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PUB�ic woRKs <br />PERMIT <br />PUBI.IC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everett, WA98201 <br />(4?5) 257�8870 <br />)1YNEF NAA7E Richa�d ullivec <br />INOADDRESS. BSO OL]Rp1C Blvd <br />�gTT pA 98�03 <br />PnoNE: 4252581989 <br />TA%PARCELLD.� <br />DESCRIPTION OF Remova <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />PHONE: <br />- In�tall Lawn in ROY <br />Dale <br />a�ia�2oo3 / <br />Pub�ic WoMs Pertnit a Pf10304-015 <br />Building Permit N <br />Planning Reference M <br />Public N'orks Feo S $0.00 <br />Guarantec 5 <br />nooaess: B50 Oly�pic Blvd <br />1. All ca�ls for inspection shall be made 24 hours in advance - phone (425) 257-BB10 <br />2. All work shail be perlormed in accordance with this permit and wrreN City of Everell Design and ConsWction <br />Standards and Specifica�ions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. ICeep city nteeets clean at al.l twes ducing coneteuction. <br />5. Maierial cenoved feor� this site riist be hauled to an appet�ved, persitted fill site. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />F- <br />�'A <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />Tho undersigned owner/appiicant hereby agrees to hdd arW <br />save harmless the City of Everen irom any and all claims for <br />damages, cosis, ezpenses, or causes ol aclion that may arise <br />because ol installation and mainlenance ol the improvement or <br />other rightol�way usr hereto app�ied lor and IuAher agrees to <br />removo eeifie n i�tic�ey �Irom the City and tu ieplace public <br />pro( perty d a ed I yw 1i/ //� �/�%-m� <br />7T <br />S;gnaWr�q� <br />li <br />Da1e <br />O CO�df'1 ETOl0�1 H S PERM 7 MAV E CANCELLEO BY�THC-TCITV�UPON ANVO STOPPAGE OF WORK ON TIUS PRO EC7? �ER 90 D VS D RA ONrURSUED <br />