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PUBLIC WORKS °"` - � . / <br /> P E R M i T Public Works Permit u � - - <br /> Building Permi�# <br /> PUBLIC WOaKS DEPARTMENT Planning Reference� <br /> 3200 Cedar Slreel <br /> EverelL WA 98207 Public Works Fec C ,?,.� . <br /> 1425)257-8810 <br /> Guarantee 5 <br /> OWNERNAPde4!�' ,j,y �;,,: F3��Etl APPLICANTNAME,�_.__ <br /> ,^,ND ADDHES5; "" AND AD�RFSS. '=`-=' <br /> LIl_'O T.GIDL�C� <br /> Evere�t •.,a ._ . _ <br /> PHONE'. 4'.:�.�U y i i%=_. PHONE: <br /> TAx PARCELID.k PqOJ[CTPDDRECS- � - � . <br /> _ . _ . _.....�:c�:i A:�� <br /> [iFSCRIP110NOF _�_;I7:'_::'J�'`. "..' _ :1C:�' , ' <br /> PROPOS[D WORI(: ' - '. _ . .. .- • <br /> '�'OI]SL'."J�_: � _ _..: - 1C L;i3 "'-1:� ll' "' ' _ " <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shail be made 24 hourc in sdvance - phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with ihis permit and current City of Everett Design and Cunstruction <br /> Standards and Specifications. <br /> 3. Call Loca�ion Urderground Service 48 hrs.betore you dig. TOLL FREE NUMBER 1•800•424-5555 <br /> _ . ... . 31 � 'Ef a ❑i11 �.J ❑ �_t� •- � f ' �. �'. � � <br /> " , . .. r , <br /> _ . .. _ . . ... <br /> _i �A.1 . ilc . .� _. TI1- ^-. . . . . . •• � <br /> a ._.1. _ _.. ��_.l�v L L_I7' `f._�. .. .S.l :" " _ "'. . <br /> /�^!i.!- i f"�/1����' �� 1)Ff �� l C'6��Y� ���.�7P-'3'L /I11�1�� - - �. V� <br /> �� �. l��� > '� W <br /> O <br /> � <br /> �^ <br /> V <br /> ,� � <br /> � <br /> � <br /> a <br /> _ ACKNOWLEDGEMENT OF CONDITIONS <br /> /"� '7 Q� / The undersic�ned o�xneriapplican�t�ereby agrees to hold anA <br /> _� L(�,(yp� / �(F Qb save harmless the City ol Eveiett Irom any and all claims for <br /> App: ConshucLon D' e � damac�es. costs,expenses,or causes ol action that may anse <br /> � /' because of installation anG maintenance of tha improvement or <br /> i` �� � / other riqhFol-way use hereto applied for and furUier agrees to <br /> ,i c � //`� fL' remove same upon no�ice from the City and to replace public <br /> �f'INALINS ION pro er�ydamaged�hereby. _J^ <br /> Appmvetl as ns�mC�etl �a�o �� f /��� <br /> � _�ft��lf��LL�1- 7 G <br /> Si n lure af Apphcant Datc <br /> IVORh AU7HOHI7[D B�� THIS PERGIIT 1,1UST�[SiARi�' ::'�.1!IIN lU DAYS OF DAT[PERPAI71515SU[D AND THEREAFT[F ISTO BE OILIGFNTLY PUflSUEU <br /> 10 CCA.IPI 1-i IOFI.?f NS PFI7L7It t.1AV fdE CANCL3LLCD BY I i;! CIT1'UPON ANV SiOPPAGE OF V70RK ON THIS PFOJECT OVER 90 DAVS DURATION <br />