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Pu��.ec wo�Ks <br />PERMIT <br />PU9LIC WORKS DEFAFTI.1[NT <br />. 37.00 Cedar Sircet � <br />t [veretl.'NA 98207 , d:;T" i� i" JU�. '� O <br />(425) 257-8810� � R� •: 5 y^ 9�: — <br />��c - rr�� •: .i,r � rn r <br />cv:�,v�_a Nnr�AO: NA.`>Sh1! "rL naaucnr�r Nnr.+e <br />nIJD �JDRE ANDl.�DRESS- <br />EVERF.TT tdA 9P::f!1 <br />4%5253277F <br />PHON[' <br />rF{orie <br />PAf7CEI.LD.a�� H��ligl, - E'A$I� 1�'+ (L�iT _il IPROJFCi <br />UtSCRIPTION OF <br />PHOPOSG�\NORK: <br />PERMIT CONDITIONS <br />=o/oi=oo5 <br />/ <br />Date <br />��:c,_i,_ ,-,, <br />Publlc Works Permn s��.15i�,-�:1� <br />Builtling Permit # <br />Planning Relarence # <br />S.iJ.i�Q <br />Public Works Fee 5 <br />Guarantee S <br />?fV?_.._itc S.i��T � <br />7. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shatl be performed in accerdance with this permit and current City of Everett Design and Construction <br />Standards and Specifi�ations. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424•5555 <br />. The conkcarru[' �cu:r m�.et s�ith the Publir, t;,cck. ?n;,er_r.;: (F:_.-}: 4;:?-'---7v:?; t:: <br />::1�CUS3 r�OY_ef1t131 �:�L�'i1Tii(J� L"OUi-lOi� pT�lOL' LO be�_�ir,ning Y}�2 "��8:'t. <br />5. In�C311 �L'G916I1 COI1tC01 m�38LLCE. jJP_C r1LY of Eveeett .`iidR�ldLRE fOC 910.311 �;3LCCi5 <br />6. If a ��u-�r pump �ystem i� tc� Le inst,l.led, the ncessi:e� line nust diachar9� int: : <br />��Li__ ,.�,.-_ <br />pi��c�'.- i�anhole, ,..,-_r. ��c._,_'}� T]•-�.� a,-rc�� r�h�� �.� _ �_.,>i-'��a�;. <br />iC?�q..rr '/'�% �I'(/�I� l/% l� 1</��j <br />ApP�oye� lar Constmction Da1e <br />/ � <br />x �/ � i <br />�J�` �,( l� <br />.� � s c ( <br />' FINAL I S ECTION <br />APn�oved ns consuucted oalc <br />�Lk <br />�.r <br />£Pa f�v <br />F: (A �� F�� f�'l <br />ACKNOWLEDGEMENT OF CONDI710NS <br />W <br />� <br />V / <br />W <br />O <br />The undersigned ow�neriapplican� hereby agrees �o hold and <br />save harmtess the City ot Evereit irom any and all claims for <br />damac�es, cos�s. expenses, or causes of action �hat may arise <br />ber.ause of ins�allation antl maintenance of the �mprovemenl cr <br />mher righ��of-way use here�o applied for and further agrees to <br />remov same upon no ice from Ihe Ci�y and tn rep'�ace puhlir, <br />prope y damaged reby� <br />� c".'��_._-- —( � � _�5 <br />SignaNie o� Applicanl Dale <br />(::;�< �UiN0171ZLC) PY 1HIS P[RAtI� tAllSr �?� gTAfiTGD WITHIN 180 DAVS OF OATE P[RM111T IS ISSUEO AND THEiiEAFTER IS TO BE DILIGENL�V PURSUE� <br />r, [r�1.n-'�1 I iON THIS PEPLIIT Idm' CP GV:C[I LF.� BY THF GITV UPON ANV STOPPAGE OF WORK ON TNIS PROJECT OVEF 50 DAVS DURATION <br />