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�uB�.ic w�R�cs <br />PERMIT <br />P�BLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA9B201 {�PR 0 4 <br />(425) 257-881 ,..... • <br />i� ��.�JIII`j� <br />�NonooRess: b909 FLEhII''IG ST <br />EVERETT W.� <br />4253981239 <br />PHONE: <br />nn;aZnnnnnl]Oi� <br />7AX PARCELI.D.H <br />racr� ntrtTnTT]G <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Date <br />Public Works Pertnit k <br />[iuilding Permit N <br />Planning Reference q <br />Work� Foo S <br />IAPPLICANT NAME <br />ANDADORESS: <br />�B%u3 <br />2Ur78:;2411 <br />PHONE: <br />s <br />i0;' 31i _' 00? <br />PQ0310-037 <br />B0310-OSA <br />5395.22 <br />1. All calls for inspection shall be made 24 hours In advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current Cily ol Everett Design and Construc�ion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555, _„,_ i <br />=l. rl.: pec ap��ro•:ed plan �iated 1'::-l�-D''. „ -' <br />_ ��31'' , .. <br />-� �y��,, �� <br />__.__. �. :�,�-- <br />: •u�. « � <br />_ �;,i i.t, 74'. ., <br />� O�Gwt:•.G <br />�._. _n 7i; , r, . <br />�J�1.L1TY llill..�'v(� <br />�1 �J.��i�^l <br />',,:+_r, s';,�;c—Bm <br />„�-_a s�..�—BT <br />:'., /'tJW ?o. r' <br />, :,! `i1_., 1.9.: _ _.. <br />�s 1B: E` , <br />O,:c� 31�J.i. <br />--_S�?L S�2? �: <br />.. _,,_ <br />:{ 7r. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />= <br />V+ <br />�� <br />• <br />The undersigned ownedapplicanl hereby agrees to hold and <br />save harmless Ihe Cily of Everett Irom �ny and all clalms lor <br />damages, costs, expenses, or causes of action �hat may arise <br />because ol installation and maintenance ol lho improvement or <br />other right-ot-w�y us� herelo applied for and (urther ayrees to <br />e same upon notice (rom the Cily and to replace public <br />propeAy ed thereb <br />� � � � ��� <br />ignalure ol Applicant Date <br />WORK AUTH091ZE� �Y THIS PERAIIT MUST BE STARTED WITHIN 7d0 DAYS OF DATE PERM1IIT IS ISSUED AND THEREAFTER IS TO OE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT A1AY BE CANCELLED BY TH[ CIN UPON ANY STOPPAGE Of- WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />