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a <br />PHONE: <br />TAX PARCEL I.D.# <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PU��IC WORKS <br />PERMti <br />PUDLIC WORKS DEPARTMENT <br />J200 Cedar Streel <br />Everelt, WA 98201 <br />`42�'07POSTiNG..�u�.,1, o?oc� <br />-_._��_......._ ..- -_. <br />-r"4t'. ': <br />ill'[iy�:'�l:tO . _'. _ <br />�..r. ,. ' _ _ <br />PERMIT CONDITIONS <br />PHONE: <br />PR0.IECTADDRESS: <br />Dale <br />Public Works Permit # <br />Builtling Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />1. All calis for inspection shall be made 24 hours in advance. <br />2. All work shall be per(ormed in accordance with lhis permil and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underyround Service 48 hrs, before you dig. TOLL FREE NUMSER 1-800-424-5555 <br />__. _..._ -. <br />.. ., ...,. , .r.-�_ �_. , . �...-, r -rc:nc�n i.2.;n�...... . . .. <br />. Tic.r�.pVu ��qY'091C�❑ c�ntrol measu�crs: �.�por. ��empletinn pf �f:B F/Tn�u_.t .F•T'jr�r-, tr� jg��.:�. <br />�.�_�:\'3� r.f }_�78 ;J0CLl1=. � ��a.:m - :: <br />�. 'ill =Xr3VdtE�i tRdtFCl.dl fCOlu fOLL:1��3t1GR, Sld@W31�, GR�j:C�L'1{C�L73};7�9(la�� := 123�;L: ��. _�. <br />�n �,p��rov�d, pecmit.teJ site. Itc� vri::ting of material':is aS1ur.�eJ c�n"r*:h�s i�tiil�i3r,.; . <br />. No dirt, mud, cocks or debci: tn be rrarkn� oitto rn:���Gay. `- _ <br />..,_ building materiyls to k�e stac):ed on st.Le�is and �tL�ets to b� k=pt cl�ar. ,.. <br />� coc 'i?El1CU13C travel. `rj <br />-aa�_ di.iveway fr�m the fr:�nt pruperty line out to�th-r street paving. <br />�:� typa •A• catrh ba�in fac 4E2 idetention not r�uiredj <br />.n ^.%�� en <br />�:l � V an ��. <r� r . <br />�Jl � Lr <�y .'.�. !� Jl ff� tr !�� <br />.�I �[Zl L�l �..� CTl ��lJ'��i 1'� f�l <br />:. iT. i'� .. . r_*t !-- r_> :-s� c� �- r n. <br />6VORK AUTHORIZED 6V THIS PERMIT MUST BE STARTED WITHIN i80 0AY5 OF DATE PERMIT <br />TO COM1iPLE710N. THIS PEFMIT MAV BE CANCELLED BV 7HE CITV UPON ANY S70PPAGE OF <br />EPWP �];OG� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicanl heroby agrees to hold antl <br />save harmless ihe City ol Everet� irom any and all claims tor <br />damages, cosls, oxpenses, or causes of action that may arise <br />because of installalion and maiNenance of lhe improvement or <br />ther right� bway us hereto app �ed lor and fuhher agrees to <br />e� ve sa i upon no e Irom th City and to replace public <br />ro da a ere � ----. _. . . ._. <br />I-��-0� <br />PURSUED �`j <br />i <br />pATqBhR, INC. <br />