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I o�,m _;t�a0809-019 <br /> � � ������ ����� . � PublicVJorksPerni�f' <br /> �./— - 4�OAG4-OOF <br /> � <br /> ,� ; PERlIAI'P �',,=; <br /> � Building Pcrrtii�� <br /> �� l�'� PUBLIC WORKS DEPARTMENT, planning Refererce# <br /> �*s� 3200 Cedar Sireet <br /> Evemtt,wn sazo� y'S.G r� <br /> (425)257-88Y0. � ';.i^j Pubtic Works Fee S ��° , y <br /> . � lf^-R!'��✓ <br /> �- 1f���"� e��)l l Guarantee S <br /> "' — <br /> ' Gl7NER NA1dE c APPLICANT NAME <br /> � ,11JDAD�RESS: �Nr��� DF.LGRE.� AN�ADDRESS: <br /> 1i�ynr.� g��LLY Dk <br /> Ei�ERETT WA 9g2�q-'F 2 <br /> �t�oNE: -'�534786nr., aHCNE: <br /> 7A%PANCELI.D.q r , _�i+11i�0�i)f� —IPROJECTADDRESS: 1�)�iUi F_l'LL1' D:: II <br /> IIIIF .�" <br /> o[SrR�P71oNOF f'Li�r'�.F;Tlfi; F.i-:.�'Sf: � .`?I•i%,i,?. F+-LDEFIS , <br /> PROPOSED WORIc: i <br /> �_ _. r. ,-�iq„ Ttd'I��rITY P.L}- r,n� n-�i�i . _ .. <br /> .A„ <br /> PERMIT CONDITIONS ' <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. II work shall be performed in accordance with this permil and current City ot Everett Design and Construction <br /> �ndards and Specifications. � <br /> .. tll Location Underground Service 46 hrs.betore you dig.TOLL FREE NUMBER 1-800•424-5555 � <br /> � . . ,. ,.- ., _. � � h <br /> � . �F��CC�i�e� •e•_Cv __� f+- 7� I1._. '_� r: _: �_�.d (P '.;! '- . z 3- - <br /> - . Stak<• l,ufY�r. ioi U-Tlal'IJ `R' an!i c,ll th F+�b� � �oLl:s Sn�X. . ,L i_c L-vy�,. •s• <br /> . Festorar.irni nf W�tlancl 'A' vill b.-. cequi�ed pcinc to any futuc� de�elr.pmFn+ � <br /> ��pur.ty. - m <br /> , ,eE�9 all ?xpus�d earth with 9ra�s when bcush r�mc�val is _ _'°r'-=`�'• <br /> . ,� r roi�rroi a� dic_,ted by tiv_ _o.i-.�:-c ' >cr:c L� :�._- . e . O <br /> . Yr�-•vide any neres�ae} ceyi�n "'' <br /> -.,;r,r,.-. •,,-,z-r r,;:r�crr:-�p r�: rl=�� I,L`JD�4Ar; =I:?':�?G'�AO�i. / <br /> _,- i— .. __ .. .,.. .. . . . _ <br /> � <br /> � O <br /> }. � � � <br /> - �� / � <br /> ��� � <br /> �/ ' % � � <br /> i �� <br /> TO POSTING `� / z s/ ' 3 �/ � <br /> � <br /> -- ACKfJOWLEDGEMENT OF CONDITIONS <br /> � � The undersigned ownedapplica�t hereby agrees to hold and <br /> �,L: �fi G F� 7, v�+ save harmless the Ciry of Everett from any and all claims tor <br /> ' c7 � damages,cos�s,e penses,or causes ol action ihal may anse <br /> � � �App ea for Constmction oa�e becausa ol inst at n and maintenance oi the i r vertlel?�or <br /> II, other right-ol-way se herelo appf d for and� hh recs to <br /> �� remove same up i notice Im Ci nG to re I c� lic <br /> ,=-- pr.�ped mag dlhereby. � <br /> I� LINSPECTION <br /> i Approved as Consimcled ���o � �ir� � /q�l <br /> v <br /> � Si�jnaWreofApplicant / Dala <br /> 1 O(.OMPLET�ION TH 5 PE9MIT MAV BE CANCELLED DY�THETCIN�UPON ANOY STOPPAG EOF V OIFK ON TH 3 PROJLCT O ER J�D YS IDURNIONPURSUED <br /> or�nuai�_u.G <br /> I_vlYP O:OcI <br /> I. . � <br />