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.: <br />� <br />. <br />�/�% <br />^� � � . <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireel <br />Everetl, WA 98201 <br />(425) 257•8810 <br />S�eve°`� '1-�= <br />PHONE: y27 ` 3 3 l��� r Z <br />I.D. � <br />Date <br />Public Works PertnO R <br />Building Pertnit N <br />Planning Reference M <br />Public Works Fee S <br />Guerantee E <br />APPLICANT NAA7E <br />AND ADDRESS: � <br />3 5' � <br />PHONE: <br />GL'DL� <br />DESCFIPTIONOF ���G� � ) 1 p �, r � / IOO+ d $ S�Nn ,�SaG <br />PFOPOSED WORK: yOIUMf �)q� � , 1 I � Y / <br />-f'ro ,Y. E As� � � N ,,.� ��c oQow.. � ���s' 1`� ba7y�..� P/q7`�a k <br />PERMIT CONDITIONS <br />1. All calls for inspeclion shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be perfortned in accordance with Ihis pertnit and currenl City of Everett Design ar.i Construction <br />Slandards and Specifications. <br />3. Call Location Underground Service 48 hrs. hefore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />�tiiT6S�;. p�tSpECT10N <br />PAUL �.tcKEE <br />.. ��.� _ <br />� c7�;�li�r1C 1�:��� �-c-XiSnnp cl��nncL2c�.t' ar.iass •>,2oi�E,2Rj uMds.L <br />, , c`ws�.�� s �� . <br />`7y, lS de%io�2 l.�a l� ..i>72 J(�tL., i%�� �/v�/��f�;.-�s�a ��i'.lt vYJ;I�'L.� 7 <br />� <br />% <br />i <br />r <br />��`'� f�%�/ �Y7� rXi,'�7�/lJ s S�O�E <br />�e rn p yc L,v,,,ls �pin! �/ i11c! 1�,� D-✓i cit iio IT+�r, ��Q-oP��'i <br />q p ao� � l a•�d�� .��,,:�f, � c rvi nAc c.�,2rq l2e �G�/a p u� k-�.� <br />UJ ��I ,�' G� 11�+ v n� <br />i�� w i•� ; d�- w, N�� l f � e?� w; tl 2,rr5/,r',S ��iflZ'D yi� !a-` <br />� �i�, �ur c�`' <br />Apo�oved lor Cons�mcuon Daie <br />FINAI. INSPECTION <br />AfpmvetlasConstrucied Daie <br />ACKNOWLEDGFMENT OF CONDITIONS <br />W <br />� <br />� <br />m <br />� <br />Z <br />O <br />� <br />� <br />� <br />a <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless ltie Ciry of Everett from any and all claims lor <br />damages, costs, expenses, or causes ol action that may arise <br />because of insWllation and maintenance ot t�e imprwement or <br />other righFof•way use hereto applied lor anA IuMer agrees to <br />remove same upon rwUce from Ihe City and to replace public <br />propeAy camaged thereby. <br />SignaW:e ol Applicam <br />Dale <br />'•YORN AUTHORIZED BV THIS PEPMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PFRMIT IS ISSUED RND THEFEAFTER IS TO BE DILIGENTLY PUFSUED <br />70 COMPLE710N. THIS PEPMIT MnV 6E CPNCELLEO BV THE CIT' UPON ANY STOPPAGE OF WORH ON THIS PROJECT OVER 90 DAYS DURATION. <br />