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� / <br />�_; <br />�;' �% <br />PHONE: <br />TA% PARCEL I.D.H <br />DESCRIPTION OF <br />PROPOSED WORK: <br />��v�lY_ Yro�i�����ijiii�'i� �J'-l:li;j <br />PER�11flIT �� o�e <br />PUBLIC WORKS'�DEPA�i�,�ryT3 <br />3200 CCila� $tieel- ` <br />Everelt, WA98201 <br />(425) 25j'8�1� <br />,_ Ri_uG. <br />a13.13 <br />5593. r� <br />MEi;H A�r���„��� � <br />COLLOY F,SITH 6 CLAItD�AFL�G ANDADDRE4GG.W <br />710 fia>YT 7i�lE � ¢��.�� <br />�VEP,ETT pp 1 ����?r,7 <br />TL �G?��,_.38 <br />9252384067 CH�'�� PHONE: d,��F,,jB <br />PRQIECTADO(iESS: <br />TT'id DF,T?�i'fiEl.•� r.7:F%:�"=E . gnU:iE P.DpI'I7.'+TI <br />PERMIT CONDITIONS <br />Dale <br />Public Work=_ Permi� # <br />B�ilding Permit!/ <br />Planning Ret�rence # <br />Public Works Fee 5 <br />Guarantee 5 <br />1i�_/200E / <br />PWOBOI-012 <br />coeoi-ooQ <br />5_=.,nn <br />1. All calls (or inspection shall be made 24 hours in advance. <br />2. All v�ork shall 6e performed in accordance wilh lhis permit and current City of Everett Design and Construction <br />Slandards and Specilica'ions. <br />3. Call Location Underground Service 48 hrs. be(cre you dig. TOLL FREE NUMBER 1-800-424-5555 <br />.. td.�� r.<._.::, r._ ur.:+s`a ex_stin'_i s?•.,,r pipe ,_mci�� p:[op^.,_-ci n��.� b,.�il:lir,_: a:;�i->,_=-. <br />.. COI111ECC 311 Y9�iLC0[� �Oi/il."i�iGLLt, i�i L�1C' �1.�1�: .95k+eC <br />. The contractoc m���t me%-t With the Fublic Woek.s inepect.oi� tc� disca�ss dr�aina�;Ie <br />mtin�a pcior. to beginning tiv= project. <br />. In�t311 �co�ion contcol m�3sur-r� as deteL�mined by the Public Wc�rY.:: insp�ctoi, <br />_.; silt fenr_e, �teaw bales, ::s�a:es, oe ecosion blankets. <br />. temnve riowian control measuces upon completion af the prnject prior to f.inr�J <br />�;r._o�:al ef the permit. <br />. Nn diet, mud, corks �r detei� r�: be tCdrlia�j ente Cp3�S�731. <br />!". }!o tnildin�� tr,at:•rial� tr� br t:taclred on eoaduay �nd �'o:iris::�;� to b�• }����; cl��n <br />,�>n fn�• pPr�eatr.ian travel. <br />. .�-�,r � .. .,,-. ._';_n'�: <br />,,.. <br />�`.�. ��. . . _::,� � � :...� �� �. ... <br />�i� I�G�f��°��_ 7�'�-11 <br />Approved as <br />-�-L,-ll <br />o,�� <br />::u�'h <br />ir,: <br />ACKNOWLEDGFMGNT OF COP�`?ITIONS <br />The undersigned ownedapplicant hereby ayrees to hold anU <br />save harmless the City ol Everett imm any and all claims tor <br />damages, cosls, expenses, or causes �f action Ihaf may arse <br />because of installa�ion and maintenance ol ihe improvement or <br />other righl-oi-way use hereto applied tor and fuAher agrees to <br />remove same upon notice irom Ihe City and to replace public <br />propehY damaged �hereby. <br />�7/.a�,� C',>> � 6't6 Jc <br />�,��, y r-r���_ <br />J <br />qnaluro oi Applicant � �ale <br />TJO COMPLET�ION TH SV ERh1TEMAY BE CANCELLED BY�THE CITV�UPON ANY�STOPPAGE OF V OIFK ON THIS PROJ�EC OVEIi 0 DAVSIDUR TIONPUf±SU[D <br />Unmonrv. u�C <br />�rwn proc� <br />