyd rt�age�) m6y. <br /> Approvetl as Consirucled Dalo � � <br /> ��E 3�u -O& <br /> ,� _ <br /> SignaNre ol Applicant Date <br /> WORK AUIHORI2ED BV THIS PERMIT IdUST�E STARTED WITHIN 180 DAYS OF OATE PERMIT IS ISSUEDAND THEREAFTER IS TO BE DILIGENTIV PURSUED <br /> 1 O COIdPLE710N.TNIS PERMII tdAV L�G CANCELIG�OV THE CI I V UPON ANV SiOPPAGE OF WpqK ON THIS PROJECT OVER 90 DAYS DURAiION. <br /> fP�MP I%D61 �ATABAR,MG <br />