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PUBLIC Vl�IORK� °�`� `�;''�`"'` <br /> Pubtic Works Permit pG��i c i.�q-�i i;? <br /> PERM 1 T euilding Permit# <br /> PUBLIC ti'ORKS DEPARTMENT Planning Reference ir <br /> 3200 Cedar Sireet <br /> E Everett,WA ogpp� p� Public Works Fee 5 a 1` ��-, p,�_ .� <br /> (425)257-BB10 ��` 2 �" "��j Guarantee S <br /> TO POSTING.`...........:.:'....::y:..... <br /> OWNERNMr�,.�y.�y_.�hl nEV. � _. L7C. ANDAODRESSME <br /> AND ADDRE55.•• <br /> 1900 5TH A�JE 5��!?'E c1!i <br /> v��c`<land, ,7F �72n: <br /> PHO4E: _OC��S�f)SSS PHOtJE: <br /> 7AXPARCLLI.D.k PROJECTAODRESS: <br /> pauPoSEowoR�1ILD5 E A1iD � i3,d5 e - �zc� r�f,��q t�- <br /> (5ee a(1o«. <br /> B�nd�ng .5',�4 !'faw, 15��-oy -�:y F - r3ro Lt�sC�(vYS� <br /> lS�� •G/ •U2- <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be performed in accordanr,e with this permit and current City of Everett Design and Construction <br /> Standarcls and Specificatinns. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NU�dBER t-800-424-5555 <br /> � <br /> `:,. :SI: AF'PF;O�fED PLF.NS � <br /> � <br /> mG)�; � <br /> �,c, <br /> �_, !-,r f--•r r-� �-.p.-��-, i-�1-��--• 3 <br /> Y—��r.=� -r_.n cn a-.:�-.,-.,a cn m -o � 1��1 <br /> rx�v�x�U ni t_.��'- c-�or� o <br /> rn m�m m n i .-.�'-� .'� � <br /> .r. P].� r,•,r�e.TJ �m z Q•� <br /> „ r� u3 C G� 6 <br /> T� a ��� � <br /> �` o �� � <br /> �" a� ��_, <br /> . O <br /> �; <br /> �^, . <br /> F i�`u> 1F fSt Mr 1--Pr`ii.� � <br /> LTl/ 1-� S>- �O ST �C•�1 � <br /> 1��� U'- (/�fY� EFF <br /> y�� v�� 1>.2•'-�!Jl�..�+!'J 1--�Cti T CTI .. <br /> CaF.G!1STJ[11NC�L.J1-`f.]�M�.]CO <br /> <'+�T.rocnocno.�I.J�Tlrl..L CJ1Z- �� � <br /> , �c_,c�-,���.€ag�'e�.r��"nmcrm �:.� <br /> ."'�.�. J.. �-.c �c, � c�..-r.w r.��'�cs"^, � <br /> f-..�- ,��. <br /> ti�� <br /> ,_.� a <br /> � __ ACKNOWLEDGEMENT OF CONDITIONS <br /> �i The undersigned owner�applicanl hereby agrees to hold and <br />� � _ . ---� / ' ��- _ save harmless the City of Ev�reit irom any and all claims lor <br /> � �f,t <br /> �>ppw� or Consiruction I'� o�ire damages,costs,expenses,or causes ot action�ha�may arise <br /> 6ecause of instaliation and mainlenance of Ihe improvement or <br /> a�her right-obway use hereta applied for and furlher agrees�o <br /> ' A ��4'•�� � ZZ. U J removo same upon notic Imm ihe Ciry and to replace public <br /> ' FI �1L W CTION ��� properly maged the• oy; - <br /> pp ove'�s ComL�cteJ Da�e � <br /> '�,(�.G�y� ��_ J ci � �_ <br /> _ �'�$Ignature ol Ap i nt Data <br /> / <br /> WOPK AUTHOF:<'"0(7V TH�S hER''R MUST�E 5fARTEV WITH'N 180 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO BE DILIGENTLV PURSl1ED <br /> TO CC�dFLE'!O� �HIS PEF.MIT h9AYAC CANCELLED BY Th.°CITY UPON AIJY STOPPAGE OF WORK ON TH{S PROJECT OVER 90 DAYS�URATION. <br />