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<br /> -I PUBLIC WORKS I pub6cWorksPormil�1Wi111�-0-1
<br /> PERMIT Building Pormit N
<br /> PUf3LIC WORKS DEPAqTMENT
<br /> 3200 Code�Sireol Planning Relorenco a
<br /> Evorotl,WA 982U1 Publit Works Feo S 5�n n,(�n /
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<br /> Guaranlee S �1(; �,y U���
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<br /> OWNERNAME � � ANDLAUDRE53FIEi.DCAMP DIF2R
<br /> an0aoo�ES�pF,ING Cr.WPANY
<br /> pn gnX 31n7 MS OII-13
<br /> .;EATTLE 4V+ �8124
<br /> PHONE. QZSZQ�SiQ3 PNONE�.
<br /> TAxPAqCFLID.M � PR0.IECTADDR
<br /> <'8041000100�00 ��03 R C11SIN�? RD
<br /> DESCRIPTION OF
<br /> rnoroseowoRK!'LEARING!GStADIHG ]1T COMPA55 R45E FAC'ILITY
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<br /> PERMIT CONDITIONS
<br /> 1. All calls lor inspeclwn shall be made 24 hours in advance.
<br /> 2. All work shall bci podonned In accordance with this permil and current City ol Everett Design and Consiruction
<br /> Standa�ds and Specilications.
<br /> 3. Call Locaiion Undcr�round Scrvice 4B hrs.bofore you dig.TOLL FREE NUMBER 1-800-424-5555 W
<br /> �1. kr.Fp ,-�ty �rteFt cle%�n tit all times ■
<br /> `. . F[nVlde any neceaaacy eroeion r_ontrnl a� dieected a� directAd by the Puhlic woek.� �
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<br /> � , p�,rR. n.����e t�:, hylrnnt•�.rin�l ��� -�th� rv�r:e• ti�r,te,rl :sho[t ]y afte�r hHinq fini-he�d. Y
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<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> -�j� � Tho undersigned owner/npplican�hereby agreos b hold nnd
<br /> � �), i �,.�> ` ,�� � save harmloss Ihe Clty ol Everett irom any and xll claims br
<br /> I! �,+� ����-`--��� - / �-� Uamagas cosis ezponses,o�cnusos ol aclion Ihel may arise
<br /> A(i�n,ivM loi L'onstrac�wn �+��� because ol ins�ailahon anA maintenance ol�he improvement or
<br /> '. • • olhe�nghDol-wny use horetqapphed lor pnd luhher egrees to
<br /> �;= /�, ��, _�-_ . ! • _ _ remo�e saRre upan no1 f�um ity end�o roplece public
<br /> � fM1ALINSPrC110N �-. .. . .-. .— prope�amAye rety! .
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<br /> . _ _ .__ __ . . . . _.__ Signnture ol ppphtnnl Onte
<br /> WURN AUTlIOHIIED Pv THIS PEfiMIT MUST f1E STnRifD WITHIN 180 DAVS Of OATE PERMIT IS�SSUEDAND THEREAFTER IS TO BE DILIGENTLY PURSUED
<br /> lU COIAPlE710N IHIti PEAldli MAV IlE CANCF ILEU f7Y THE CIiV UPON ANY STOPPAGE OF WORK ON 7MIS PRQIECT OVER 90 DAVS DURATION
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