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P�IJBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Eve�ett. N�:� b�^Ot <br />(425)'L57-8810 <br />i-�Tx; "-�•rc^ nn'�m�rruc .L•. <br />OWNERNAh1C� �,-���q VILLhGE (_'EFTEi: 'rL <br />AND ADDRES9�� <br />MUKILTE�? �dh 9F.i?5 <br />92�;�8ii807 <br />PHONE. <br />TAX PARCEL I.D. a���U1iDATION/GAF.tllvx: lLOlii:VAN <br />DESCNIPTION OF <br />PHOPOSED WORH: <br />PERMIT CONDITIONS <br />AND <br />1,�; 14i2oo=, <br />Date <br />P[)0510- u:: � <br />Public Works P� rmrt # � � r„� q_ i i 1 c <br />Bwlding Permii r, <br />Planning Reference a <br />: _, u <br />Public Works FEe 5 <br />Guarantee 5 <br />�^� �s�MTl��� MAR 16 2008 <br />PHONE: <br />7. All catls for inspection shall be made 24 hours in advance - phone (a251 257-8810 <br />2. All work shall be perlormed in accordance with this permit and current City of Everett Desic�n and Consiruction <br />Standards and Specifications. <br />3. Call Lacation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />..:.Lli�.iT�r': ✓[Cj)5,)i-�l�i_ _�!:�, bl:��. ..ili'_�:I�11�J <br />._; �; :::i <<; . <br />:- <br />� �� <br />., <br />r.� <br />o .,, <br />'-''�� , '_' , - <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />W <br />� <br />_ / <br />a� <br />� <br />Z <br />� <br />i" <br />0 <br />a <br />The undersigned ownec'applicant hereby agrees to hold and <br />save haimless the City ol Everett irom any and all claims br <br />damages, cosis. e■penses, or causes of action that may arise <br />installalion and maintenance oi the improvement or <br />ot -o ay,use herelo applied for and further agrees to <br />emov � same o notice Irom the City . d to r place public <br />prope y damage Ihereby. 1'�Z` ��' <br />l <br />\. <br />i pphcani D.lte � <br />l <br />:l'�I;h ,1117 N^ItIIf.D H1' THIti FGR1.1I1 IdU51 BE S1ARiED lVI1 HIN 100 DA�S OF O�IIE PERL9IT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY FURSUED <br />li? (.ri.1P11-I i^N. 11I:5 PCfitdlT L7rtV B6 CANCELIGD E3V THE CI1V UPON ANY STOPPAGE OF WORK ON THIS PFOJECT OVER 90 DAVS DURATION. <br />