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,. <br />:,� <br />�_ <br />����'�'iic�i�. , <br />PUBLIC YI���KS <br />PER�1111'i <br />PUBLIC WORKS DEPAFTMENT <br />32G0 Cudar Slreet <br />Everet�, WA 98201 <br />(425) 257-8810 <br />OWNER NAME <br />AIJDA�DRESS: .."'.i�.:,p?,�' ._.. �_,. . iLi' <br />;3�]? Vi�N Yv'�Fi'S'.J <br />pfEF7p0RT L�EF.CIi �:P. <br />PHONE: �9QBS���UO <br />TA% PARCEL I.D.N <br />DESr,RIPTION OF <br />PROPOSED WORK: }jF'r., r,rc�rrtcJ�.1; j� <br />PERMIT CONDITIONS <br />ri_nr.�i <br />APPUCANT NA�dE <br />ANDADDRESS: <br />PHONE: <br />oz�� <br />Public Works Permrt �- <br />6uilding Permit # <br />Plannirg Reference �� <br />Public Works Fee S <br />Guarantee 5 <br />_ _�_ .= �� <br />rnuaeeinuuneaal`�Ir", _:E E`;'ET;E?T M\LL i-?.�,7 <br />1. All calls for insper.tion shali be made 2�� hours in advance. <br />2. All work shall be performed in accordanc2 wi!h ihis permil and current Ciry of Everefl Dr;ign and Conslruction <br />Standards and SNecificalions. <br />3. Call Loca�ion Underground Service 48 hr�. �ebr� you dig. TOLL FREE NUMBER 1-800-424-5555 <br />� e� <br />, >'� ` " -�; � ' � <br />J '\ ;_J <br />V <br />'�� ��5�`� <br />ti f.� `"a <br />✓ Y'//.! � � �. `����� f��� <br />Appr ved or Constr (ion Date <br />i "' _�--=�'� /� . , — <br />.--�l / � . ��f _%'�____ ! � <br />�_�•�•.--r- �� _ <br />fINAL INSPECTION <br />� � Appmved as Consimctcd Date <br />/._/ y _c <br />17CI1K AUTI'.ORIZED BY THIS PERMIT MUST BE STARTED WITHIN 100 DAVS OF DATE PEF�.11T <br />i0 COfdPLGTION. ThiIS PERt.11T MAY' �E CANCELLED DY THE CITV UPO'J ANV STOPPAGE O�' <br />r.r�vr r.:n�i <br />, . . . .'.� ,71�5 <. <br />�:: <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The ur.dersigned ownedapplicant hereby agrees to hold and <br />save harmless ihe City of Everett Irom any ond all claims lor <br />damages, costs, expenses, or causesyf aclion that may arise <br />because o� installalion and ma" ten�(Sce ot ihe improvement or <br />other righ4ol-way use herel appYed lor antl �urihcr agrees to <br />remove same upon notic rom �I�Ciry and to replace p�blic <br />property damaged Iher y. ;' � <br />; l'`-- !/8- U� <br />Date <br />���i � <br />JED AtJD THEPEAFTEq IS TO BE DIUGEN7LY PURSUE� <br />ON THIS PROJECT OVER 90 DAVS DURATION. <br />DATA�AR, INC. <br />W <br />� <br />� <br />W <br />O <br />� <br />Z <br />O <br />� <br />a <br />