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PUBLIC WORKS <br />PEF�MIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257�8870 <br />Date <br />Public Works Permi� u <br />Building Permit # <br />Planning Reference a <br />Public Work; Fee 5 <br />Guarantee 5 <br />�'••'•`.,'•,•,•" F.V. UTN1I}��.-Hn1�i ANDADDRESS��- �._c— <br />ANDADDRESS: - ' � : t _ .,_;���:�1rnLD <br />105n0 �I.E. n�l�: ...:___ . _... J�J- -'''L-hi:= e�.VE. F.P?a, <br />EELL'a'•:�EW . . �:.����; EV'Fr. ��TT o:n ac �t�? <br />PHONE: PHONE: <br />4�525�79F3 <br />lAX PARCELID a PROJECTADDRF.SS. <br />- ,�r- <br />DFSCRIPTION OF <br />PROPOSED WORK�. <br />t`:tJILi� .. -._ :'E��Ax: FEfiCE 4)_::� 4 vF.=ati, WZTH'•.�..="pl C::EFa.hCE �iN <br />COF;I�IEF. <br />PERMIT CONDITIONS <br />I. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with ihis permit and currenl City of Everet! Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555 <br />. _�: [:�:= -.-.,,. ti:_:t rne� ,_ity r._=:L -•- -_:, th'= 'r.�':''` <br />"". !:�':�P . .. - �.... �:. C@7[b;'i._ Cllr_� Yallri3. <br />• v <br />% `� � <br />�\ <br />-. �`' / <br />�; ��� � ,,� -�` <br />, �- , <br />S //� . <br />FINAL INSPECTION <br />Approved as Construetud Onle <br />ACKNOWLEDGEMENT �F CONDITIONS <br />W <br />H <br />V / <br />W <br />O <br />0 <br />� <br />� <br />a <br />The undersigned ownerapplicant hzreby agrees to I�old ar,d <br />save harmless ihe City of Everelt iwm any and all claims Ix <br />damages, costs. e■penses, or causes ol action that may an.=,e <br />because ol installalion and maintenance ol the impmvement or <br />oiher right-of-way use hereto applied lor and lurther agrees to <br />remove same upon n om the City and b replace public <br />properi�mage ereby. <br />/e <br />[ �-��-� o �, <br />Sign ur � �S�L ni Date <br />\YOIiK AUiHORIZ6D �Y 1HIS PEfi�dli GtUST �E S1AR11:U 171tHIN i80 D��'S OF DATE PERf.1lT IS ISSUECI AN� THERFAFT[R 1570 BE DIUGENiI.A' P�IS�SULL� <br />l0 CGt.1Pl ETION if IIS PERIdIT 1.1�Y 6E CANCFLLED GV l HE CITV UPON ANV S10PPAGE OF IVORK ON THIS PROJ[CT GVLR 90 DAVS DURA71C�1 <br />