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PUBLic uvoRKs <br />� PERhII I'� <br />� <br />PUC3tJC VdORKS DFPAHTMENT <br />3?.00 Codar Slrect <br />Evcrelt, WA 98201 <br />(425) 257�Bfi10 <br />o:�NenNarne oPR'r'G3:", J�i:=,E'Fri <br />ANDADDRESS: " • <br />24�7 1.EX1"�:r,�'ntd IVI: <br />EVERLTT 'v!A <br />"1ONe: l 425 ) 347-7345 <br />�nrt�nnceuo.� UU54480i'OU5!;': <br />I)f SCRIPTIDN OF <br />i-i�oNoseowonn NEW HGU.1.: <br />;,�., <br />PERMIT CONDITIONS <br />�- 7zJ_ <br />Da�e �. � .: -,. _�. : : <br />Pubh;;WorksParmi�a i'viui�»-U�^ <br />6wldiny Pcrmit k <br />Plonning Reference a <br />Fu�lic Works Fce S <br />Guararitee 5 <br />c000G-oi_: <br />nrri_icaNr N,u+� _ <br />ANDADDR[SS '.'tI''V;;:� ,!II;;Ek'��'1 <br />i iE};INGTu1J q'J . <br />��_�„_ri; cVERETT WA ��-_.`u��� <br />PHONE' <br />(4'�5) i47-7345 <br />rno�ecrnooness �G?,7 LEXi <br />TQ PQSTING <br />�,v ; �> <br />i�l V A <br />GTON AVE �'�,. <br />AUG 1 1 2005 <br />n � s ur i�irr. �x::: <br />t. All calls for inspedion shall be made 24 hours in adv. nce - phone (425) 257-8810 <br />2. NI work shall be perlormed in accordance with this p� 'mit and current Ciry ul Fverett Desiyn and Con ,truci�on <br />Standards and Specifications. <br />3. Call Localion Ur.derground Sarvice 4A hrs. belore yo dig. TOLL FREE NUMBER t•800-424•5555 <br />y. llv5^tALL SIUP: SF.WER PER CI'PY T7�Ili�?,i_i� ;t :,�_.i.: & oi_i�; <br />INSTALC. NF41 P1A•iER SEFVIC'E. <br />_..,'_r,.� _.,�.,i;: . �.1",7�1�,h�i 'i'n l�i�.;�1�7.". .,.... . <br />_ ��1-�� 4:__�. <br />OOGSi;� = <br />�'!.iLG 139L35 <br />SRCHG 4.SC <br />�'LUM6 63.00� <br />I�k1VE 25.G(; <br />FLAN CF: 247.5_' <br />�i�:CH 80.0:� <br />it 10601� <br />SEWFR 70.G'� <br />UTILITY 1613.00 <br />WATLR BGO.OP <br />T O1 Al. 4294. 3� <br />1= 1- E'.: _ .. <br />A v"M7759 <br />ACKNOWLEDG[MENT CF CONDITIONS <br />� 7na undnrsigncA owncr/applicom hereby aprees to hold and <br />1�_ ���/Q s;n�c ha�mless Ihe City ol Evewtt from any and all claims for <br />� npp�yra�i i,.� ���,.i���<m��, e� I�. � � d•�mages, cosls, er�enses, or causes of action that may nnse <br />� + baeause ol installa�ion and m. intenance of the impmvmnent o� <br />� � /�_O� other �ightot�way use 1�arnto applicd Icr and further agrees n.; <br />/ %, <br />/' �,�/ � ` �_ _ rcniove samr upon nohce Irom tho Gty antl to replace puhlic <br />1 � <br />—• =W LINSP�TI �. -- — p�opeqV dd c �h eh � <br />AGpmvrh ds C�:n> rucica OdD, ,' � �.�j� '1y _ _ _ _ _ _ S� �C/ � <br />'_«r� ��� - _ <br />� � ��pn.tlurt�o��Ap(iLca � Ddle � � <br />/ { <br />,.t��!1K Al�' I �i)��.'CCI) HP 11 u3 PFR'dIT h'U51 UF S1ARTfED YJILHIN �nd DA1 S OF f)1TE PFFG'll C; 135LIED AND THFREAFTER IS TO 6E DILIGENTII Fi'���:ULD <br />I�.� �, ". , II. � nu �. I'i i:'.41 r�.1Y !11 ('.�'d'I I I IT fl'i 7HF LI11' UP(tt �q1' SIOPf'�1a� i�p p nrK O'1 iH15 PROJECT CA'[i� °�: f)4191'UFlQIOS <br />