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�us�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everet�. WA 98201 <br />(-025125i-8810 , � <br />-;;", ,�i i?�C....P,:.G <br />u�.vN[�tNnn�E�.aF}' i,�c�171(F' z"I'sDEF.S Lr_ <br />AtJD ADDqESS, - . <br />�""1 ��'L?,-'=F ''"' '_ _ . <br />..��''..?T'" ... . ... . <br />PIIONE� �]_S_�aCSc�,'. <br />7ti:PAqCELI.D.#i�ii5?"-" . <br />DI:SCRIPiIONOP �^.. �_; .. : <br />PROPOSEP \"JOHH.��•. <br />PERMIT CONDITIONS <br />PfIONF. <br />Date �. _`. �: , _ . - <br />Public Works Permil p Flr'U bu �-.. <br />Builtlin�Permit# '-�t'OC' -.� <br />Pianninq He'crence a <br />PubLc Works Fee $ ,: _ <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257�8f110 <br />2. All work shall �e performed in accordance wi�h �nis permit and curreM City of Fvere�t Des�qn �nd Construction <br />Standards and Specitications. <br />3. Call Location Underground Service 46 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br />. ::,�=: _ _ .. . . . . .... .. .. _•. :, _. . <br />•--mn?_t ..��ottop c1:.+uspoutc t�: tn- d[:;inail^ a-oat-��� }i:••d:•:ia:i _>c il�`' --,. <br />. Thr �r.mtcactoc muEt meer Wirh th« Pub1u 41acF:s Insrecrc.r to disc�+r;: ,... ,_ <br />r.iinage eoutin;� pe�.��c to t�eqinninr the pcujec.t. <br />-. No dirt, mud, cecks oc det�ris te Le rcacked onte zoad43y. <br />-, F�>�•,. d��i.•de.�r�y '_r�:�m the f[ont pcoprcty line out to th'r 3te�et F�avin_;. <br />__ __ __ . - <br />_ _�-r::,?,, cnt:� r�.r;o�- f� a�4_>,�,_7a;,., <br />�.�� �/� : � <br />r �d I i Cons�mc�ion <br />FlNAL�'.i-ION <br />Approvetl as Oam,;iuci��d <br />��- . �.�,�� <br />� I7 /7-��J <br />o,�� <br />ACKNOWLEDGEI�IENT UF CONDITIONS <br />W <br />f- <br />V+ <br />W <br />O <br />� <br />� <br />� <br />O <br />a <br />The undersigned ownerapplicant hereby agrees to hold anC <br />save harmless �he Ci�y ol Everett from any and all claims for <br />damages, costs, expenses. or causes of action Ihat may anso <br />because oi inslailalion and mamtenance of the improvement o� <br />other right-of-way use hereto applicd lor and furlher agrees to <br />remove same pon notice ho�ihe Ciry an replace pubhc <br />proper maged Ihereqy��j <br />% f <br />�S� %- --c- _ � --- - ��_�'� <br />II % S�gnature pl�wrt D. <br />� <br />�';����ir. ld1111c1HIJFI� RV?IUS Pf.RL111 r.1US1 FE SIAHI[D IVITHIN 180 UAYti p!- pA7E PF.PMIT IS ISSUEDAND THEREAfTER ISiO BE DILIGENTLV PURSUEU <br />1 J['ll.'f'Lf. i irR! TI IC; FH�671i I,tAV BL ChNCCLLLD Uv iH[ GI7V UPON ANV STOPPAGE OF WOFK ON THIS PROJECT OVER 90 DAVS DURATION. <br />