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pus�ic woRKs <br />PERMIT <br />PUBLIC WORKS DC-PARTMENT <br />3200 Cedar Street <br />Everelt. WA 98201 <br />(425) 257�8010 <br />.! i <br />OWNEHNApQ �:{��: VIF�.;G <br />AND ADDR F: <br />0031 FLEM?N3 ST <br />�E�r�rr w;, <br />PHONE: ��r�e,'jlit.;4'1 <br />DESCRIP710N OE�.G �� �r��E <br />PROPOSEU WOp <br />PERMIT CONDITIONS <br />nS?p3 <br />Da:e ?i:.?; <:OOo <br />Public Works Permit f� ,,} p bp? - ��? q <br />Buildin�Permit# r�iry[i�_p�E <br />Planning Reference tt <br />Public Works Fee 5 _u � �, � <br />Guarantee S <br />N�ME <br />TO POSTING......a�R?.7...200� <br />rr+oNe: <br />PHOJEC7 <br />;.i::�_ .. SSv�.? FLAT ! _' . _-'- _ �_�.-� <br />1. All calls for inspection shall be made 24 hours in ad�ance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance with this permit and current City ot Everetl Desiqn and Consiruction <br />Standards and Speci(ications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />-i.r.'.illtlg�'Y .;..-�I'�.'f• '.�:+}Jil:�[Jnil`i `q `.Ii� �iCilI1.7�7o Gy�ta;� i�CqS•��7��� iOL ..� :0:. <br />^-,. im::tall eio:;�o�: �•�.ncLol ir.ea�ue�:: ...� ,:lat�ir�in•:ci t:� the zuk�lic ac�c,:s insp�ec2oc <br />.=i..'�_�"�',il.''� � .]��:Il 3._ ....:Y irC�_p� J _�d4t ._ :i�o:,, .�w_�_:.. :i �Cp3i�'�IS�-'_' �Ilrrinr-�- <br />n�cn;r�ss��3cn <br />�-._rn ._r'm � <br />m cnL9 -cTii`�c�i <br />c�,� o._ � <br />� ., <br />�.�.1�'.�� <br />.tl or Canstruclion <br />.�(/�tl".l:, 6 �7��- <br />Appiovetl <br />�/� 6 <br />��l` �� <br />, �- r— <br />Date <br />� <br />L�: <br />.� <br />�� <br />+si � w ar. <br />�.� �,a � � <br />r� � �.-,.�;r ��.m <br />r� <br />�._�'J:'�O�_ (J1GGA �� <br />�nVl:�r �S� �'��^>� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />�w <br />_ I <br />O <br />� <br />Z <br />O <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and atl claims for <br />damages, wsts, axpenses, or causes of action ihat may arise <br />because ot instellation and maintenance of the improvement or <br />other righbof-wa� use na�elo applied lor and turther agrees to <br />remove same upon notice trom tYe Ciry and to replace public <br />pr amage Ite <br />�_��� ����'� �' s y � G <br />si o�npp�icamG' oa� <br />WORK AUTHORIlED 9Y THIS PF.FA9T MUST BE STARTED WI7HIN 180 OAYS OF DATE PER�d1T IS ISSUED AP'D THEqEAFTER IS TO BE DILIGENTLY PURSUED <br />1 O COL9PL"eTION. THIS PER1d17 MAY BF CANCELLED BY THE CITV UPON ANY STOPPAGF OF WORK ON THIS PROJECT OVER 90 DAVS DURAI ION. <br />