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, . ,. <br />' PUB�i� woRKs <br />PERMIT <br />�� <br />� <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreel <br />Evereit, WA 98207 <br />(425) 257�881 Q <br />vnncniv�vm T�H ri�n'.�M�� AII,:L�.�.S I.L{' APPLIC <br />AND ADDRES �' qNp q� <br />1Li"L1 `/ILI.J�GE CTF: f'L �!24�i <br />MOY.ZL'fEb p7� y8�7s <br />Piiowc: ;�c.�qgqFSi: i�Hor,r <br />TA% f-ARCEL ID. p n���71?�Q jUl��(1? FFOJE( <br />oEscRiarioruor ,�,-p t��;�i�F <br />ar�oaoseo wor,K' <br />PERMIT CONDITIO�'S <br />�ate o!30/20U5 <br />Public Works Permit # PNOti06-037 <br />Bwltling Permil u <br />Planning Reference # <br />Public Works Fee 5 <br />GuaraMee $ <br />Sc�`��i�7NP'.�' <br />AODRESS <br />a�. c, i�-E1,x R.'F. <br />COooS-n?= <br />LC7 ?� 9fh:15E 71CF.ES TC�GtI <br />525.OU <br />7. All calls for inspection shall be made 24 houis in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with thic purmit and current City ol Everetl Design and Construction <br />Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. be(ere you dig. TOLL FREE NUMBER 1-800•424-5555 <br />d. !'onn�ce cide �e*.+xr ��st •.�t.� 5tan•+acd tl'a n�il. ap,, •;ua. <br />5. rnnna••rt i�:�,_ttt•p .io�.�n��,c�uc� to tha �iia�;ia�ae .9;{acem �.r.�vtl��i foc r.n�e lc•t. <br />r;. Tl�r r�;ntiactoi: Auat roanr vish th� Fut�lir t7ocl:a In�E�•na_ri•r ra d�.r.cu�r. j,,�ran+.ial � <br />d�s�nsr�f. ���ut�ng (�iioc tn b�ainnan.� the c��c)rct. <br />7. t7o dict, mud, n,c4:c ci ,1.?bii� e., be �tacked oncr.. �oadv;ay,.. <br />i�. Fa��a ,icrr:,G�ay fn:�n ttie fr�nt �,c:pacty line .:n�r. ci, the afce�t pavia�Z.F—hM`'I'tz,auir � <br />FOF FLTLLr [1::�7',g IN�iFFCTZ:!N, C.�T�L FAtiDY A'i' 9:5--339- <br />p�� br Ganstruction <br />„_�L,.l .ly (r1.��1� <br />�ppmved as <br />oate <br />Iz-f7-�l <br />Date <br />olu� �(v fti g {�cf <br />�� I 1 �ltit Q+'i✓✓Wa� <br />C dacs aot Cor�e <br />�' Of� ffie Slirct. <br />��- �' � � J7h:� d a� t°�y <br />4n ?X'� f�r� <br />py., vc�'.�,� � <br />��s <br />�� Z�_p7 <br />MENT OF <br />W <br />H <br />V/ <br />W <br />The undersigned o�tinevapplicant hereby agrees to hold and <br />save harmless the Ci1y ol Everett irom any and all daims for <br />damages, cosis, ezpenses, or causes of action Ihat may arise <br />because ol installation and maintenance of Ihe improvement or <br />other nght-ot-way use hereto a�plied lor and furiher agrees to <br />remove same upon nolice hom Ihe Cily ancj,lareplace public <br />prope,rty,damaged there � /'' <br />� •r � <br />( !i� �:..- �'�✓ j�i�� �t.- � <br />/ C)I i .6' � j .." `7�'"�r^-1 � �/�' `i^, <br />� Signature o pliCant p� tr� ----�—� <br />�� �+�'' <br />WORK AUl l IORIi CD [3V THIS PFRldli PdUST BE STAR7ED IVITHIN 79� DFVS OF DAiE P[RIdIT IS ISSUF� AND 7HERGAFTER IS TO BE DILIGENTLV PURSUED <br />70 GOIdFLFiIGN iHlti PCl71,11769Av 9E CANGELLED �Y TH� CITv UPON A�JV STOPPAGE OF WO!iK ON THIS PROJECT OVER 90 DAYS DURATION_ <br />