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. <br /> �, I vn c� f I zo5 C �H FIs�t�in l.�t�y ' <br /> Date <br /> PUBLIC WORKS PublicWorksPermit# <br /> PERM IT Building Permit a <br /> PUBLIC WORKS DEPARTMENT Planning Reierence k <br /> 3200 CedarSireet <br /> Everetl.WA 98201 Public Works Fee S <br /> (425)257•BB70 . .- . �� <br /> Guarantee S <br /> OWNERNAME . APPLICANTNAME /� <br /> AND ADDRESS: . ... _ __ AND ADDRESS: ,/IO��an C0�1 ST r� <br /> � � - � <br /> _ _ . .: k� k AG� <br /> i;t, �� <br /> //' <br /> PHONE: _ .—�._. - .. . . _ . . PHONE: g'Z S '.JO-� ' / '3�8 EK I I�F'" <br /> 7A%PAFCEII.D.N PRQIECTADDRESS: <br /> DESCRIPTION OF <br /> PROPOSED WORK: . � . . .. - . . - :. _ . - ' _-� <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pertormed in accordance with Ihis permit and current City of Everett Design and Construclion <br /> Standards and Specifications. �� 1 <br /> 3. Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555 Y`■1 <br /> r <br /> . .r.:, �o:: . . .. . � .. . . . ._ .._ _ _.. - - .__ - . -. . _ :.. -._ , _, - . _. : _. ._ . . . . V/ <br /> . htain .^.hall t�e a minimum of :+ f�et deer• M <br /> � . W3t'�C c�ain aha1L b� t@9:?�� (."�L' rli}' SC3R�3C�9 !??EOC«? going intc ser•: -. _ _ . W <br /> . A filling point v�th backflow pxuvention will be r4quired. O <br /> - . r,�nnect.ir,n t -. . _ ,.. .•r< .�.;r,..� .. ,,n �. . . h,,. ,. n .., ,. _, ,i.., . <br /> . •.,�r mein .,. _ ' <br /> - . _ Z <br /> O <br /> � <br /> � � l�1 '� � <br /> O <br /> au� i i 2oos a <br /> CITY01� L'VLRI�CI' <br /> Permit Scrvices <br /> ---- ACKNOWLEDGEMENT OF CONDIT!ONS <br /> -��L� �r O� The undersigned ownor/applicant hereby agrees 1c �old and <br /> � save harmless Iho Ciry of Evarett irom any and all�laims lor <br /> dameges,costs,ezpensos,or causes ol aclion th,t may arise <br /> p1p°°°```���lor Construction , 0 to because ol installation and main�enance ol ihe imu ovement or <br /> %�L �J` ` O ('J other dghl-obway use har�to applied lor and lurther agreos lo <br /> __��,� 7 / ��r remova sama upon notico irom the City and to replace Public <br /> FINAL INSP CTION pwperty damaged Ihereby. <br /> Approvo Conslructod Oato /�� /� <br /> � _ %Lfi��,�, C� �/%� [�� <br /> SignalumolApplicant Dnt <br /> "'�RK AUTHORIZEO BY THIS PERMIT MUST DE STAR7E[7 W�THIN 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER ISTO�E DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED DY THE CI1Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90�AYS DURATION. <br /> i i v:r r..o��i <br /> onrnonn,uic <br />