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�u��i� woR�cs <br />�EI�NIIT <br />PU�LIC WOHKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(A75) 257-8610 ��e l9ft��'j�j� <br />IU <br />Daie <br />Public Works Permit k <br />Builc'iny Permit a <br />Plarntnq Reference N <br />Public'Norks Fee S <br />S <br />ia�i�/�ae:� <br />FW001d—'�12 <br />$ 0.00 <br />�Nonoo�E�s: �'��ri� Lar}: nr�'ioAooaess��E '=ity of Everett <br />3�01 cedar ::t 3101 cedaT st <br />EVERETT WA 983��1] EVERETT WA 982�1 <br />rnc,Ne ( 425 ) 3.',7-8032 rFioNe ! 4?.5 ) 3J7-8033 <br />Tnxraace�io n PROJECI'ADDRESS il<.1 SE Evere�.t_ i�i�ll <br />DLSCRIPTIONOP Install (2j 4" ronduit�� in ttie ROW <br />rt{orns�o wor,K <br />Ul�i; [o be �ime :n t}�r •,ve.<.t side of'3Jea Mall �trive <br />PEHMIT CONDITIONS <br />1. AI: calls for inspection 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 Cily of Ever�tt Design and Construction <br />Standards and Specilications. <br />3. Call Location Undergreund Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. All improvem��ks aistusbed within ttie City riyht of' Wa�� sYia11 b�� <br />� esto��ed tc> their original r�t�aitioti or batt,er. I <br />, � �r�, t <br />- U � v� <br />+ 133 ,��il�,�,7 <br />i ' I ��` ` 1 <br />--- ..,,,:�2�/%or�'�— �U /�00 <br />4_.. _' <br />q fe�ri;omtrucuon D�c <br />T / ��•%'.'_ '�- -� �" . —,_ <br />C INSPEC i ION <br />A,.provetl as Conslmcted Dato <br />ACKNOWLEDGFMENT OF CONDITIONS <br />y <br />The undersigned ownedappl.cant hcreby agrees to hold , nd <br />save harmless Ihe City of Everett �rom any and all claims (or <br />damages, costs. expenses, or causes ol action Ihat may arise <br />because of installa6an and maiNenance af ihe improvement or <br />other right-of-way use herr,to applietl Icr and further agrees to <br />remove same upon no�ice twm Ihe City and to replace public <br />�ro�erty d ih b � <br />,�c� �`� -f- - ���%/��— <br />Si9nmure o� pplr,nN D. tP <br />1•,t'.11h AUl HOnRFO HY ih15 PflPtdlT L7USi BF SL�R7[D CJITHIIJ 167 �AYS OF DA7E PflRP.11T IS ISSUED AND THEFEAFTHR IS TO BC OILIGENTI_Y FURSU[D <br />K'� ..c :'fl LUG". 7HIS P[f1�.11 � 1.14Y !3L C�WCEI_LCD I:Y l H[ f,Il Y UPON dN'! STOPPnGE OF VlORK ON THIS PROJECT OVER 90 GAVS UURATIOi! <br />