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, � <br /> n / <br /> ,�' � r.�_ :_�;�. , <br /> � PUBLIC WORKS Ud�e <br /> Public works Penna a ��.?n 7 n�1 _ . <br /> PERMIT guildingPermNN ������� ���>�,ti•� <br /> PUBLIC WORKS DEPARTMENT planning Reference k <br /> 3200 Cetlar Street <br /> Evaretl,WA 98201 Public Works Fee$ � <br /> (425)257•ft810 . . <br /> Guarantee S <br /> fOWNERNAME APPUCANTNAME <br /> I ANDADDRESS: f��;. pr('Fp:;' r�':1.;-�� }b" Ll.�� ANDADDRESS: ud�;�"F'(N�: �'.�%•i:'; <br /> .j:j�: 1;;;:'j'[? :�'F ST <br /> I �T1�:.7�:M15P3 +ip, ?G:P�� <br /> lPHONE: PHON[: ,:J�7'.:�iv1�':� <br /> �'PARCELI.D.N PFOJECTADDRESS: <br /> ,'.qSQii�t:c7Vlllil'_ , il`!'_ilj]'T �,vY. <br /> DES •�.IPTIONCF !:]1[�(�1u:T�.fi'��J'!:}IG I'kI'.^�:uA�� Fi:l` �iFl°:�:E J':���L'L:L � <br /> PRUr .�D WORK: <br /> PERM�T CONDITI(;�JS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with Ihis permil and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 4B hrs.betore you dig.TOLL FREE NUMBER 1-800-424•5555 W <br /> . . .. . . ..... " '. ':. 1.. ..iT1';:'✓'�q np •.F,c :�r�.�i:` L•;e 'L...,2 x�n . ..., . � � 9 `: ..aC:l !'.'._ � <br /> _ . . . ,- � <br /> :� � : , � � �r:;acj P3f�yh. '^ <br /> . : �_.ta.l n.. �It: :. nj �. oct �.ut nn �. _ .�.,�. Sr i[��ntam. >> r.h, ,u,rtc � i.-.: . . f�hc �•;,-,� ,s��i�. V/ <br /> , i� . c.. .li t ir i 7'i.�iH, � - � W <br /> . !.� t wlflt 1 Fc' F�I�ill�' ��VLF:, 117�E�:trf,�C .�. 91L•_ ��Ft�_2< t�p;�llii11i17'�.�L:�� d]S .,. �/�� <br /> . ,�....LU�'Yltf�. • ' \ 1 <br /> \/ <br /> . .'�9� _.�'fk.`..-ri..� ._ t�J:ii'�?: I•.��bi_it �_..- " ' Y:, . .. � <br /> . � <br /> O <br /> �+ti — � <br /> .T � ,M� <br /> - i ... _ . . .. . O <br /> . <br /> a <br /> - ACKNOWLEDGEMENT OF CONDITIONS <br /> � �� The undersigned ownor/applicant hereby agrees to hold and <br /> �� � � ' — ( ��`D )^ �i � save hartnless Ihe City of Everetl Irom any and all claims for <br /> .Lt.•t f--:f <br /> p�ov r nslruction Da damages,costs,e�penses,or causes of action thal may arise <br /> berause ol instellation and maintenance ol the improvement or <br /> 2�-z Z_/O other righl-of-way use hereto applied for and further agrces to <br /> «✓� -- remove same upon notice irom the City and to replace pubfic <br /> FINAL INSPE I N propehy damaged Ihereby. <br /> AppmveU as C nsUutled Dalo _' , _ / . <br /> '__ __ "_ .__ '. "_—._ _ _. 1 ._. ��� � f�. <br /> _ _. . ��SignaNre of Applicanl Dale ' <br /> wORK nUTHONIZED OV THIS PERtdIT MUST�E STARTED WI7HIN 190 L4VS OP DATE PERMIT IS ISSUED AND 7HF.REAFTER IS TO BE DILIGENttY PURSUBD <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPOP'ANV STOPI'AGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> [PWP(]/061 OAL1BqR.INC <br />