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\ <br /> � PUBLIC WORKS n,�� _ " ` <br /> PERM IT P„e���Wo�ks ��<<r,�,p�a,,,:,��_����: <br /> UwlAmg Pormi�p <br /> PURI�C WORKS DLPAH71dIJJT Plamm�g Rolerente M <br /> �200 Cednr Strect <br /> [vcrcil,WA 90201 Pubhr.Workr Fec$ ; � : ; . <br /> ,4z5�z5;A81.�0 P(ISTING MAY 3 0 oap;,,,,�,�,�„�,b . <br /> OWNI H HA�tE APPi IftnNl Nnldl' <br /> nrio nonr�Fbd1. F.1:1.�3 c nrm nnrna ss <br /> °�..-0 !(�.i�.;'. .. . .-;P <br /> h'In'=..i'E�:� Gl•. . ...ir. <br /> PHpNE �_t75.-Rj:' PIIUr11 <br /> ih%PFRChL I f> > PHp.11 f'7 Ai�URI Sb <br /> � : r�• 'n,. F.,; <br /> I�t�rrarnnr��u <br /> r-ia.�.��,�is�ntvn�«:;s' �. . �'.���� i� ::n i: '� " _ c '_ ' j„_ '! <br /> PERMIT CONDITIONS <br /> 1. All calls�or insp��r,tion shnll he m;tCe 24 hours in advanu� - phonr�14251 257-8610 <br /> 2 All work shall be perfonned in ,�ccoidnnce wdh this peimd and cunenl City ol Evr.rett Design nnd Consiruction <br /> Slandards and Specihcations. <br /> 3. Call Location Underground Servicy 48 hrs.betore you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> ,. As :.i :h�� -� ,i�•:,ee�l �l;c ,i:._.-i .�ii , - - 1""� <br /> p : }�i F . .. . _, _. . ( ;�m.i th�> .:uL�l: .' w_,rl:-s :..s�,..-G_�i 's li:e .' _::� in <br /> '.he fieid. <br /> ` . New Fipe shall Ge 1?-:nch diametE�•c ADS N-1Z HDPE. �/� <br /> � . HALr CFi ,hall b•a :nntall�:�i 3a pPi �:ity of F.v.�cetr :tandacd p1.3n M402 r„ r,onnect v_-.!� �� <br /> th? e.xi:;t:n,-i ;: �:�,:.n��:<ta p7pe [o [he soath. M <br /> . C.Ai,I, DTFt � ?.-(iI�"; E•f:FnA£. AE6'INIIIN:: rn::STc�:�-�i:•:4;. rii <br /> _ O <br /> � • �� � � �Le i �� .S�cc-�W � � Z..� 3 39 - 7��� � <br /> Z <br /> -�-a s C�t��-�v� � �� —C��S�"v��i o� vvt �z-�f n�- � <br /> F— <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ^���"/�,i � / �7��� The unde�sipned ownecapplicant hereby agrees to hold and <br /> ( k_• �7,'(;.Y12 C_ L' save harmless Ihe City ol Everett Irom any and all claims fo� <br /> i i�� a�o� cm,��i��,ciro�, - p� . damagos.cosis,expanses.oi causes ol action Uial may anse <br /> because ol inslallatwn and mamtenance ol the improvemenl or <br /> � / other nght-ol�way use hereto applied br and lurlher agrees to <br /> ���� ��%�.� �-�iI—__: - -- remove s� e upon notice Irom�he Crty and�o raplace pubhc <br /> � -iNSPE iIOF] ' pwperly maged lhereby. <br /> APU,vretl.nCung�ucir� Ddlo / <br /> L -/7- [�L. _ tl2-I � b <br /> Signatm Da�e <br /> „ ..� 4�il�an'1=11�1'.�' I�nSI'IN1.V' �.111ti1Hf tiIA111lI?ClIIIIINIFODAv50� 11AILPERMI715155U@DANDTHEREAFiER1510BE�ILIGENRVPURSUfD <br /> � � � V'��,� I i �r; t����,ri u�pn �,1nv�i� (�pr�i:�I I I U flv U�[ f,RY I1PON ANv SiOPPAGE OI�1YORK pN TNIS PRQIECI OV[R 90�AVS OURATION <br />