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PUBLit� WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreel <br />EveretL WA 90201 <br />(425) 257-8810 <br />�Gi,FS _-.ki• <br />11515 }� LFti,�.,'5H� �"rW Uk <br />L.'tiKE S 2'E'�.B N i W A <br />PHONL: <br />Tnx rnace� i.o u�)ng q a,G 0�_ ii 1a r:, <br />Df_SCRIPTIONOFn��; y^^t.,^crL, ,-,�i.�.r.p <br />PfiOPOSED WORK'.' <br />PERMIT CONDITIONS <br />cn.:�4 <br />PHON[ <br />Date a: -' � - � U r, <br />Public Warks Permit pP WO 0 G 9- U 0_ <br />BuildingPerrr.lt# Ef�603-iiti: <br />Planning Relerence # <br />Public Works Fee 5 <br />Guarantee S <br />PROJCCTA�DRE55:. <br />: � I1 r-�:�=.EF.Ci�i' Alr' <br />c: c. , <br />7. All calls lor inspection shall be made 24 hours in advanr„ - phone (425) 257-8810 <br />2. Atl work shall be performed in accordance wi�h ihis pen��it and current City ol Everett Design and Construction <br />Slandards and Specilicalions. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />y. _.... �i_:���. �a: _...... _.._ �c...- f�. .=` - '-.._ _.._ -_ --•: �-_-`-r p.=.,- - <br />_ ���' � 9 � o� <br />Ap iwntl tor C _Irudion D� ,o <br />FINAL INSPECTION <br />rlppro�od ns Constmcted Date <br />r�-•r <br />7 r �� <br />� ��� <br />� <br />� <br />� <br />, �. <br />�L N«� <br />�•, ,h ;.n r , <br />nUl�"r <br />.1.'�n <br />G) � <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />V� <br />Y/ <br />O <br />� <br />Z <br />O <br />V/ <br />O <br />a <br />The undersigned owner:applicam hereby agrees to hold and <br />save harmless the City ol Everett Irom a��y and all claims lor <br />damages, costs, ezpenses, or causes o� action Ihat may arise <br />6ecause of instalhlion and maintenance ol the improvemeni or <br />other right-obway u to applieQ �or and further agrees to <br />remove same u i n � e trom JN�Ciry and to replace � blic <br />properly dam �ad y�/� � � � <br />WORK AUTHORIZflD dV THIS P[RPdli R1U57 QE STARTED WRHIN I8� DAVS OF �ATE PERMIT IS ISSUED yMb T}/EFi6�fTER IS TO BE OILIGEN7LV PURSUC� <br />10 COtdPLC710tJ 11iIS P[f7�.9T At�V t3[ CANCELL[D BY THE CITY UPON ANY S70PPAGE OF WORK ON THIS PROJECT OVEF 90 DAVS DURATION. <br />