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� <br /> ����'� �0��� I Da�e <br /> PUbI�c WorY,S Pofine A' <br /> PER M I T Builtling PermA d <br /> PUBLIC WORKS DEPARTMHNT planning Reierence A ��' <br /> 3200 Cedar Street � <br /> EvereB,WA 98201 puWic Works Fee S <br /> (425)257-8810 <br /> Guarantee S <br /> OWNER NAME APPUGANTNAME <br /> AN�ADDRESS� � ANDADDfIESS: <br /> PHONE � ._7_ PHONE: <br /> TA%PARCELI.D.M . PAOJC�TADDRESS: <br /> DESGRIPTION OF _ . . _. . <br /> PROPOSED WORM � <br /> PERMIT CONDI?IONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be peAortned in accordance wilh this permit and current City of E-verett Design and Construction <br /> Standards and Specifications. � <br /> 3. Call Location Underground Fiervice 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555 <br /> � <br /> '�A <br /> V/ <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> -- ACKNOWLEDGEMENT OF CONDITIONS <br /> Tho undersigned ownedapplicant hereby agrees to hold end <br /> � .��J— / p�!`T save hartnless ihe City ol Everetl irom any and all claims lor <br /> ��' damages.cosls.ozpenses,or causes ol action thal may ariso <br /> A oyed i.,�strucno ate bpcause ol installation and maintenance ol Ihe improvement or <br /> //� -e other rightol-way use herelo a Led for and lurthei agrees to <br /> ��-�,� _ /�— /� --/�/� remove same up n notice Iru ie City and te replace public <br /> �PINAL INSPEG�f�N ��hy da ag 1 i <br /> Approvodas nslructed Da10 -�--� i "� _ � <br /> i <br /> i <br /> -J -� � � �, � ,,` v <br /> I _ __ __ Sipri��urealApO'icanl Da1e <br /> tN0liH AUTHORRED BV THIS PERMIT MUSi BE STAHTED WI7HIN 7 BO DAVS OF�ATE P[Hi+1R I�ISSUED 4N0 THEflERFTER IS 70 BE DIUGENTLY PURSUED <br /> TO COMPLETION.THIS PEFMI7 MFV BE CANCELLED BV THE CITV UPON ANv SIOPPAGE OF�vOf�K ON T11t5 PHOJECT OVER 90 DAYS DURATION. <br /> t rwP amui oar�n�R,wc <br />