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� <br /> , ,.. -, .. _ , <br /> f PEJBLIC WORKS Date _-.', . `_.-,.",.. <br /> � Public�Varks Permit tt <br /> PER 11A I T Building Permil p <br /> PUBLIC WOHKS DEPARTMENT Planning Relerence« <br /> 3200 Cedar Street - . <br /> � Everett,WA 98207 Publ�c Works Fee S " ' <br /> (<25)257-881 J Guarantee S <br /> O\'JNER NA1�Ei i�x :..n-.-:�.n . AfPLICAPIT PIAMEev�..,ul � �_ x� <br /> �wonouae�sSOi L�h'BF�c;:� ..,:.. nraonooaess: i>A.'�": A.`; �..�"L�-, <br /> EVEkETT <br /> PHONE ��r�l')lf.i:J41:�i PHCNE�. <br /> TAXPARCELI.D.7F: u�l i�,�d_�.�_y�.. . PFOJ[Ci �UDPE55� .� . _ . .. ...-.. . ��.• <br /> i'!t r �I�i' :'r. •.�'1 . <br /> DESCRIPTIO'I OF <br /> PRGPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance -phone (425) 257-6610 <br /> 2. All work shall be per(ormed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> q, 5i<:c1C ;�<, rE D�:d;. A5 :;N�-.fi:., :�i� :A':='A�"ii;L ._--i,F'I?��_ � <br /> � <br /> � ��/� <br /> V� <br /> � <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> —//���— / The undersigned o�+ner/applicant hereby agrees to hotd and <br /> __C�{/,. �, � S O S_ save harmless the Ciry ol Everett irom any and ell claims for <br /> � ro� br Cons�mceon oa damages,costs,expenses,or causes of action that may arice <br /> �-, J because ol inslallation and maintenance of the improvem�nt or <br /> .�J other right-ol-way use hereto applied lor and�urther agrees�o <br /> '� - �- �' �'-; remove same upon notice(rom ihe City and to replace public <br /> ��FINAL INS CTION property dama9ed there6y. <br /> Approvetl os Cons�mcletl Gale � �_ <br /> ��_��-U-�— <br /> Signature ol Applicani Date <br /> VaOHK AU111CRiZFD�v THIS P[nt917 S11J�7 0G ST�RTEO WiTHIN 760 DnvS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br /> Ici C��I.iPL[1IOIJ 11IIS Pk:Rldl7 1:1nV Bc C,1NC[LL[D 3V�H[CITV UPON.4NY STOPPAGE OF WORK ON THIS PFOJECT OVER 90 DAVS DURATION. <br />