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� <br /> PI�BLIC WORK�S `���,� � D,te ; ._ .: : — <br /> �� �PublicWorksPermitl{-r.i �;il,�-riu� <br /> PERMIT (����" <br /> ` Buildin�Permd# <br /> \ <br /> PUBLIC WORKS DEPARTMENT �, Planning Relerence a <br /> 320C Cedar Sireet <br /> Everetl.WA 98201 Public Works Fee S - <br /> p125)257-8810 Guarantee 5 <br /> OWNER NAC4E,_; APPLICANT NAME <br /> pIJC1ADDPE6&'.�E CF�IS ANDAODRESS��A1W <br /> 14�7 Gt N.t.�"IL�; cL•;�.� <br /> E`.'LkET'I '.� _ _ _ <br /> PHONE' ;l�h_?r.7�7_. PHONE <br /> TAX PARCELI.D.a PROJECTADDRESS�. <br /> q-( � �?.�';3�:'Eid <br /> oescr+irriallor.�,,... ,- _ _ - _ __ - - -- - <br /> PROPOSEDIYGHk....,. "� _'.__.. _ _ _ .. ... _ .._ _...n'. ."_ <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall he made 24 hours in advance - phone (425) 257-SBtO <br /> 2. All work shall be perlormed in acwrdance wi�h Ihis permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Localion Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> W <br /> . . . . _, G:�3�.'.'.'i:• .-.r..3p 3'. .__ .�If.=; � <br /> . ;n1�-a;_ -� ,_-r; _ _nt._.. .,_ :licacte�i ;n•:i na�_ci..:1 � <br /> C7r—�i :-.� W <br /> � ` <br /> v �� , O <br /> G ' � <br /> �:' <br /> q � Z <br /> � O <br /> ;.n H <br /> <n <br /> . ,., <br /> - � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Tha undersigned owner�applicam hereby agrees to hold and <br /> : � �� �j �,� save harmless the City ol Everett fmm any and ail daims lor <br /> n s+fi�i,�Copsuucuo -. � - a�e damages,costs,expenses,or causes of action that may arise <br /> � / because of inslallation and maintenance of Ihe impmvement or <br /> � . �iG � _ �j/ other righbof�way use hereto applied lor and further agrees to <br /> ,�,�(� � • � remove same upon notice irom the Ciry and to replace public <br /> F W L INSP : O property d ed ihereby. <br /> Appmvetl as onstructeU Date <br /> Si re ol Dale <br /> �Y��RK AUIHOR17ED NV il�,i5 PC R41Ii 61U5�f3!1 STARTL'D lVI1HItJ 1D0 UAVS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS TO BE DIUGENTLV PURSUED <br /> �o COt.tl�i 1�1 iCr� �u6�'Cr,Lni 1,1,1v�E GANCGLLf U f3Y 1uE Ci7Y UPON ANv STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />