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PU�L1� lNa�KS °°�° - _ <br /> PE R M I T Public Works Pennit d i;,;���U i <br /> Builtling Permit s <br /> PUBLIC WOPKS DEPARTMENT Planning Relerencc q <br /> 3200 Cedir Streel <br /> Evmett,WA 98207 QC'r Q 8 Z��Z Public Works Fee 5 '""�� � � <br /> (425��5'��STI N G Guaramce 5 <br /> �V <br /> OWNERNAME �-.; <br /> ANDADDRESS: ' I:i ��`!�:�r� "` :p1:1 �. =!1.-.�' !� = - ' APPLICANTNAMELV}:R1317 i\:C1'I <br /> ANDADDRE55: <br /> 1710 WMVU <br /> Eveeett Pi�t =�.:�,i !. <br /> PHONE: PHOHE: Q?�;;J43'!.�j <br /> TA%PAqCELI.D.p PROJECTADDRESS: .;,,��jO H011Y UY1V�2 <br /> OESCRIPTIONOF �-�.� i - <br /> PROPOSED WORiP ' . • � . _ . - ..•.... <br /> PERMIT CONDITIONS <br /> 1. All calls�or inspeclion shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be perlormed in accordance with ihis permit and current Ciry o(Everett Design and Cons!ruction <br /> .;tandards and Specificalions. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> : . ... , . i,�,: . . . . ,�� .i:t i . . _ ._ �., '���_„ �` <br /> r <br /> '�^ <br /> i7-:'S-0� L�.y�); V+ <br /> il 0�070'�: � <br /> OTHEF E50.G�' O <br /> -0'icL 850.(i0 <br /> C ,._. =5.�; <br /> 1 __ ; Z <br /> 0 <br /> 'I�^ <br /> v+ <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> , / •7 The undersipned o�.vner/applicant hereby agrees b hotd and <br /> < <� save harmless the Ciry ol Evereq Irom any and all claims lor <br /> Approvetl leor Conslmciion , Uate U damages,costs,ezpenses,or cause�s of action that may arisn <br /> '� '� n because oF installalion and mairr�nance ol lhe improvement or <br /> i// ! <br /> ,C� ,�/i�� /,c�l�A+� �' ZC��' Z olher righl-of�way use h,, �t�iico for and lurther agrecs lo <br /> remove same u9o�qqlit_ Im he C;ty and to replace public <br /> FINAL INSPECTION property <br /> FlpprevedasConslmcted Da1e � , <br /> i � <br /> Signatureo pplican ate � <br /> WORK AUTHORIZED BY THIS pERPdiT MUST DE STARTED YJI;�rIIN 160 DAVS OF DA7E PERMIT IS ISSUE�AND THEREAFfER IS TO BE DILIGEi!TLY PUFiSUED <br /> TO COMPLETION.THIS PERMIT h1AV 6E CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVEH 90 DAVS DURA710N. <br />�� �-�_„ _ -._..��'F ��� �7,��, � � .. . + ,. ., 4 _ <br />�a+r F :�.. �._.�""-�' c '..,_ . ., t".:7 . '���'�de�. <br /> ,s' �i� <br />