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/ <br /> p;.:'.'Lil�l.j . <br /> Date <br /> PUBLIC WORKS ��� <br /> . a .,_�,��� <br /> Public Works Pe'�nit q .. ,il -:. �<i <br /> PERMITB���d��9Pe�m,,� - <br /> PUBLIC WORKS DEPARTMLNT <br /> P'anning Reference tt <br /> 3200 Cedar Street Public Works Fee S -. . � <br /> EveretL WA 98201 <br /> (425 257-8810 MAR 2 4 2001 Guarantec 5 <br /> �c� rosTiNs ..... ........................ <br /> APPLICANT NAME D{'UV ENIi�=�`� '� <br /> ANOADDRESS']Q?9 N PiEADOkDALE RL �NDADDRESS <br /> EPM09US WA p,:�j�p <br /> d257v3o315 PHONE '-rr14;'_!?;: ' <br /> PHONE' <br /> TPK PAF7CEL ID.k <br /> VUy;; (S�VUUUULUU PROJECiAODRESS.]Sllf� G'�v+HU AVE <br /> � •n�- ' ' . . <br /> DESCI7IPTION OF <br /> PROPOSED WORK�. <br /> iiE� z:r=:..-',_`. <br /> PERMIT CONDITIONS <br /> 1. All calls tor inspeclion sl�all be made 24 hours in advance - phone (425) 257-8870 <br /> 2. All work shall be perlormed in accordance with this permit and current City ot Everett Design and Construction <br /> $tandards and Specifications. � <br /> 3. Call Localion Underground Service 48 hrs.before you dig. TOLI FREE NUMBER 1-800-424-55 <br /> 1�,, ���d � 6oZ �'l�'�, H � <br /> �- � �, ,�4� 5�.,�c� 7 S ���'' S�'�1 � U) z <br /> ' � S�r�cc � � I-�Z v� �.� �'` �� -{-'� "�.n'y— - m <br /> 5 . �.e��� � � }�1 <br /> . �� ��r� . 4 � <br /> �,16 �-,���c � , �,�cJ �.{ cJ � v �' l� r E •7 , <br /> Z <br /> 0 <br /> H <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> I �1 G/ I The undersigned owner'appliwnt hereby agrees to hold and <br /> � ��� 11 I� /�� save harmless the Ciry of Everett fmm any and all claims lor <br /> ,� � � dama9es,cosis.expenses,or causes ol ac'ion that may arise <br /> Appro �or Connmcnon Date because ot installaiion and maintenance ol ihe imp .iement or <br /> �' olher iighi�o4way use hereto app�ied tor and turlhei ..giees to <br /> �/// � /C C — remove same upon nolice irom the City and lo replace pu6lic <br /> ( �L� `— pm erty damag�1ed ihereby. ` <br /> FINA N PECIION /�.r ��6�� �L ��� <br /> pppioved as Construdod On�c �j��V/� �� <br /> n.Ls:i!/� Date <br /> S�qnaWre ol ApPlicint <br /> 7JpCO�A�JI lHORf,EU RVr C`i"�I��MI��E CANCEILCD BY�iNETC�ITV�UPON AN�V S�OFPAG��OF WORK ON HIS PROJ�ECT O ER 90 DAYS DU ATIONPURSUED <br /> � <br />