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(I1 <br />i ��W1 Gt'� LJoY�t I�LG t'" /75'U %i�2G��3CT/l �' <br />PUBLIC VII�RKS <br />PERMIT <br />PUBLIG WORKS D[PARTMENT <br />3200 Cedar Street <br />EveretL WA 98201 <br />(425) 257-8870 <br />AN�AL'f,9FS5�.'�c•i'r; 1.L .-.. Cr:r,'!�: cj �.`_'r <br />17��0 MhLSSO;: S� <br />EVEkETT =_ . <br />�HONE: 9���4'qn77 <br />x <br />0059Ei40f100i�30I <br />APPLICA��T NAME <br />ANDAUDRCSS: �"�+'^ <br />rHariF. <br />PROJEC7AUDRESS: <br />PHOPOSEDWORK: t�'� DR_T\'7�'.UA1 AYF:t!N ?9� WSD�/F:t.'I`iC`�JF l.i:IST=.'iv <br />PERMIT CONDITIONS <br />Date ., � . ��i�_��' <br />Public Works Permit # _ . .. - _ _ <br />Building Pe�mit # <br />Planning Relerence u <br />Public Works Fee S <br />Guaiantee S <br />Tj��..lY JL <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8870 <br />2. All work shall be pertormed in accordance with this permit and cu« ent 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 />�. :_� F: to Le don� per Ci_ry standacd N3q7 <br />5. _,o:�,d� teaffic contcal a, needed <br />i ` ��/rv � v�0 l:Yo <br />A ioved tot Conslmclion Dale <br />.r.�'/'�. /���!�a.-_--- <br />Approved �s Consimcted Dale <br />7_-/�7-C 7 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />WL <br />r <br />V� <br />W <br />O <br />� <br />Z <br />Q <br />H <br />� <br />O <br />a <br />The und2rsigned ewner/apphcani hereby agre=s to hold and <br />save harmless the Cily ot Everett from any and all r,laims for <br />damac�es, costs, espenses, or r,auses of 2ction thai may arise <br />because of inslallafion and main�enance of ihe improvement or <br />o�her righ4ot-vrey use hereto applied lor and lurlher agrees to <br />remove saine upon noiice from Ihe City and �o replacr. public <br />properry d ane ereby. <br />c_==g��>��L�-----�Z �D (o .. <br />$ aturn af Appli�tfi Da�e <br />1VORK Ft11HO�IZED L3V THIS FEfiM1T L1UST �E STARTED WITHIN 100 DAYS OF �:liE PEF�dIT IS ISSUED AND THEREAFTER IS TO BE UILIGENTLV PURSUF ,/' / <br />i0 COL�PLETION_1 NIS PLF+5117 NAV BF CANCFLLEU 6V TH� CITY UPON ANI' STOPPAGE OP WORH ON THIS PROJECT OVER 9G DAYS DURATION. y <br />