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/ <br /> ;a;_ �� <br /> PU�LIC WaRKS Date _ _ <br /> Pu61ic Works Pernm = ' ���� � - <br /> P�R M 1'� Buildirg Parmit: <br /> Pi16LiC W'OFiKS DEPARTMENT Planning RJere���cc = <br /> 320D Cedar Sireet '-� � ' � <br /> � � Everetl,WA 98201 Pi�blic Works Fee< <br /> (425)257-8810 Guarantee S <br /> "GUHDV'E4! C��}r'I'R.A�"T��x'S L".�` <br /> OWNERNAIdE�-�(� n.�j�{ ZQQ'j APPLICANTNAME <br /> AND ADDRESS' AND Aii�R:SS: <br /> �;�ERETT Rfi �5:'1_• <br /> �_ T� ��J�T��� ��u'i �_�_2.��07 <br /> �::s,;ioi��; w � <br /> PHONE'. PHONE: <br /> nn o���n�: c,:n:, -;ios r,-,�.�.a;:n r�rr e <br /> TA%PARCEL�D.a T�� H�,��c� _ �..,�,:_,^ _�,F, PROJECTADDRESS: <br /> �DESGRIP�IO�J OP <br /> PROPOS[D170RK: <br /> �(-1" �" h � � I.' <br /> ���rFr; -Tris: �.t���i <br /> PFRMIT CONDITIONS <br /> 1. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-881G <br /> 2. HII work shall be performed in accordance with this permit and current City o( Everett Dosign and Cnnstructi�n <br /> Standards and Speci(ications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. 'lOLL FREE NUMBER 1-800-424•5555 � <br /> �, .nn�� t -_riN «- r r � tS �ts� �:3cd �'� . •� � �:_. .- 1-i. � <br /> �i .- nr�:� .r c u.: t �a�i*h h-- Fukl.i � i� .. 1:.-.� � - - � . �.li:;•rt�ss c:,:_-n'_..: ' <br /> . r� <br /> :i.a, . _. . i � i ! . � nt�:�i : '_h � � �;r . //'� <br /> vi <br /> „-� � <br /> i•9 r�:[:� O <br /> r i • <br /> ry <br /> d <br /> us <br /> �f•.. <br /> � <br /> V <br /> , �,• � � <br /> � <br /> � <br /> � <br /> ACKid�'dJLEDGEMENT OF CONDITIC�NS <br /> / The unoersigned owner�appiicant hereby agrees M hold anA <br /> �� 7�� � ��J/.��v� save harmless ihe City of Ev�rett irom ar.y and all claims for <br /> Appr for ConsVuct�� a�e damages,costs,expenses.or causes of action that riay anse <br /> because of installa�ion and maintenance of ihe improvement or <br /> � �7 other righ4of-way se:iereto applied for and tur�her agrees to <br /> � '�-- �'7`��� / remove same n r - e(rom the City and to replace public <br /> F!NALIN ECTION prope/rD� /agQr . ereby. <br /> AppmvetlasConstmcled Da�u //.i���'�� /G_//,UC — <br /> � �. / � <br /> Sipnawre of Pyp�i,;ant Date <br /> IYORK AUl H0171Z�D�V IHIS P[fll.ill I.'UST 9[SThHiED WiTHIN 160 DP1'S OF DATE PEFAfIT IS ISSUED AND THF?�1FTER IS TO BE DILIGENTLV PURSUFD <br /> '�1��OI.�PI.f�f I�1N 7HIS PFFtdl7 t.in'f!3E CnWCEI LFD!a'''TH[CITY UPON AtJY STOPPAGF Of l^JORK ON THIS PROJEGT OVER 90 DAYS DUHATION. <br /> s <br />