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<br /> PUBLIC WORKS ' ���� 1��31,z��,�;
<br /> PuWic Works Ponnit p P�70710-0_'4
<br /> PERMIT I BmltlingPormitM PW��1�-��1
<br /> PUBLIC WORKS DEPARTMENT
<br /> 3200 Cedar SVeM Planning Relerenco N
<br /> Fvemtl,WA98201
<br /> (425)257�8810 � Pub6c Works Fee S ;5 r.y,i��j
<br /> Gueranleo£ � ,p �d/U.FD
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<br /> �OWNER NAME APPLICANi NAME
<br /> aNnaoonEssp;EIN6 C�41YA.NY ANDRDUPESS.FIF.LDf'J�p DIkI! �
<br /> Y!� ROX 's707 MS CYi-1'
<br /> SEATTLF �iA 981�4
<br /> rHONE q 5'425z43 F.�oNE
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<br /> inx PAMCEL IA� PRQIECTADDRESS:
<br /> 1.9291S�nri1n��,�r�---- 3nn�s W CASITtc:, RD
<br /> DESCf71PTIONOF _——_-- _-- '—__ _'__--'___ — --_._
<br /> rnoroseowonK rLEAkING/GRAPTN� P1iA:;E 1 'iLI��fITLINF E;�FAIJSI<•N
<br /> 25;4�-0
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<br /> PERMIT CONDf(�;NS
<br /> 1. All calls lor in,poction shall be maCc 24 hours m advancr,.
<br /> t. All work shall be perlormed in accordanr,e wdh Ihis poi.nd and current City ol Everett Design and Construction
<br /> Standards and Speci6calions. �
<br /> J. Ca'i Location Underyround Service 48 hrs. bebre you diy.TOLL FREE NUMBER 1-800-424•5555 `
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<br /> I ACKNOWLEDGEMENT OF CONDITIONS
<br /> /� i Tho untlarsigned owr.cr/nppM1canl horaby egmes lo holtl and
<br /> �(��( 7�J � � � '}/ I save harmless tho City o'Evomtl imm nny and all clalms br
<br /> � ���• �LY�'�-�� ' � '�r O�I dameges.cosis,cepenses.nr ceuses ol action Ihal may anso
<br /> � A nv�+tl lm GOnibuc�ion .Vr
<br /> � � /� . _• - ,� �- because ol InstallaUor and mainlenance o•,Ihe improvement or
<br /> �,�r ' ' " ;- ` � =- • � - � othcr nghbo6wey use horeto eppGeA'cr end lutlhor ngroxs lo
<br /> '�, . - � ��-�r � � — �-.� ` _ __ removo sWfio upon nolice irOm tha Gry nn�to roplace public
<br /> F�FIAI INSPECTION pfOpeftY dif��[JBd U�CE�y(:�'
<br /> ' i"A{ryinvcU ns Constmcled Dnle / , � �/ j� ,/ �� �
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<br /> . . . Signptum31A�1ficanl / � Dnto
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<br /> WORK AUMORIZE�[1Y THI$PLRMIT MUST�[STARTLD WITMIN 1B0 UA\'S Of�DAIC PLRMIi IS ISSUEO AND THEREAFTEH IS TO BE OILIGENTLV PURSUED
<br /> 70 OOMPLC110N tlll�P[(ih711 MAY OC CANCLLLEU(3Y iHC CITV UPON ANV SiOPPAGE OF W011K ON 1HI5 PROJECT OVER 90 DAvS DURATION
<br /> ��.���..� �.� f1R1A0�R INf.
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