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= i <br /> / <br /> ������LS �YO�fr� Dat., <br /> P�hl;c WorkS Perm.t = '. � " - .. . <br /> P�R M��' Bwlding Permit x <br /> PUHIJC VJORKS DEPARTVdENT Planning Reterenco+� <br /> 3�0o Cedar Street - - � <br /> � [verett.WA 9�201 ^� Public Wurks Fee a <br /> f425)257-88��� <br /> Guarpnt?e 5 <br /> r i'�'� <br /> � .._...�.• -�. c...�: :- � ^ <br /> �;';;NP.R�Atd . . APPLICANTN/mIF <br /> ,;��ID ADDRES�V E<.L{ !iO AND ADDRE55' <br /> aFiT��sTox ;;.a �a::�-; T� POSTING.....F€.g..2...�...�;�n� <br /> ���,�,_a�:,� <br /> n,��,nc rHor:e <br /> r,riny,T,r.�'�r'yr,ri�n.�;-,_ " _ <br /> IAx PARCFL ID.u - Pf.OJ[CT�DDR[SS� <br /> .`ir F. C,e�};'t.,�:{.^:i <br /> I'�GSCFIIPTION OF <br /> Pi�OPOSED WOP,h <br /> _' p '� ii - " ' <br /> PGRMIT CONDITIONS F��TT ���,� H <br /> t. All calis tor inspection shall be made 24 hours in advance - phone (425) 257-8870 <br /> ,.. 411 work shall be performed in accordance with ihis permit and current City of Evereti Design and ConsiruUion <br /> Standards and Specilications. <br /> 3. Call Localion Underground Service 48 hr�.belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> :.��_-r ;,.�a s�-�rc per �ity :ir_andacd k's r:cl, r�'.:, . .._ _ . ._. _ � <br /> iiamecec ic.�m h-vus� to main <br /> �0 <br /> . "onnert a31 Leoir�,p dow:ts�:,nur, r.o the side sew._�c . �A <br /> In�tall exvsiun auntrol measuces per City uf Eve�_• - `� ' " ' ' " ' V� <br /> . i;emuv� and ceplar.e rucL-, �auceec and sidFwalk a ; , : , ,. ,. � - : . ... M <br /> _ ; ji15j� (� ;iilli i�n [h13 ��I:LOpc�sal�5 fCti91C5�7B 3S tj1Ce�_Y2:: lrV L1�e Yubl..•_ Go��.� In:�p=�_i<'_ W <br /> . - . all unused deivewa}:� and any i?co}:en or damaged acea mu�t be [e�13CBdj . O <br /> . A •_at_�h basin �� per rity Standacd Plan fi4U;: vith i J33 iTiF� prc Star,dard F':_a ^; - � <br /> ���ui�e�i fnr tha F-,ack�ng area. <br /> -, v, . �. ..h.� yi�;•� -. .; �. _. ��r.:.� . . . . , . . . --, . . r., 9i� .,..; 'P� _. -�a*i �u ..�_. 7 <br /> L/�s� <br /> .'1'I� . .. . rI <br /> � <br /> ��\ <br /> rI <br /> � <br /> � <br /> ACKNO\NLEDGEA4ENT OF CONDITIONS <br /> / / �� The undersigned awnerapplicant hereby agrees�o hold and <br /> �//`' CJ�'� save harmless the Ciry of Everett fmm any and all claims tor <br /> � nP �a o�Construr on ' `i��S damages.costs,ezpenses,or causes of action that may a��=e <br /> J because of installation nnd maintenance of the improvemeni or <br /> / o�her right-of�way use hereto applied f r and further agrees:o <br /> ;f! ��C �-�G �__ remo�same u on no� e �brP th .iry�nd to replace public <br /> I IIdAL SPECTION opetty am etl he hy I , <br /> ,�;:��oved as Conslructctl � D;ne — �' / i �� !� <br /> ��� �i,�_ � � <br /> ignai e t Apphcar Dale <br /> ��. „ ',:1, ,"F.G P.1'7t+J5 PfR�.71�t.1UST BF. SThfiTF�IVITHIR 1°:C A� ;S1F�4 �P[fi^.JT IS IhS'JG[1 A^JDTH[RLAFTLF IS TO�E DILIGflIvTLV PLIRSU[D <br /> � <br /> � .-�.i : l;il I�II ..."�'d':OL ( 1P'_[I.I1:D:3YtHf. C�tYV� �.l� �iP� . -G17CfV.O�: 11t15f�7��iLCiO'vfR .CC 'SD'JHAiIOII <br />