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QUBLIC �IIORKS L`.` - , � , ' <br /> PublicWorksPermit# :�"�G<�•��'-���:�� I <br /> PERMIT BuildingPermil# ':"^ •i '!�' i <br /> PUBLIC WORKS DEPARTtdENT Planning Reference# I <br /> 3200 Cedar Street <br /> Everett.CJA 98201 Public Works Fee S �.. . . <br /> (425)257�8810 Guarantee S <br /> OWNER NAIdF - , � APPLICANT NAfdE <br /> AtJO AODRESS' ' ' ' ' AND ADORESS: <br /> . _. i �.. ,.. ' �.. . <br /> �._ r __,.I.: . � . <br /> PHONE: ;_�j j�,��, . • . PHONE'. <br /> TAX PARCEL I.D.u , ... . . , PFOJECT AD�RESS . . . _ .... . ,. <br /> DESCRIPTION OF -�_-�; '�� , � � . � <br /> PROPOSED WORK.� � ' <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance -phone (425)257-8810 <br /> 2. All work shall be performed in acwrdance with this permit and current City of Everett Design and Con;truchon <br /> Standards and Speci(ications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> � <br /> _.:,. .�c :,:1 �r�,�. .�.,��. r:,.,:�•.it; � . r.!��� . �._• .. . . . � <br /> �_ �1Lt� 9tl:d C� �:C VL dEUC1C [v L& IL C�+��1 � , - � <br /> i1, Dui7�iin,t m��� inis to ets_^kr! in �ll�r. - ; . ; . � <br /> ' �. - W <br /> O <br /> � <br /> � <br /> L <br /> 0 <br /> � ` <br /> V/ <br /> O <br /> a <br /> ACKNOWLEDGEIviGNT OF CONDITIONS <br /> - The undersigned owner,applican�hereby agrees�o hold ord <br /> . ..��� ,���/` . % �% � %%' � save harmless the Ciry of Everett irom any and all da��ms for <br /> 'nppmved�or Construcuon aie damages.cos�s.expenses,or causes ot actiin Uiat may an;e <br /> � because ol installation and maintenance oi the improvement or <br /> :..�. �.-;-' <br /> � olher ric�ht-of-way use hereto applied for and luriher agrees�o <br /> � - -7�t -"j • � � � remove same upon notice trom ihe City and to replace publ�c <br /> �INAL INSPECTION � � proper�y damaged ihereby. <br /> nnF�ovetl as Constmeted Dale — �-�'� I �'/_ <br /> �/ _//..V <br /> Signature ol Applicanl date �� <br /> l7nfiK AUIilOF2EU OY THIS PFRI,IIT 1.!UST GE STARTFD VlITIiIN 180 DAYS OF�ATE PERMIT IS ISSUED AND THEFEAFTEfl IS TO BE DILIGENTLV PURSUED <br /> �O G(�IdPL G I10:! I HIS PCHI.tIT 1.1AV CC CnflC[LL@D C3Y 1 HE CIl Y iJPOP!AtJY SiOPRAGE GF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />