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'.:[;�`� <br />/�- <br />r <br />, ;_�r <br />OJJNEF NAME <br />ANDADDRESS: <br />PHONE: <br />TA% PARCEL I.D.k <br />���i�'� �M��V <br />PERMIT <br />PUP.LIC WORKS DEPARTMENT <br />3200 Cedar Streal <br />E��arett, WA98201 <br />�azs) zs�-eai 0 <br />sr,����-�:�t,� rli;,a., z,Lc <br />yllp ELLZIIGS�?N P.D <br />?�rrgIC WA <br />253@3?79i�= <br />FYYLIGNNI NNMt <br />ANDAD�RESS: <br />�finq7 <br />PHOIJE: <br />PROJECTADDRESS: <br />DESCRIPTION OF <br />PROPOSEDWORK: REPLA•�E ESP}'�EJi(.'' ib%Y•J.I_ j�(Y1T J;�:/A <br />PERMIT CONDITIONS <br />IDate <br />� Public Works Permit # <br />� Bo�IdingPermit# <br />I <br />Pianning Reference # <br />Public Works Fee S <br />Guarantee 5 <br />il_,: i'1,'_'ill�_' <br />PA0802-001 <br />gn713-')33 <br />1. All calis for inspeclion shall be made 24 hours in advance. <br />2. All work shall be performed in accordance wi�h this permit and r,urrent Ci�y of Everett Deslgn and Construction <br />Standards and Speciiications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />,. . _-. _..- .. ;�.hci�r _ :r.-';- r�� r„`s.�_d _.. .-...:! :��.:..n._ j,l.,.r,�=_= 1 st��uc-+:L�-. <br />.. �. .... ...__ .,_ �r -:=�:t ..._ <br />:45,�jr� <br />_ ,«-(7-� <br />�., � <br />� �ch � ��.v� � �� _ <br />��-y�j�✓ -. <br />�� <br />F— <br />.�^ <br />�Id <br />W <br />G <br />� <br />z <br />0 <br />� <br />O <br />a <br />; � - -- - � - � - - � I F.CKNOWLEDGEMENT OF CONDITIONS <br />/ „ ' The untiersigned owner/applicant hereLy agrecs to hold and <br />Ii: jn6�� y��t // �� save harmless ihe City ol Everetl Irom any and ail claims lor <br />_ «� ` 9� ��`g damages, cosls, ezpenses, or causes ot action �hat may arise <br />� Ap ved br Construclion Dat � because ol installalion znd maintenance ol lhe improvement or <br />other righl-o4way use he:eto applied for and furiher agrees to <br />����/��� �__ remove same upon noti Irom �he Cily and to replace public <br />INSPECiION p((op hy damaged �here . <br />I Appmved as Conslmcted Dalo \\� Ir�.n ����� ��/� �� <br />I — � �i��' <br />Et � / 3 -C.' � C7 <br />SignaNreolApplicant a <br />\".'ORK AUTHOR2ED F3V THIS PEfl�d1T MUST �E STARIEO WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND THEHEFFfER IS TO BE DILIGENTLV PURSUED <br />?O CC41�L[110N. THIS PERt.11T 1dAV [?E CANCGLLGD f3V THE QTY UPON ANY STOPPAGE OF WORK ON THI$ PROJ[CT OVER 9� DAYS DUFATIDN. <br />i �.,::�, i,-��i ontnt�an. u�c <br />