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PUBLIC WORKS °B'e ';9'�°°L ' <br /> PERMIT oo�ublicWorksPermit � �W��o�-��� <br /> DEC 2 0 <br /> n ��r Building Pe�mil M <br /> PUBUC WORKS DEPAFiTMENT �Z I��� planning qalerence• <br /> 3?00 CeAar Streal <br /> Evoretl,WA 98201 �n Public Works Fec E $z 4 0. U n <br /> ,°ZS,zs;�,°FOSTING �'�w2 <br /> `-' Ouaranloo S <br /> A DtJROOREss�. Snot�omish CQUII�. APP�ICANTNAME <br /> -Y ANDADDRESS: T�1O UOY@ <br /> 30D0 Rorkefeller Ave MS404 <br /> EVERETT WA 9fl�0] <br /> PMONE ( 425138t3-"t71�1 PHONE. <br /> TAX PARCEL ID.1' PROJECT AODRESS�. 1 U 1 G (:a j OL❑ d V B <br /> an vosEowoAK Demo IIuildinq - Stabilize Water Main <br /> PW <br /> F'ERMIT CONDITIONS <br /> 1. All calls lor Inspeclion shall be made 24 hours in advance•phone(425)257-8810 <br /> 2. All work shall be pedormed in accordance with this permil and current City ol Everetl Desic�n end Conslmclion <br /> Slandards and Specilicatians. <br /> 3. Call Laation Underground Service 48 hrs. belore yau dig. TOLL FREE NUMBER 1-800-424•5555 <br /> 4 . As pet apptovnd ,�lauc ,t3t.e�1 7-3-U1 . W <br /> 5 . K�rFp cit.y :;t.rF��,t s �. ) .,an at al ] t ime:; �3urinq �:unstru�_tion. � <br /> '�A <br /> VI <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> � � � � � � � <br /> ,;UL 0 9 2001 � <br /> crrr or EVH reErr �' <br /> Permil Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> C �Gj_O Thc untlersigned awner/uppGcanl horeby ngrcos lo hdJ&nd <br /> � savo harmless thn Clty ol Evere�t�rom nny and pll claims for <br /> nnn�o�Pa iofC��cuon oaie tlamages,msts,erpenses,or causes ol aclion that may nrise <br /> !l \�� because ol installalion und mainlenanca of tho improvemanl or <br /> other righl-ol-way use hereto appliotl 1or nnA lurthar ngrocs to <br /> -��y� _ romo e pon noUce from ihe Ciry nntl to replace puGnc <br /> FINAL INSPECTION pr am ged Ihureby. <br /> AnPruvnq as ConslmclM Dnte ' � ' ,'.`� W, n }/�/D, <br /> ✓e/IF <br /> . .— --- - � ------—.. . . _ . <br /> Sigwh�reolA�lkam � Date . . . . - - <br /> WORK aU7NOf11ZfU OY TMIS PEPMIT MUST BE STARTED WIiHIN 180 DAYS OF D�TE PERMIT IS ISSUEOAND THENEAFTER IS TO BE OILIGENiLV PURSUED <br /> TO COMPLETION iH15 PERMIi MRY BE CANCELLED BY THE CITV UAONANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS UURAlION <br />