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=:�: :i=�iii,r, / <br /> PU�LIC WOR�CS °"` � <br /> vwo�,�._ __ <br /> ��� ���� PublicWorksPermlle ,-;q .,,,_,-,_�_ , <br /> '� Building Permrt# <br /> PUBLIC WORKS DEPARTI�AENT Planninc�Re�erence a <br /> 3200 Cedar Sireet <br /> � Everet�.WA 98201 Public Works Fee S " � �� <br /> (425)257-BB70 <br /> Guaran!ee S <br /> . ,ir - _ -nsc^r�rr-T ��• - <br /> owneaNnMeFU SOY, 3p� aPvucnr�runr.�[ <br /> AND ADDRESS. AflD AODPE55�. <br /> DINRLL W�� °E��° TO �I��TING APR Q 9 2006 <br /> zocei97ai, •- <br /> PHONE: FHON[�. <br /> � �r����':r� ' <br /> TA%PAFiCEL I.D.n t�� F._,I�-:F, — `,.,J-� PF�OJGCT ADDRESS' "" _ �""` _ . .' . " <br /> DFSCFIPTION OP <br /> PROPOSED WOHK�. <br /> PFRMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance - phone �425) 257-8870 <br /> 2 All work shall be pertormed in accordance with Ihis permit and current City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3. Cail Location Underground Service 48 hrs.betore you dig. TOLL FflEE NU�dBER 1-800-424-5555 <br /> �;. ..:,:�ner.'.. side eewer pec Oity Standacd ^'s c;Ol, •;p.:, �. ,. W <br /> _. .nne,,t e,ioftny� d_�vnspauts t � th cfi i n � i_ r pt. �';i !-•;i i__ th�s lut. <br /> �� . _ns-,1: �.�� �r.n �� n'. ��i �.�:.ar�� ic - , p.- _ .. . _,:��_•. 5' ,ri.cde f��c emall pac _--" �'^ <br /> VJ <br /> W <br /> O <br /> � <br /> � <br /> � <br /> /r^ <br /> V! <br /> 0 <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned ownerrapplican�hereby agrees!o hold and <br /> 1 <br /> ��%G .?� Q S S save harmless the City of Evere��from any and all claims for <br /> n;ro�od ior Con=a�ucoon D e damages,costs,ezpenses,or causes of aciion�hat may anse <br /> because oi installation and maintenance ol the impmvement or <br /> � other righi-of-way use hereto applied�or and turiher agrees to <br /> ����% ����__ = removeLs. upon notice irom the City and to replace pub!ic <br /> i <br /> /�����AL INS�EC ION property d aqed ihereby. <br /> Apn�oveU as ConslrucleA Date • �7 /� <br /> ��h'1L G �n../�' "�y� <br /> � `�l G'�- Signatme ol ApphcaN Drc <br /> P:�:f��:AIIiIlOHl7f_U BV l�u;P[Rl.11T L4USl �E STAiiTFD l'�I7HIN 1�0 DAVS Ot'DATE PEPPd1T IS ISSUED AND 7'HERGAFTER IS TO BE DILIGFkTLA'PURSJEi) <br /> Ifi��.�..II!,PLLnG`� I I Ilti Pi i�:. � L7l,V(1[QAI:Cf LI f=1�134 7 HE GTv L'PON AtdY S10PPAGE O�1NORK ON THIS PFOJ[CT OVGH 90 04V5 DURAlION <br />