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Datc . .
<br /> � PUBLIC WORKS �ubiicWorksPermnu � un?n '
<br /> PER M I T Buildmg Permd k
<br /> PU[31K WORKS DEPARTMFNT � planning Relorence r
<br /> "f?00 Cednr Slreet
<br /> L rerett,WA 98201 Pubhc Works Fee 5
<br /> In251257-8810 I
<br /> IGuarTn�oo 5
<br /> iOVRJLRNNAL -.. .. _ . . APPLICANTNAME � . . ..... �
<br /> � ANDAD�R[SS , .., , i ���,.,,�. r;��'i.11:��,�. ��, IANDADORESS
<br /> � 18;�1 1?TH GT:. �
<br /> ,� �F��.T�� Wfi ��� ,` T'� PQSTING Nov i � 200�
<br /> Ii1MONE�. � ,r.,of1]a�..✓ . ._— PMONE.
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<br /> TA%PARCELION PPOJECTADDRE55
<br /> � 'c'__ ._"__".._'_.. __. . . ....._ .. . __a_.i..__ ':_lla '.:�-_ . .-_.- - . ____—
<br /> ' OESCFiIPTIONOF I
<br /> � PPOPOSED WOFK: .� � �I � I
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<br /> P[RMITCONDITIONS � �� � ���' ���' � '�' �� � ' '
<br /> 1. All calls for inspeclion shall be made 24 hours in advance.
<br /> ?. All work shall be peAormed m ar,curdanco wilh this permit and currenl City ol Everett Design and Construcuon
<br /> Standards and Specilicalions. ,, 1
<br /> :i. Call Location Underyround Servico 48 hrs. belore you di9.TOLL FREE NUMBER 1-800-424•5555 Yd
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<br /> . . �.�i t . ' :,J _ , . .-. :�a�:�.i r � r ��.. . .1� 1 .. �. . . .. i . . . , , i � , . . . � �
<br /> _ L�11.`. :Il�.w. _..
<br /> iy dameqr !n tl.r ,irivev:�y wtil] r�•yuir.ed repinc..ment a� Sndfc•rYad �n r.nnAi�rYon`:Aa. m
<br /> ,nnerr eid. e4wc p.c City `itandard /�6n1, ,..-.:� w: -+ ,:: : '^' �
<br /> � •>eft.�p tunoff rouet be dischaeped to a rvof drnmaFK'ut infiftrat��n::'dj�seesf ,}+ex��tit�- O
<br /> v�rc�tt Scnr.r Ma��ual +-::.ti..'.. 11ie app[oul�nat�� sixe f.rench"'1n 3.5' vide, l• dwBp '
<br /> '�+� 1�!�t1. SPP N�1ACMh?f1Y 1U1' MntB C�FfA719. •�'
<br /> �istall eroaiun contiol mKs�u[A: (.�3C CS?y ot Evac?t* Stan�auJa.-fer �mali pit[C��e Z
<br /> . . :!ir! , m�.��, r.�..�y^ �,� i�t,y{, r�, r�? rr�-kc�t nnto ft�A+IWA!7. .•� l O
<br /> _ � . . . � . � � , . ' . . �•, �1q k9F11, f'IRdil 811��
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<br /> � ACKNOWLEDGEMFNT UF CONDITIONS
<br /> ��/ '�i The untlersignetl ownouapplic2nl hereby ngroes to holtl nntl
<br /> � , r}�� �,<i ;J��_ � / � �: save hermless Ihe City ol Everell lrom any and all claims lo�
<br /> Ji
<br /> �j 6 damages.cosls,ezpenses,or causes ol ection Ihat may xrise
<br /> -�Appmveq�o�Conairucian Det� because ol mslalla6on end maintenence oi Ihe improvemenl or
<br /> ' other nghl-ol-way use hereto appM1etl lor nntl luhher agrees to
<br /> ., .. � ,-;:-- . ',, ' �.�-� �-'� remove snme upon notice Irom ihe City ano lo replace public
<br /> _y_ •.i •_r � ___r �
<br /> �`iNAI IM�EC7iON " property tlamnged Iherehy.
<br /> � �ApVrovetl ns f.onslrucb Oate . ,
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<br /> � � . _ ' . � Signa�urc ol Appl¢Bnt Daic
<br /> WO�N AUIHORIZ[D BV THIS PGHMI7 MUST f1E STPFiT[D WIiHIN IHa DAY�Of DATL'PfIP`AIT IS ISSUEDAND TMEREAFTLR IS TO HE DILIGLNiLV PU�SUED
<br /> 10 COMPLETION i/US P[RMIT MAv OE CANCELLEO BV THE CITV UPON ANV S70PPAG[OF WOHN ON THIS PROJECT OVfR 90 DAVS OURATION.
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