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Date _ -�9i�6J6
<br /> PUBLIC WORKS,. z;, �����_ ,>�
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<br /> PER�IAIT � � � `� „����4 -�,.:���-�, :
<br /> �r Building Permil#
<br /> PUBLIC WORKSJ��pAf�Bd6f�1�11).�-� Planning Relerence#
<br /> 3200 Cedar Sireet
<br /> Evereti.WA 9820.1,:-� + .�;. Public Works Fee 5 =�'= .�"�!
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<br /> (425)257-881Q.i r.,� `;�`:l,'�r„
<br /> • Guaraniee S
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<br /> �NDADDRESS: LA EOSSIF.F'F. PHILiF J tF �".. •FIn pNDADORES$;; �ri,;'�«L'
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<br /> �,�`E�: `''' ' f���`�i�� ..:1�:. �1-� POSTING.APR .2.3..Zon,
<br /> rHONe: 925_30Aii2K i F: �- �PH�HE:� ' _�
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<br /> 7Ax PARCEL I.D.a 1 ;� " PROJEC7 ADtl�ES$; -n�
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<br /> DESCRIPTIONOP +{g[.J Hi?II$F {� ?�'i."'�V!�
<br /> PROPOSEUWORK' � j(��i� ?�I'�,I,S�
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<br /> ec6''r.�; $11).Ca)
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<br /> PERMI"i CONDITIONS �,f;;T $I�t,!1•i.5�
<br /> 1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257-8810
<br /> 2. All work shall be pertormed in accordance with ihi, permit and current City of Everett Design and Construdion
<br /> Slandards and Speci(ications.
<br /> 3. Call Location Underground Service 48 hrs.belore you dig. TOLL FREE NUMBER 1-800-424-5555
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<br /> 5. Conn�aet all er_ot.t�,,> d,.wn=!'c.:t: _, c� �3ch : ' " ... �
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<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> _/� ./fr'� �^ — The undersig�ed ownerapplicaM hereby agrees to hold and
<br /> �•�� /f �l� save harmle;s the C�ty ol Everett imm any and all claims lor
<br /> �! � c fJ i ✓ .S �
<br /> Appmvrd for C.,nstmciion D damages.costs,expenses.or causes ol ac�ion Iha�may arise
<br /> becau=e ot installation and maintenance ol Ihe improvemenl or
<br /> _;. -/� • other rioh!-obway use hereto applied lor and lurlher agrees to
<br /> s".:.�'y, , _- :.�--',� ��.' --�_ remove same upon notice from�he Ciiy and to replace public
<br /> � FINAL WSPECTI 'd �p� pro �ty damaged tl �by.
<br /> � dPProved a•,l,��snu�aed �"SF�G �J� /� ) /G/ y��
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<br /> \VURK,±ll i HOH:ZLD F3v tHIS PERMIT IdUST BE$TARTED WI7HIN 780 DAVS OF DATE PcRMIT IS ISSUED AND THEFEAFTER IS TO e3E DILIGENTLV PURSUED
<br /> 70 COlal>LCtION 1�ii5 P[HrAIT A1Av BE CANCELI.ED BV THE G7V UPON ANV SiOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION.
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