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� <br />� <br />PUBLIC WORKS <br />PERMIT <br />PU�LIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Evo�et�, WA 98201 <br />(425) 257�8810 <br />Dale <br />Public Works Pcrmil a <br />Building Permit a <br />Planning Relerence a <br />Public Works Fce S <br />Guarantee S <br />- c. JDO; <br />� i 7 i l ` <br />O\VtIER N�A1[ APFLICANT NAME <br />nNunoor�ess. EHSF W+ILWAY (BkUCE SHEYYAFD7 ANDAD�HE55: `r:OSti L�UtiNINC <br />�q5q OCr_IDENTAL AVE 5 (i!ENNEUY.��7ENt:s :'��1J5�?LPAIIT3) <br />SEATTLE L�A 96 1 ?9 <br />PHONG <br />7AX PARC[LI.D.0 <br />orscair�Tio�� or <br />PROFOS[D VVO(iK'. <br />rnone ��,3A74ii555 <br />kEMEDIATI �:�2: <br />INCLUGi9r, :UIi E::r.'h'JhTI�:}7 5 r.'�C'r:SI:.:. G1�.LEn"7 ::;BI,c.T <br />P[RMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with this permil and curreN City ol Everell Design and Construction <br />Standards and Specifications. <br />3. Call Localion Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />.;:aul coutes �ausr be kapt r.lean <br />. moik to be don� pei plan appiovod an 7!uii�5 Ce�o�/¢�cchcc�,) <br />r. The centaminated sediment� Will l�e eemoved .r� �� ch.- :it� _ei di::ro.r_d r+* �u <br />-,.p�ov-rd upland di:�p,_sal fa�-ility. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />V/ <br />W <br />0 <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned owner/applicant hereby aqrees to hold and <br />save harmless lhe Ciry of Evereu from any and all Gaims lor <br />damages, cosis, ezpenses, or causes ol action that may arise <br />6ecause ol installation and mainlenance ot the improvemenl or <br />ahe ol-way use herelo applicd br and 'urther agrees to <br />re�iove s me upon notice Irom Ihe City and to replace public <br />p�o naged thcreby. , , <br />'�� �CY �uSF O�i,�'OS <br />�g'1 .olAppliwN /J��i�A Dale <br />f�' � <br />�'Cnt /-kiti' <br />\'�OHti AUTHORIZED PV THIS PERIdR h1Ufff DE STARTED WITMIN 100 DAYS OF DATE PERMIT I ISSUED AND THEPEAFTER IS TO E DILIGENTLV PURSUED <br />\l tic7`.1PI f TIOG 1HIS PERE111' M11AV i7E: CANCfLLGD I3V TH[ CI7Y UPON ANY SIOPPAG[ OF WOflK ON THIS PROJECT OVER 90 �AYS DUFATION. <br />\ <br />) <br />