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i <br /> Dalc 1%.lS;i005 <br /> PUBLIC WORKS <br /> Publit IVorks Permu a k:-�J507.-025 <br /> PERMIT g�,,�;�9 P�,�,�, „ <br /> PU�LIC WORKS DEPARTh7ENT Plannmg Acicrcncc n <br /> 3200 Cedar Strcet <br /> Everetl,WA99201 PublicWoiksFeeS $3�.00 <br /> �az,I 2s�eeio <br /> Guaiamec S <br /> OV/NcRNAME �Ob�Ct E i'ea9e7IC0 =CLCE �PPLICANiNn!dF <br /> AND�DDRE55. ANDaDURESS <br /> 491d 2.i�d Ave � <br /> LV�RF i`r � 98203 <br /> rr+maE Q254'188663 r"o"E <br /> TA%PARCELID P PROJECTADDRESS �,�C3 C�acent Av_ <br /> DESCRiaT10NOF Re:;ove 3�t!sy and Ycec-s In:ita?.1 G:o::ion Contso; <br /> PF70POSED WOiiN� <br /> PERAIIT CONDITIONS <br /> t. Ail calis tor inspeclion shall be made 24 hours in advance - phone (425)257•8810 <br /> 2. Ail v+ork shall be performed �n accordance v+�th th�s permii and current City of Everett Design and Conslruction <br /> Standards and Specdicalions. <br /> 3. Call Locauan Underground Scrvice 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555 <br /> W <br /> 4. Tnstall e�osion conCcoi c.azauces as dir�ted by 2he F�bi�c uo�;cs inypecto�4 <br /> dicection in tl�e fiald. � <br /> 5. Re�p city stree�s claan at s?1 t'_�zs curing construa:ion. � <br /> W <br /> O <br /> 1^\�`�)V n a� � <br /> ���` .Y �if�.IJ9J O <br /> � / Q1-1S-CJ �}'���il <br /> ;} O�OiO?u q � <br /> , �,��� 0'I}��F �,��� �/�� � <br /> -�U i�:. 35. CO <br /> ._. - �. O1U <br /> A c�its�:5 a <br /> ACKNOWLEDGEMENT OF CONDITI�NS <br /> �i�n I _ I(�{� v The undersgned ownedapphcant hereby agiees to h ild and <br /> }.1��C. � 1 savc harmless the C�ry ot Everett Irom any and all cla ms lor <br /> a� io�`v1 to�Constmc�on pa�e damages.costs,expenses,or causes ol action that may ari,e <br /> because ol mstaVation and maintenance ol Ihe improvement or <br /> oth^r nght�obway u c hcreto appl�etl lor and IuNicr agrecs to <br /> remove same upon nce from Ne C�ry antl ro replace public <br /> FINAL INSPECTION � � o tlamag I ereby- ,� (� q /' <br /> ApprovrA as Consliuctea Date � II n/v�.. I � I �--L� `~ <br /> ��/��U���--� - - `' <br /> 5 gna ure 01 FppliCdnl Oale <br /> WURN AUTHOFIZED BY THIS PERhtIT M1tUST�E STAN7ED WI7HIN 780 DAYS OF DA7E PERIdIT IS ISSUEDAND TMEREAFT[R IS TO DE DIUGENTLV PURSUED <br /> TO COhIPIETION 1H15 PERA7ITldAY DE CANCELLEO OY THE C�TY UPON ANV STOPPAGE OF WORK ON TIIIS PROJECT OVER 90 DAY$DURATION. <br />