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PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everen, WA 98201 <br />(425) 257•8810 �Ep 3 0 200 <br />TQ POSTING <br />EV�L�i.l�. PL7}i11C SC'I]�JUJ:'. APPLICANTNAME <br />ANDADDRESS: h��� <br />PU Rox �nno <br />EVERET:' i•iA : i,,� <br />PHONE: 4 �.: + i'r'• �J ti �i .... <br />I.D. M <br />PHONE: <br />Date <br />Public Works Pcrmit p <br />Builtling Permit p <br />Planning Relerence a <br />Public Works Fee 5 <br />Guaranlce S <br />�'•r`L117i�_` 1 <br />PROJECTADDRESS: <br />� % L�.i Udhi,.; Av,-� <br />DESCRIPTIONOF j ,�n1t�V;_ <br />PROPOSEOWORK: �=�.-:lt�'. ::'t... j: _. 1��7]'�]:�_. \d��i,lN]) <br />PERMIT CONDITIONS <br />? �.;1/.ii:U.] <br />r�;ao_���-u;� <br />: >�. . iiG <br />1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257•8810 <br />2. A�I work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />� � <br />��:; p<�L �E���L,]V���.: ��1.�11 liat��rl 31;'�.IJ. <br />�� G ���f eV�� w: l I �► oE, ���o ns�� b(.� -� <br />,�o, f� �7 Ce tm �-�/j�-� n�i ;,� �+' r ; m p ra� n1.PM `� i' t� ZrCCP,f-4 <br />�� r � <br />-}� -�� U/�+���'''�7��N v�� -�f'��e �m�-pt�ZrnP.�f � <br />Y1c�, G�5 �'I�YY� -�o+r T i'��j r�Ti 5-d'�� • <br />�1 <br />ACKNOWLEDGEMENT OF CONIIITIONS <br />e <br />W <br />� <br />— <br />� <br />� <br />7 <br />� <br />�"' <br />� <br />� <br />a <br />The undersigned owner/applicant hereby a�rees to hold and <br />save harmless the Ciy of Everefl from any and all claims for <br />damages, costs, expenses, or causes of aclion Ihat may arise <br />because ol installalion and mainlenance of the improvement or <br />other righFol-way usc hereto applied �or and further agrees to <br />remove sa upon notice ir e' and to replace public <br />properry d m ed there . <br />C %�� � � v2 <br />e of k Date <br />WORK AUiHORIZED BY THIS PERMIT MUST BE STARTED WITHIN iB0 DAYS OF DATE PERMIT IS �SSUED ANO THEREAFTER IS TO BE OILIGENTLY PURSUED <br />TO COMPL[TION. THIS PERMIT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 7H15 PRQIECT OVER 90 DAVS DURATION. <br />