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PUBLIC WORKS <br />PERrVIIT <br />PUBLIC WORKS D[PARTMENT <br />3200 Cedar Slreel <br />En. EverelL WA 98201 <br />(4251 257�8810 <br />199 VILLAGE CEh"I'E"x PL <br />KILTEO WA 98::i5 <br />4�53480807 <br />Pi{O��E <br />TnxPnace�i.0 rGUNDAT:i>H,�GAFAi� (Lr,,fii`V',); <br />Df.SCf�iPTiON �P <br />PFOPOSED lVUf7K'. <br />PERMIT CONDITIONS <br />APPLICANT NHME <br />AND ADDRESS: <br />PHONE'. <br />�c/�a/�oo� i <br />Date FII0510-O;:r <br />Public Works Permn �� �� �=-' �='�' <br />Builtling Permit r <br />Planning Reterence = <br />..:5.��. <br />Public Work; Fce S <br />Guarantee 5 <br />�� �a���-f��,AR 14 2008 <br />� All calls 'or inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work ;hall be performed in accordance with this permi� and current City of Everett Design and Construdion <br />Standards and Specificalions. <br />3. Call Locarion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•B00-424-5555 <br />:'==-'`,r::F:F. �[]C,;�,B-'�)�1 FOF SITE COFi1ITT<.NS <br />..,.`-o:,,:_._:-.. ,: <br />�.-3�.c,�� i��, i <br />� ,r r� �� c-� � <br />�'��=��� - <br />� .,. .., <br />�;, �. _ �., <br />ACKNOVJLEDGEMENT OF CONDITIONS <br />W` <br />1� <br />V� <br />W <br />O <br />� <br />Z <br />O <br />H <br />O <br />a <br />The undersigned owner�applicant hereby agrees to hold and <br />save harmless Ihe Cily of Everett irom any and all cla�r•s br <br />damages, costc. expenses, or causes of action ihat may arise <br />bec us ol inslallation and maintenance ol Ihe improvemen� or <br />��way use herato applied tor and iw Iher agrees to <br />remov upon no ce Irom tho City and to replace public <br />p•operry dama ther by. <br />SiOnaWrcolAppli�ca, — � Oa1 `12 ` �� <br />�;JOf1K AUTHORIZED �P THIS P'_P.d1T A1U5T BF STARTFD tvI1FUN tB0 DAVS OF DATE PER�dIT IS iSSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUEL <br />10 CO:'PL[TInN. THIS PFHldll 1,1AV OG CANC[LLEU �Y 1HF CIiY UFON ANV STOPPAGE OF WORK ON THIS PROJEC i OVEfl n0 DAVS DURAiION. <br />