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Dale �-'_ �-_. _ . . . / <br /> �UBLIC WORKS PublicWorksPermil# '- =- ~ <br /> PE R M 1 T Building Permit# <br /> PUBLIC WORKS DEPARTMENT Planning Referenco# <br /> 32Q0 Cedar Streel <br /> Everetl,WA 98207 Public Works Pee 5 ' � <br /> (425)257-8870 - � ' <br /> Guarantee$ <br /> OVJNER NAWE APPLICANT NAME <br /> ANDADDRGSS � � �� � ANDADDtiESS: <br /> y :.,.. .. .. <br /> —*^'=' _ _ <br /> PHONE: -- PHONE: <br /> 7A%PARCELI.D.N PRQIECTADDRESS:, . ___ <br /> DESCRIPTION OF � � <br /> PROPOSED WORK � �. � � � - ��� � � � � <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordence with this permit and current City of Evere�� De,ign and ConsL•uction <br /> Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE YJUMBER 1-800-424-5555 <br /> � <br /> '�^ <br /> Vl <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> " O <br /> �. <br /> � — i ACKNOWLEDGEMENT OF CONDITIONS <br /> 'he undvrsi�ned ownedapplicant hereby agrees to hold and <br /> C-'%� �� �i� save harmless It e Ciry of Everett irom any and all claims for <br /> �Y' damages,costs,axpenses,or causes ol action that may anse <br /> App ove br Construction ate because ol installation and maintena e of ihe improvemenl or <br /> / other righ4of-way use heretu appf d for and lurthor agrees!o <br /> .. � _ �Z �� �(o romove same upon notice from e Ciry and to replace public <br /> �FlNAL INSP TION p�sperty damaged lhere . <br /> Approved as Conslructe0 Date � <br /> ___ SignatumolApplicant Date � <br /> WORKAUTHORIZEO BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DIUGEN7LV PURSUED <br /> 1 O COMPLETION.7NI5 PERMIT A+AV OE CANCELLE-D BV THE CI7V UPON ANY STOPPAGE OF WORK ON THIS PROJEC7 OVER 90 DAVS�URATION. <br /> c��wt�1��nc� o�.Tnona.in�c. <br />