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TYPE OR PRINT ONLY <br />SuZRnrNF . <br />o�a <br />PUBLIC WORKS PERMIT <br />� Describe Proposed Work <br />� <br />PROJECT ADURESS (if known) <br />wsuc woRKs oeanarMerrr <br />�oo c� seree� <br />Everett, WA 98201 25&8810 <br />Address <br />S AM� <br />- _.. ---- <br />�.� l� 18'j `R7 / <br />a�,a�c w«w �n M <br />Bullding Pertnk M <br />Publk Works Fee S <br />�,� pO . <br />� <br />(.1� � /CN WI � <br />Plane <br />QS/01/97 10=O1fW <br />Attach four (4) copfes of plans tor proposed work - Draw to acale and note the following If applicable: ��y�p�71� <br />�Property Lines `Outline end dimensions of all exist(ng end p�oposed structures on the bt 'Exlsting and p�pp�ea uHlfti �:� <br />'Centerline of slreat •Indicate North 5how eny proposed grading changes 5how measurements ��E��� <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Spec�cations. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5655. <br />�, F�cc t`a 6e. �. �,ax:�, ��, of' 6�i;' �i/�� <br />S; LocF �40-� ��'•,ce z`o 6e p¢•� afi�4 c!�¢ d�i�awcn� <br />de�d 9l s/9 � <br />` �ncC /�9Ci1'f �e �"GMO✓CO �%� OG/�¢rS e.l��GhC2 <br />if' �r% ei�� L'ra� hez� Z�ie ase f/i;.r /��li�'`-eF �tJaf/ <br />ACKNOWLEDGEMENT OF CANDITIONS <br />The underslgned ownedapplicant hereby agrees to hold and save hartnlesa <br />the City of Everett from any and ell claims for demeges, costs, expensea, a <br />causea of adion Mat may arise beceuse ot installetlo� and mahiMnance W <br />the hnprovertient a other ripM-of-wey we hxato epplbd for and fuMx ep�ses <br />to remove eame upon notice hom the city and to raplace publk propxty <br />`��i��9� <br />WORK AUTHORIZED BY THIS PEHMR MUST BE STAHTED WIiHIN 180 DAYS OF DAiE PERMR IR ISSUW AND THEREAFfER IS TO BE DILKiENiLY PURSl1Ep TO <br />CAMPLEf10N. THIS PERMR MAY BE CANCELLED BY THE CfTV UPON ANY STOPPAOE OF WORK ON TNIS PROJECT OVER P' DAYS WRATION. <br />