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PUBLIC VIIORKS <br />.PERMIT <br />PUBLIC WOFi'��.5 DEPARTMENT <br />3200 Cedar Slreet <br />E��«n. W„��o,POSTING RPR 2 � <br />�425) z��- <br />OWNERNAME!-�71 �++" t.vr_.t:nll <br />ANDADDRESS:c. t U1 C,'EUA: ST <br />EVERETT FiA <br />PHONE: 4=.�i��S%ZE�j% <br />TAX PARCEL I.D. N ,�.';i O <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />`.a8:;lii <br />PHONE: <br />ADDRESS: j <br />Dale ,-q,��iii�.. <br />Public Works Permit q _� ,,. :. - - "� <br />Building Permit k `" ` " � � � <br />Planning Relerence a <br />ii <br />Public Works Fcc 5 � � � <br />Guarantee 5 <br />Q �j <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pei formed in accordance wilh this permit and current Ciry of Everett Design and Construclion <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-5555 <br />_. A:s �:�r ._,;.--;r,::v�,��:t p:�ti;. ,_i.�'�.-,�1 �;j_,L/�`��. <br />S1�EsewrRS <br />( , o il /w 0.!-e� SeP�`�.�� _ �a - � G -�..� �/ �'R- <br />�, 6c..�,.�vt,m.—� I'r�W�'e? �,'t'�-_- C�2Ei-��(i't��' <br />U <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />V+ <br />W <br />O <br />� <br />Z <br />O <br />��^ <br />V/ <br />O <br />a <br />The undersig�ed owner/applicanl hereby 2grees to hold and <br />save harmless the Ciry of Everett Irom any and sll claims lor <br />tlamages, costs, expenses, or causes of action thal may arise <br />because ol inslallation and maintenanco of tho improvement or <br />other righhof-way use hereto applied br and furiher agrees to <br />remove same upen notice from the Ciry and to replace public <br />propeny tlamaged thereby. <br />��i� '�G,� <br />Signaiure of Applicant �at <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN iB0 OAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WOFiK UN THIS PROJECT OVER 90 DAYS DURATION. <br />