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�uB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />��lMa� bZi �✓ 1���C< <br />� evai tCANT NAME <br />SI}7GH EAI�BIk <br />"t115 116TH ST NS <br />MARISVILLE w-A ?8271 <br />�]�e <br />Public Works Permit a <br />Builtlmg Permit # <br />Planning Rnference h <br />Public Works Fee 5 <br />Guarantee S <br />PHONE: <br />PHONE: 4252321551 <br />TA%PARCELI.D.# PROJECTADDRESS: q•`q 1f <br />DESCRIPTIONOF ,.�_�� �T �� �^Y' fT f Up T�� 1=�! �•�•� <br />PROPOSEDWORK: 1".SN.F'..<Y'a'.Iu Saii`'f•�.- <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. A�I work shall be perlormed in accordar�ce wilh this permit and current City ol Everetl Design and Construction <br />Slandards and Specitications. <br />3. Call Localion Underground Servir,a 46 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br />. r �-e C'it .:`_andac�i R:i�R f3Yr3rL'9�i1 <br />; c:,v:a- r. conaCnacri,:n :.n.can�r� 4� }'„K Y F' Stan.laL•:l 8"'05A <br />. icovici�: sil� fence acound l�:v side of pc_ �ect e - <br />. Uori: shall be dc•ne so a� not to impaet euecounding pco�Wetie. (�:�'1,�.'��'„�'-'"r �' _. <br />.. ioining ptnjoot'� silt funce ia c�equired 1 <br />,' L;�ep r_ity 3teeet� clean a: all times .. �'11-� s["tiraded <br />.; plan vill be xequired shcn+ing hov the fill vill be placed if th_ �} �;}i <br />',; , <br />, , , � 7�:,pt permanently I <br />; :' <br />(?1 . i <br />�/� <br />��'Z�rr � 1 <br />Dale <br />� <br />� <br />N <br />O <br />a <br />ACKNOWIEDGEMENT OF CONDITIONS <br />Tho undersigned ownedapplicant hereby agrces to hold and <br />save harmless lhn City ol Everetl lrom any and all claims lor <br />damages, cosls, eepenses, or causes ol action Ihat may arise <br />because of installalion and maiNenanco of Ihe improvement or <br />other right-o�•way uso hereto applied lor and f�nher agrees to <br />removo same upon nolice Irom the Cily and to rep!ace pu611c <br />propcA dam�qed II� by. <br />� '��r�� � <br />SignaWreol�nt Date <br />I. -_ __ <br />�O COMPLE�ON iM5 PERM T MAY BE CANCELLEO � D HC- CI V�UPON AN�Y STOPPAGE OF WOF7K ON NNS PR0.1EC OVER 90 DAVSIDUR TIONPURSUED <br />IIqTApAq, INC. <br />111YP U;�1 <br />