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I o��e <br /> ,' P�..9��1C V!!�F$K$ -- - <br /> .`'���-.-�'� PublicWorksPcrmit� � � - <br /> ;`�^ ;'� _ PE1�dVi1T <br /> _ 8uiitling Permit 77 <br /> ���� �2'.' PUBLIL'WOF�K9 DEPARTMENT Plannir.g Relerenco a' <br /> ����' 3200 Cedar Slreet /1r�T O <br /> ���-�� Fverett,WA 1 Y4 I 1 p Q(�ublic Wcrks Fee S � <br /> ,Qzs�ZS�-�� POSTING......................... .... <br /> Guarantee S <br /> i CVJNEfi NA1dE APPL'CANT NAME � <br /> AND ADDRESS:_ _ ANO ADDRESS: <br /> . .-� ..,L..L._. __. __�. . <br /> .,__.� $i���1i:: .. " "_ " " <br /> PtIONE: �� PHONE: <br /> ''` ' -.��7' <br /> r— <br /> ' TA%PARCEL I.D.N 5� ' <br /> . . .. ._..�,.,. .. . . . . PROJECTADDRES.,., . . _. ._ . .. _.. - <br /> DESCRIPTION OF �I <br /> PROPOSEDWORK:�-- i',�t.'�'�' ' <br /> �--_—_ <br /> PERMIT CONDITIONS � � ���' " �'� �'��'- � I <br /> 1. All calls for inspection shall be made 24 hours in advance. ' <br /> 2. All work shall be pedormed in accordance with this permit and current City of Everett Design and Consiruction <br /> Slandards and Specifications. � <br /> 3. Call Locatiun Underground Service 48 hrs. before you dig.TOLL FREE NIIMBER 1-800-424-5555 ` <br /> ... . .. ...., .�. ..; ..�,., . . ., ..._ ..,. �.._ .. _:-.. . .. - .. - �. <br /> r <br /> . ... .•__�_, �..._. __ .._.., ��... _�..�_�.. -- '- - -- .'_. _ '' - - - -��� ... <br /> . Y.c _ :n�*ruction traT�r�_�1�� veh��l2 •1umF�Yac:: �cti . � . . � <br /> _��C., I•laintain a clear pe�iF:�t.eian ��alY.�:�1y. . �ry, <br /> . Srvb ro,r drai�s to 1'�� culvert un•�••r gnll� Rd. Acnor �cip , :�;r aeou�,� _' ii.l <br /> 'et�o�icie=. nr-,� .n.� �—� O <br /> ���� � � <br /> � nn� -• trnp ��*,;r,�p: �t to 'h dralrs�� s��tem prcvi� dr�nr �t�i..-�t:F��, T� <br /> _...,f� 11 -o_, _ . . .. � ^i . ' "' "'c " " ';*...�1{3'�v{:: � L ..IRd� f� � . � <br /> •:I' ::C�'�_ �J'l�L: _C �i•.:'c�:. <br /> . ' � .. -. . � . . . . .. . . �. i�-�t Yf179 bllllC�lri.�. � <br /> � <br /> i� � <br /> � � <br /> .s�< 4? /� <br /> � ..-. .. -. '� �/ <br /> � <br /> a <br /> - ---- I ACKfJON'LEDGEMENT OF CONDITION� <br /> The undersignetl ow�ner/applicant hereby agrees to hold and <br /> � �i/� . �„/ save harmless the City of Everell from any and all claims lor <br /> L�'� ,(�C /(fb damages,costs,expensea,or causes of aclion Ihat may arise <br /> App .d I r Conslruc�ion Date L because ol inslaltation and maintenance ol the improvement or <br /> other nghPol-way use hereto applied lo� and lurther agrees to <br /> ���j��,��_ removo sarDe upon notice irom Ihe City and lo replace public <br /> '�SreCrloN property.damyedthereby. � / <br /> ApprovedasCanstmcted Dale � � �/L �SIJ/_ <br /> o / ri <br /> i � �Zp -G� Signaluw ol Applicanl � Datc <br /> ':'OHK AUTHORRED 6V THIS PERMIT MUST�E START[D WITHIN 18U DAYS OF OATE PERIdIT IS ISSUEDAND THEREAFTER IS TO�E�ILIGENTLY PURSUED `' <br /> 70 COMPLETION.7HIS PERMIT MAV BE CANCELL[D ilY THE CITV UPON ANY STOPPAGE OP\5'OPK ON TH!5 pIiOJECT OVER 90 DAYS DUR4TION. 1 <br /> UATAU�tH,IN <br /> 1-vClP f]IOGI �.. <br /> t� <br /> 3 <br />.n,:.;:�°. <br />�E.;, <br />