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PUBLIG WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32J0 Cedar Slrr�l <br />Evcrett, WA M201 <br />(425) 25�l-BB70 <br />OWNERNAME kTF�11t".LI'.l'�� ;'�1.j���!' } <br />ANDADDRE55: <br />'.�.l;... �-L:�ii�7'-' I��� <br />_`.,.,..�:....� .. <br />FHONE: <br />TA%PARCELI.D.• <br />DESCRIPTION OF <br />PROPOSED WOF7K: <br />�5ri l <br />.i �� _:.il', ;1.� � i. <br />�...�:('. ��fl�.�i <br />; i' ?� <br />0 <br />Public Works Pcrtnit M <br />Building Permil q <br />Planning Relerence a <br />Public Works Fee S <br />Guarantce S <br />APPLICANT NFME <br />l,ND AODRESS: <br />P!I(�NE: <br />PROJECiADDRESS: <br />�. 1 . , <br />�� ,..; <br />��W�i;��- ��� . <br />� �, �:�. , . <br />i <br />PERMIT CONDITIONS i <br />1. All calls tor inspeclion shall be made 24 hours in advance - phone (425)� 257-8810 <br />2. All work shall be perlormed in accordance wilh this permit and current City ot Everell Design and Construction <br />Standards and Specilicationa ' <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024•5555 <br />.. . r ,„ 'I �...� �1[ � . . i <br />�I. f. I 't'.. � . .�. . , ... :�1 .. l:i. � . '. <br />,. I: % �' . . � . i i. . : � . � . . <br />�i'� .�. i � <br />r'� ' �� • — �l //c <br />AppiovN lor Constmction Date / <br />FINAL INSPBCTION <br />Approved as Cons�rucled Datc <br />ACKNOWLEDGEMEN70F CONDITIONS <br />W <br />F- <br />� <br />O <br />O <br />� <br />a <br />The undersigned ownedapplicant hereby agrees to hold and <br />save haimless the Giry of Everen Irom any and all claims for <br />damagcs, costs, ezpenses, or causes ol aclion that may arise <br />because ol installation and maintenance of Ihe improvement or <br />other righl-ot-way usc hereto applied for and further agrees to <br />remove same upon ootice from the City and to replace public <br />, � �opeJty damaged Ihereby. — , - �� f ( <br />i /'. <br />� �� ��—���PS�`�•� 1 v � " `'i .r, <br />` Si—" g�aiuie ol Appi�ca6t ' Datn� � <br />\YORK nUTI{OfiIZED OV TI11S PLRMIT MUST 6E S7ARTED WITHIN 100 DAYS OF DATE PERMI7IS ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUED <br />TO COh1PL[TION. THIS AERtd1T h1AY BE CANCELLED �V THE CIN UPON ANY STOPPAGE OF WORK ON TMI$ PROJECT OVER 90 �AYS WFATION. <br />