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PUBLIC IiVORKS <br />P�RMIT <br />PUBL'C WORKS D[PART67ENT <br />3209 Cedar Shect <br />Everett. WA98201 <br />(425) 257-8810 <br />ov+��r:anar.�E -- <br />nr�oao�qESs���,LA7lD GEORGE <br />501 I,AUkEL DP <br />EVERETT GTA <br />rrione q?52599191 <br />TA% PdRCEI I D � <br />98201 <br />APPLICANT NAtdE <br />FNDADDRESS: <br />PHONE: <br />��i� 10/1J2007 <br />Pu61cl4brks Pcr.r.n a P�0710-002 <br />�uilding Peimit a <br />Plarning Re�erencc � <br />Pubiic Works Fee S <br />Guarantee S <br />-7r 9 :'69- <br />� G(�o' �I PY� <br />7rarcl�� � <br />rnOJEcrADORE�500, SO1, S11 LAUREL DR (ALLEYj <br />vaoaosEovoFK�.T�NCA IN ALLEY FOR ELEC7RICAL, PHONE � CASLE <br />� <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in 2dvance. <br />2. All work shall be performed in accordance �•rith this permit ano currem City of Everetl Design and Corslruciion <br />Standards and Specifications. <br />3. Call Location Underground Service 4� hrs. belore you dig. TOLL FREE NUh7BER 1-800-424-5555 <br />4. kemove G replace any broken roadway pavement p?c City oE Evecett Standacd�. CLF <br />.—�--t�'dE�Cii�'� cequired. <br />��de any traffic control as directed by the City Public O�cks inspectue. <br />6. Maintain a minimum of 5' of cleacance feem the City 9ewc maine. <br />7. Trench tackfill must be per Ctiy Standard N610. <br />! �������a7 <br />IAp �ed lor Con;iNcl�on 0 e <br />I. — _— <br />�� HNAL INSP[CiiON <br />Approved as Constn¢letl <br />— _--'— ' <br />Date <br />ACKNOWL[DGEt�SENT OF CONDITIONS <br />ihe undersigned ownedapplicaN hereUy agiees lo hold :tntl <br />sava hamiless thc City oi Gveiell Irom any and all d�iims lor <br />d�magos, costs, ecpenses, or causes o� aclion that may arise <br />bewuse ol inslallation antl maintenacce ol the improvement or <br />olher nght-o4way use hr.�eto appGcd lor ond lurttcr agrees �o <br />remove ^_ame upon nmice Iwm �he Qty , nd ro rep!ace publ'c <br />property damagud Ihereby <br />SiqnaWreolApplicant U:��• <br />:';pRK AUTHOHI2ED DY TH�S P[RId17 tAU5T0E STARTED WI7HIN Iila DAYS OF DATE FERIAIT IS ISSII[D.1ND THER[AFTER IS TO B[ �ILIGENTLV PUFSULD <br />1<� COMPLL710N. TNIS PF.RI.!IT L7AV A[ CANCELLED �V THE CITV UPOY ANV STOPPAGE OP VJORK ON THI^ PFOJECT OVFR?0 DAYS DUFiATI01J <br />. :.PiLaEI � �.c.n.qi,. <br />W <br />� <br />'�^ <br />V! <br />W <br />O <br />� <br />Z <br />O <br />� <br />� <br />