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PUBLIC W'ORKS <br />PERMIT <br />PUBLIC WORKS DEPARTtdENT <br />3200 Gedar Sireel <br />Everett. WA 98201 <br />(425) 257-8810 <br />AND�ADDRE5�:2199 VILLAGE CEHTbit PI. <br />MIAtI?,TEc1 G'A °c.:75 <br />a2ssaeoeo� <br />PHONE: <br />TAx PARCEL L0. # - � - - - � <br />FOU?7DATIi }7i ��rl�?,GP <br />�[SCRIPTION OF <br />Pf10POSED WORK: <br />PERMIT CONDITIONS <br />APPUCANTNAME <br />AND ADDRESS: <br />PHONE: <br />u <br />Daie 10i14i.:i�US <br />`=WO510-0�' <br />Public Works Permit x,^,', �„� o- i i; 7 <br />Builtling Permit x <br />Planning Relerence t+ <br />Public Works Fee 5 <br />Gua�amee 5 <br />,., - B 0 3 2008 <br />� POSTIN ................................ <br />1. ,411 calls for inspection shall be made 24 hours in advance - phone (325) 257-8810 <br />^. All work shall be performed in accordance with this permit and current City of Everetl Design and Construction <br />Standards and Specilicalions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBEH 1-B00•424-5555 <br />F.:;-EFE.iC'E YG'OFOQ-n_1 FOk SITE CONUITI�,?h5 <br />;�:,�� -:�a�, <br />, - . <br />�lis i�y:J�HIi:�J.1• <br />..1 F- [`.'• . <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />W <br />� <br />N <br />m <br />O <br />� <br />Z <br />O <br />H <br />O <br />� <br />The undersigned mvneriapplicant hereby agrees to hold and <br />save harmless the City ol Everett Irom any and all claims lor <br />damages, costs, eapenses, or causes ol aciion that may arise <br />because ot mstallation nd maintenance of the improveme�t or <br />ot �e �c� - use h reto applied for and further agrees to <br />r ove s me up noli e Irom ihe Ciry and to replace public <br />Daie <br />� <br />l';BHK nUTHORIZED �Y THIS P[Rh9T 1dUST AE STAFTEU WITHIN 180 DAYS OF DATE PERA11i IS ISSUED AND 7HEREAFTER IS TO BE DILIGENTLV PURSII[D <br />[o :'oL11�1 I"1101J 1HI.S PL'Ft.11T IdAV 13f- CANCLLLEO BV THE CITY UPON ANY STOPPAGE OF 1"JORK ON THIS PROJECT OVER 90 DAYS DURATION <br />