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OWNERNAMfl <br />AND ADDRESS: <br />PHONE: <br />TA% PARCEL I.D.a <br />DESCRIPTION OF <br />PROPOSE� WORK: <br />PUB�ic woR�cs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 CedarSVeet <br />Everell, WA98207 <br />(425) 257-8810 <br />TO POSTING.:�.u!:..1.c zoo� <br />. .._ ._... _-...... _.... PIVUHUI <br />' ��. '.1'. � � '. r . <br />��1� N:� t�.".. <br />._.. r'.�T:� 6?�. . . _ . c <br />:;-.4'-'�.c'"7Q1) '._ ' IPHONE: <br />-. : - �_ 3%-t _ '13C�U <br />� n'� P.:7i'�' �' ' <br />PERMIT CONDITIONS <br />PRQIECTADORESS: <br />Date <br />Public Works Permit # <br />Builtling Permit # <br />Planning Reference k <br />Public Works Fee 5 <br />Guarantee $ <br />�.. . _� . _ . _ , __.' i�' '_ r'__'_. .. _ <br />1. All calls for inspection shall be made 24 liours in advance. <br />2. All work shall be pedormed in acr,ordance wilh this peimit and current 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-B00-424-5555 <br />�.� _i _ _. ,' — .� .._, i _: .�s ciet��Lr;_n_.! ,, ,� _uc,:_. .:,i,,: _ .- -- <br />., J1Lli. �EI1C�?� $�CdM I 31E8� 8v3I.::;� �?L �C�>81�'�il �)13I1�CCtFi. <br />. R�amnve ?rn9ion rC�nt.ral rNAsucec: ufwn complericm of rhe pctrjrtY�pYioc�-to ii.n; <br />;.��_OV3�. Of t�l? jJ=CCIiC. `.7r_ —�_r,..:rr�r.��ss`y_� -� <br />��.._;.�_r <br />�• )iil F:<r3V3t?d LR3t�?�13]. ECCI¢ LOLLIl�3t10i7� S1�jHWdl�i 3I7�� ��.1}LV�M1�f}���')Y�1QZL�E �dl�3U��-' <br />i.,c_�-� <br />�.� appruvFd, permittrr; �ite. Nu wast.ing of materi<�l is allinx�Ci;c�n_this buili?t�n:� <br />. Hn dirt, mud, ror.};.� ne ��eheia to be teaekF�i on[o eoaduay. ;; <br />. Ne D�ilding msteri�ls to be stacked on stre>ts and 3c_•ez;tH. tt� k�e kept rl'e�n r:,. <br />�,en for �•enicui3r tcavel. (�1 <br />�. Pave diczveuey fram t.he front prvperty iine out to tne sttjeet pHving• <br />.. �9B ty�YH �il� CBtCh ha�ltl f��C �G ('��?YpI1t1G!: 11�:�1: f.ai;I1�C�l <br />`ef. �r: G� <br />� � <f .C. � 1 f�: �T�. �s+ <br />,::4 PUBLIC l�OF3tS iH9PECTION. CALL RANDY AT 925-33?-7403 :_��r.����"�� <br />�,'':U1a�'�;�::�i� <br />r: <br />. ' .. . .j� : ��. . <br />7-/Z-o�7� <br />Datu <br />,r ACKNOWLEDGEMENTOFCONDITIONS <br />The undersigned ownedapplicanl hereby agrees �o hold and <br />save harmless Ihe Ciry ol Eve:ett irom any and all claims br <br />damages, cosls, expenses, o: causes ol action that may arise <br />because oi installalion and m mtenanco ot ihe improvement or <br />G�her ric� of•way use hereto�plied br and lurihor agrces to <br />qye s�r e upon T�ptice from ho City and to replace p�blic <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 78U DAVS OF DA7E PEPMIT <br />�.-O COMPLETION. THIS PERMIT MAV BE CANCELL�O BY THE CITV UPON ANV STOPPAGE OF <br />CP1VP I]-041 <br />W` <br />1�' <br />V� <br />W <br />� <br />� <br />Z <br />O <br />/�� <br />V� <br />� <br />a <br />� ��'��,l��� �0 -O � <br />\�t\I _ .. <br />ignaiu o ol App!�cant � � <br />' IS IE AND THEREAFfER IS 70 BE DILIC,ENiLV PURSU D � <br />OPK � THIS PROJECT OVER 90 DAVS DUP.ATION. <br />OATFBA .IhC <br />