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� <br />PUBLIC WORi�CS <br />RERMIT <br />PJBI_I;; WORrCS DEPAfaiG'EI:I <br />3200 Getla: 9reni <br />Everen. WA 9820t <br />(425) 25i-887G <br />Cl9NF.�7 NA�dF. <br />;rioano�eSS.":::^ ❑ 'i�::`° C: .:u��:.'. <br />PO^u3 iJ�Y�'.:'2 itD <br />'sUER','1"L tJ:� :'?ZO9 <br />PHON[� ,�c_•.,.�.. �•/IS'✓S� �{�� <br />-.�� J".�S1�FiL'-, .T <br />TA% PAFCF.L i D e <br />APPIJCAt.I IIAVE <br />FNGhCDRE55 ���}� <br />�HCUE <br />PRCJEGi ���fiCSS <br />DESCRIP11uL G <br />�,p,��oosen�:rn�IL]f. �SFc? (Cr Tv^ eiSC .�'"'.+5,` i�Ci: �UTU'n.s 3L.0 �I�E <br />f'E-RP.117 CONDI1i0N5 <br />�,�'•: G/27!�OOu <br />Puci�c Wortis Prrm�i K:?�;OSOu-0 i6 <br />Hwltlmg Peim�t n <br />Plann�ng Referena� x <br />Publ�eWortisFeeS ���r�,00 <br />Gua•aniee 5 <br />� All calls lor inspecl�on shali be made 2e hours in advance � pnone 14251 257-8810 <br />Z All work shall be performed �n accordance wilh fhis permit ar.d currem Ci1y of Evereu Design and Cnns;�::c��or <br />StanCaras and Speahcations. <br />3 Call Location Underqroued Serv�ce 48 hrs. 5elore you din TOLL FREE NUtdBER i•B00-424-5555 <br />!: .._G�'! C��`r �_..3]t.`3 Cic�7il 8� A�i :.ZGO:i <br />5, _�ICC"1C,i_ .�::07'_C' CCB.[GA 8B C'_[,?CYCI: uy t[�c 2=�blic `_c_'ca f.ru��r_�o_ <br />� <br />HNAI INSP[Cl ION <br />�Pl"m,•� as Ccn;necicd Drde <br />1�., <br />I•, <br />I/.' <br />._ili:> <br />. �. <br />N ' 1� <br />���0�j <br />CJ � � GJ <br />ACKNOWL[DGE1v1L-N1 OF CONDITIONS <br />0 <br />Y / <br />O <br />a <br />The unders:gned ownerlappliwnt hereby agrees to hold and <br />save harmless Ihe Cdy ol Everetl Irom any antl all cla�ms Inr <br />damage,. cosls, e�penses. or causes o� acuon Iha� may ae�,,: <br />because ol installaiion and mainlenance ol the impmvernen; oi <br />olher righl�ol�way use hereto apphed lor antl lurlhe� agrees io <br />remove same upon nolice Irom Ihe Ci�y and Io replace pubOc <br />pr0p �er tla�nagediYereby I <br />// / �� <br />�//A/- ��ls l '- / �.� (/� /J J/Ol <br />5�y�ure ol ADO��Cant� �i Dle/ <br />V( fq.. AUiH LD (3�' 7r f[P`.'�7 61US7 BE STARTE� WI'HIN 190 DAYS OF `J TF � HCII1 I� ISSUe� AhD ��Ff E�F�ER IS TO BE ��I ICf'.ilv ��l �SI �[� <br />t:_.'•rL�ilhl�l`:i=11.'I1.c1'BEC4NCCILf-DP.VIHE-fl'�'Vr.�'.!I•`,i�l ,_<il:�•.,l�w�Nifllct6".-iin�f9nn�nY9�'.I"I"�. <br />