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Pl1BLIC WOFii4S <br />PERMIT <br />PU(3LIC WORKS DEPAFTMENT <br />3200 Cedar Street <br />Everet�, WA 96201 <br />(425) 257-8810 <br />nuonboaEss:716 HOY': r.�,� <br />EVEkETT ... 9fi;:�ii <br />3606519745 <br />::HO�E: <br />�;�%PARCELI.D.n "' .�� .. <br />NEW DETRCfiED G�.F:.t.�_E <br />CeItiCf71PTION Of <br />P�10POSED 1'JORIt <br />PERMIT CONDITIONS <br />Date --� -.... � <br />FbU511-1.:. <br />Public Works Permit k gi7511-G �: _ <br />Building Permil # �� <br />Planning Relerenc:��; <br />Publlc Works Fee S <br />Guaran;ee S <br />APPLICANi f1A1.1E <br />ANDADG�ESS. <br />PHONP <br />---?�-�^-: -",'L"— <br />PROJ[Cl AD[]fitSS ' ' <br />�. ��II calls tor inspection shall be made 24 hours in advance - pho�ne (425) 257-8810 <br />2. All work shall be performed in accordance wilh this permit and current City o( Eve�eu L'cs�gn ond Gnnz:truc�,�on <br />Siandards and Specifications. <br />.;. Call Location Underground Service 48 hrs. before you dig. TGLL FREE NUMBER 1•800-424-5555 <br />. � ..;.:._ _.:] [o:;If=:p rl,�vmspout� to th.�. �1da ,._.._- <br />. .... . -,ed ti�3LgCld1 iCpm faundatiun, �ii. E: .,���i !�vr��N,_:. ..n �ii � = h.suled t <br />.�.�; _:�_� , ;: r...u�;tr_..i :;it�. 17n �r::;*in:, r,f ina.t-c_:.i __ .._�,-„��.-i . �.: �_:: bt�ilciim� 1_�'. <br />) �� � i, <br />� � 1 <br />� , <br />'i0 p(�STING 2 " � ° "� � <br />i — <br />� � �'Z/ 'L� C <br />Appmvetl for Con Da�e <br />Appmved as ConsimCted Ca�e <br />��:�'•, � _i.5 <br />"�' 1 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />L1 <br />� <br />��p <br />V� <br />� <br />0 <br />� <br />� <br />V <br />��^ <br />V/ <br />� <br />� <br />The undersigned owner/applicani hereby agrees to hoid anC <br />save harmless the City of Everett irom any and all ciaims fcr <br />Camages, cosls, expenses. or causes of action Ihat may an;e <br />6ecause ;+f in,�allation and maintenance of ihe improvement or <br />�/i o�her righl�of�way u hereto applied for and furiher agrees lo <br />o� �r remove same upo no ice fmm the City and W repiace puuhc <br />�J .� prope�y dama�e ihe�eby. <br />/ -z /-a�' � �2 y � <br />� .L.,� WC " 1�05 - <br />Si9natureolApplicam Oate <br />670fiK l�U7HORIZED BV THIS PER1.11T GUST BE STARTFO A'!ITl�IN Ien ['iAVS G� PhTF PER�1iT IS �$SUED AND TH6RFA��TER IS TO BE C11LIG6`:'�' � �' .. <br />..,... __ .� .,._... _„_... ,._.._.. ,. ... . .... <br />�� C('P.IPIETION.THS PERNI7Lil; ' � . ._.: � r .. " �.. , . .� � •. ^_.... <br />_ � cr r . � � . ... . . <br />