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, <br /> PUBLIC WaRI(S Ga• <br /> PERM1� P��a���,a«sPe�m��� <br /> Builtling Permit# <br /> PUBUC WORKS OEPARTMENT Planning Relerence a <br /> 3200 Cedar Slreei <br /> EveretL WA 98207 Putdic Works Fee f <br /> (425)257�BB70 <br /> Guaramee 5 <br /> OWI�ER NAME , APPLIGANT NAN[ <br /> AND ADDRESS ANDADDRE55 <br /> FHONE PHGNE <br /> iA%PARCEL ID.p PROJFCT AODNC55. <br /> f�CSGFIPTIOtI Of <br /> PHOPpSEG17UHK� <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be mado 24 hours in advance - phone f425) 257-8810 <br /> 2. All work shall be perlormed in accordance wi;h Ihis permil and currenl City ol Everett Design and Construction <br /> Slandards and Specifications. <br /> 3. Call Location Underground Servu,� 48 hrs. bebrc you dig. TOLL FREE NUMBER 1•800-4245555 <br /> W <br /> H <br /> � <br /> ��. t� «.t��sf.'rn ^„bi �•:�l �w�rr:.UtrS )�•r Clt}' ��f F.vqi�lt Stnhdh[�:Lz f�.-�r �rall ���� m <br /> •�cre�t�t�d msisr�el [t�;h t�+undstl��n, aidwalt s �ictv�w.n•r rshall � O <br /> +, t���4itrr�� atf4. tF� u�,tlnq �•,f paters�Y �n r�11.-wr.f ,n chtn t <br /> �n4�l.��r r��pataa ��� rw�1�.�i�.�i f,.•i M�fldtn�ar� r W G i�� �-cr���1»nrt �i �� � <br /> „tith •,f kFF�F Str,mint�:tt 1?f�. <br /> l,c-::�m•r i�yulr.sa t►� �nr.taLJsr.�yn "1� � Eiie ht.]caht. ii_.tk tti � � <br /> �:t �t tht i�vgl:���rte •x[.enr�e. O <br /> . .,, � ,�. . , , • -, ., l �, . , <br /> fr^ <br /> VI <br /> O <br /> a <br /> ACI<NON'LEDGEMENT OF CONDITIONS <br /> . � The undersig�ied owner;applicant hereUy agrees�o holtl and <br /> ' � ' � save harmle;s ihe Ciiy ol E-veretl Imm any and all claims fur <br /> approved lor Constmction � Date� damages,cosis,expenses,or causes of action�hat may arise <br /> because of inslallation and maintenance of ihe improvemenl or <br /> olher righl-ol-way use he�eto applied loi and furihe� agiees to <br /> remove same upon notice irom Ihe City and lo replace public <br /> FINAL INSPECTION property damaaed ihereby. <br /> Approved es ConsUucleG Date <br /> SigraWre ol�ppiicani Da�e <br /> ;n <br /> Y+UifY.Atil HORIZGD BV THIS PERMIT MUST BE STARiFD WITHIN tN0 DAVS OP DATE PERMII IS ISSULD ANC THEREAGTLR'S TO BE D!:'i.ENTLY PURSUED /,I <br /> 1� (.O�dPLE71GIJ THIS PFFM17 61AY 6E GANCELL6D PY THE CI71'UPON AIJV STOPPAGE OF WORK ON THIS PI70J@Cl QVER 90 DAVS f�VFATION. <br />