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PUBL�G �iNORiCS <br />P��MI'� <br />PUBLIC VJORKS DEPARTMENT <br />3200 Cetlar Slree� <br />[verett, WA 38201 �� ��1Y. ���,,.^ ���._ i <br />j425) ��i�8810 ' • � ' - — <br />nNonooHESS�1703 Tlhs'SP.'r p'_ <br />EVERETT <br />�32525o�77S <br />PHONE <br />%' Pl14 '11=0-5 <br />TAx PARCEL LD. tl � ��,,,- <br />NEYi ii.�..,t <br />DESCRIPTION Of <br />PROPOSE� WORK' <br />PERMIT CONDITIONS <br />nr�o no <br />... . :' t- - i <br />PHUNE: <br />PROJEC <br />ioi5i�r ��s <br />Date <br />YF�o51n-o�., <br />Fw�iC Works Permit 7i �(lyli-�-;�i '. . <br />F udtling Permit # <br />Poanning Relerence # <br />��6c Works Fee 5 y-��' ����� <br />Guarzntee 5 <br />L All calls for inspection shall be inade 24 Lours i� advance - phene (425) 257-8870 <br />2. All work shall be performed in ar.cordance with ihis pr.rmit and currcnt City of Everett Gesi�n and Con=_lruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. belore you dic�. TOLL FREE NUMBER 1•800-424-5555 <br />i. Ti�•_• •.:nn=cactoc mu:.c maer witi; ti:e Puhlic ��eo�:k.-: iur:pa�.-r�:��c (^:�r� 4.:5-:_.-7�:.i�-'; '-'- <br />J.a�:�uz:; p._�tantial •:Icainage et�utii7� pciu[ to be��innin�3 .n� piu7.:.,:t. <br />.. II1F,Y311 e[nsion cantrol iue�suces pec City ot £veeerY ^,randac��r, foc 91nd11 �?3L;:E7.:; <br />.-. ?f a ��r.•_� Fr.:n�� ';t-.rc i:: tn t�.. in,:ai'r_�.I, th= n�?s�uce Ii�:_� m�.ist dischye4e into .� <br />.vat _ .!'.�. _. . . ,. : i a�:. .. .: ... . .n��- �� - -'_ r' :t.. n� _,.,�.•, . .. <br />, {� <br />� � - o.,. �L� Y'""`"_ /r! � � r;J . <br />_ i�lu....� ii <br />/Apo� � tor Caru'truclion � Gale <br />,�—�i �C(1!� 7 ' � � �' <br />' FINAL I�ECTION ��— <br />AppmvodasConslmcted Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />W` <br />1�"� <br />VJ <br />W <br />O <br />� <br />Z <br />O <br />h <br />� <br />O <br />� <br />The undersigneC owner/applic�nt hereby agrees ta hold and <br />save harmless the City ot Everett from any and all :�aims for <br />damages, costs, expenses, or causes of adion �h�l may aii;e <br />because of installaiion and maintenance of the improvement or <br />olher right�ot-way use herelo applied for and furY�.:r ac�rees to <br />remov . same upo naice Irom the City and to repiace public <br />prope ry damage ereby. <br />C cJ�-- -�.�'--�� (� ���5 <br />Si9nature ot �pUlican� �atc <br />� <br />' URK AUTIiOR17ED B1' iHIS P[Rldli FAGST B!: STARTED Wll HIN 1B0 DfNS OF OATE PERMIT IS IESUED AhDTHENEAFTER IS TO BE DILIGENTLV PURSUED �II� j <br />`o C01.1PI CI IO't 'HIS P!=1lL1IT 1,14Y B[� CAIJCR L f-D I31' TIIF C11Y UPON Atv� STpPPAGE OF �:'ORK OtJ THiS PROdECT OVER 30 �AVS DURATION. l <br />