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PUBLIC WORKS <br />PERMIT <br />PU[3LIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Evem��. W� 98201 <br />,azs,zs;-ee,o. �(��'c��(y <br />OWNERN/+W LDE17S F6ND i.i.�� <br />ANDADDRE� . <br />iaib s �� s�vsN u, <br />LAY�.' STEVENS eA 96:.�g <br />PHONE: ,�j5: jQ057� <br />rnx rn�ce� i o�i n� 71'10 (! 0�1 ii =�i 1 <br />D[SCRIPIION OI'i �-�� �i�;' _ ,^ <br />t�r�ar�os�o v,or�r�- <br />PERMIT CONDITIONS <br />PHONE <br />Date a;'1�/20U6 <br />Public Works Permit f�WOb09-i �' •-. <br />Building Permit @ <br />Ptanninq Relerence t7 <br />Public Wotks Fee 5 <br />Guararnee 5 <br />PROJECTADDRESS � � <br />:�8i � '..-._: :�`r. nAiE <br />c000a-on� <br />L�:� : , FII�F?..�'iP AC=�� <br />$�5. <br />1. All calls for in�oection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current Ci�y o( Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service a8 hrs. before you dic�. TOLL FREE NUMBER 1-800•424•5555 <br />,. _:nnerr ;�de �e�.�.:e per C�ty SY3Iltj3Cd �+'s r,�11� r;�i:, �,-. <br />.�.-or.nect conftop d.�vnsp�>ats to 2he drainage syscem p:.:,•;:.,�..! _-'- -i�;. :c,t. <br />. instail eeosion COI?YC41 itiNdflliCN� a9 I�PCPCI[1111Pij fijr t�l�_ F'tl�?lir 37rYk+ 1TiSj?c.CL'•i, <br />� .Zt fB11CA� 3Cl'3W hale�, SV312�� OL EC031i�❑ blankejg �+ �?����[�, iy�=%�� .. ' <br />/. _.1.`:'_.i_. 3 �ji.� . =^Il�:l�°�_' ._'_V.:y13V PNL (�_Y\. t'..��ra t ����gtg':"!1�f1'�ti)� .� Ti <br />_ t <br />'' � <br />AppmvetlYs Ccnstmcled <br />L <br />/z - z/ -v'7 <br />Dalc <br />yq� �� � <br />';i.r...:n�7�� (_n'- _ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />Z <br />O <br />H <br />O <br />a <br />The undersigned ownevapplicant hereby agrees lo hold and <br />save harmless the City ot Everett irom any and all claims for <br />dama9es. costs, expenses. or causes ol action Ihat may arise <br />because ol installation and maintenance ol ihe Improvement or <br />olher rigM�of-way use nerelo applied br and lurther ac�rees to <br />remove same upon no�ice irom Ihe City and to raplace public <br />property damaged thereby. � <br />Signature o r ��cani -- — Date / `��. . <br />�70IiH AU1I�IOHV[Dl3V TIIIS PEH1.11i 1•1UST GG 51���TGD 141THIN 1E0 UnYS OF DAIE PLRMIT IS ISSUED AND THEREAPTER ISTO BE DILIGENTLV PUPSUED <br />I �(:UI.iPLL71D'J iH15 PCH6UT IdA1 l3fl CANCELLED 8V iNE CIl�' �IPON AI�V STOPPAGE OF YJOf7K ON THI$ PROJECT OVER 90 DAVS DURATION. <br />