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PUBLIC WORKS �'�B <br /> � Public Warks Permq p ' -��' ` � ' <br /> PERMITBuildingPermitp �—� <br /> PU�LIC WORKS DEPAPTMENT planning Relerence a <br /> 3200 Cotlar Slroct <br /> Evorotl,WA 98201 Public Works Foe S <br /> (4251257�8810 I � ' <br /> IGuarnnree5 � rp � t�icL�L' <br /> . _ .. . ._. . . . _ .. . . . . .. ._--------- <br /> OWNEP NAlAE APPLICANT NAME <br /> ANDADOPESS�.� I�.l.t�l� r�.,N,: t•.ry'i ANDAOORESS�..�f�.i.:,' t.,r.t�� I�. � 4 <br /> 'O BOX 3707 MS �,H- ]:'. <br /> �LATIT.E VA ���.. d <br /> PHUNF.� �.� _a:�.�4� PMONE <br /> -- __._. _— __.._...__ __. ______.._—__._-_' __—__ <br /> 7AXPARCELID./ PRQ1ECfADDRESS� <br /> _::iig'�lfiflllrtl7(Iii _ _ _ ___ _.__..__�_L`w_____:_��.�_1__—_—_ <br /> D[SCNIPTION OF <br /> PPOPOSEDWORN. ..�.y1tTNv��li�lf��j �1 . ��11'." . I : i ..�.,.. 11fl� 1.'.i ' 1:- ' .. <br /> �S�G� <br /> . � ,.� ��_«....... ' <br /> PERMIT CONDITIONS <br /> 1. All calls for inspec�ion shall be made 24 hours in advance. <br /> 2. All work sha!I brt perlormed m eccordance wi0i this permil and curr�nt City of Everntt Design and Construction <br /> Slandards and Specihcahons. � <br /> 3. Call Localion Undorgrountl Service 4B hrs. before you dig.TOLL FREE NUMBER 1•800-424-5555 <br /> � <br /> . , . , � , , . . . . '�A <br /> V/ <br /> W <br /> O <br /> � <br /> Z <br /> � � �ul 1',:�, O <br /> ;;� �� F- <br /> NOV 0 1 2001 (n <br /> CIIY Ul� �ur,:�Kcgl..�. a <br /> Pcrniit . . <br /> �� � - � ,' ` ��' ���` - - I ACKNOWLEDGEMENT OF CONDITIONS <br /> , Thr.unde�signe9 ownerieppl�cenl hereby agrees lo hold and <br /> 7` // j save hannless Ihe Gity nl Evarotl Imm any end all claims for <br /> -=��.�� �� �-ry-�:>--1 ��- damages,costs,e�pensos,or causos ol action Ihat may an5e <br /> Ap�yirved�ConsirJc6dn �e I bocauso ol mstallahon nntl mamtanance ol the improvemf!nt or <br /> �� .. ,_� •- j � othcr nght�of-way use hereto npphed lor nnd lurther agreas lo <br /> .� "� . �l t� -� remove same upon nctice Irom the Cny ond lo replaco public <br /> , ��!. _..�`— . . _z_�r-��__ <br /> ' _� <br /> � FapAtiNSVCCTION � prope4y damnged Ouroby. <br /> j %'App�ovM xs CunsVucled Dnle � � . - <br /> � � . .. �!-. . :. . _ .. , . . , .� <br /> i _.. ._ . . _. ._. .. . SignnWroolApplk�nt Dxle <br /> WOfiK AUTMORIZ[�AY THIS P[RMIi MUSi UE START[D WI7NIN iP0 OAYS OF DATE PERMIT IS ISSUCD AND THEREAFiER IS TO BE DILIGENTLY PURS�ED <br /> 70 CO"PLFTION TNIS PFNMIT MAY NE CANC[LL[D PV TME GTY UPON ANV S10PPAGE OF WORN ON THIS PRQIEC7 WER 90 DAYS DUFATION. <br /> ��,�yp�p���� DAI�q�N.INC <br />