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PUBLIC WORKS <br />PERMIT <br />FUBIIC WORKS DEPARTMENT <br />3200 Cedar Stroet <br />E�425� 25� ' PO TI <br />1NDAODR 55:�300 2505 2nd. 11VE <br />SE7ITTLE WA 98121 <br />PHONE ( 206 ) 625-9226 <br />TAI(PARCELI.D.� <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />PMONE: <br />�re <br />PubNc Waks Fertnit N <br />BuilAing Permit N <br />Plenning qelerence K <br />Public Works Fee S <br />c�ra��� s <br />s/zi/2eee � <br />PW0008-038 <br />s 5e. ee r,f�. <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. AI� work shall be performed in accordance with this permit and currenl Ciry of Everett Design and Conslruction <br />Standards and Specifications. ':c` l'r-; ;� ; �;;:','.' <br />3 CalIL� ati Under round Service 48 hrs. before you dig. TOLL FREE NUMBER 1-Btl0-424•5555� �)ci::� <br />4�. PER R�fTACFYED PLAN ;,I-:;; .t;� <br />-.,_ . <br />•_. xj-:1.._ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />t 2 <br />W <br />N,o <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The unAersigneU owner/appiicant hereby agrees to hold and <br />save hattnless the City ol Everen irom any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maiNenance ol Me imprwement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice Irom the Ciry and to replace public <br />property tlamaged thereby. <br />�����i�N.tc._---f/9 sD <br />SignaNre ol Applaam Date <br />WOfiK AUTHOR12ED BY THIS PERMIT MUST BE STARTED WITHIN iB0 DAYS OF DATE PEFMIT IS ISSUED AND TMEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COMPLETION. THIS PERMI7 MAY �E CANCELLED BY TME CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER !i0 DAVS DURA710N. <br />