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PUBLIC iNORKS <br />PERMIT <br />PUBLIC WORHS D[PARTM[NT <br />3200 Cedar Strcct <br />Evmci�, WA 9B201 <br />(425) 257-8D10 <br />"'"""""""' :.136 4` IdtJKILT'Ei� BLVL <br />EVERETT WA <br />PHONE: 4'S2591.:50 <br />TAX PARCEI LD. a <br />DESCFIPTION OF <br />PFOPOSED WORK: <br />PERMIT CONDITIONS <br />�NG OCT 0 3 2005 <br />APPLICANT NAME <br />ANDADDR[SS'. <br />9giO3 <br />rNorae: <br />PROJECTADOPES: <br />Date <br />Public Works Permit a <br />Building Pcrmit q <br />Planning Relerence a <br />Public Warks Fc S <br />Guarantec 5 <br />E rt�n��r. <br />r!2G:�._�1p5 <br />i'WI)+06-U_5 <br />C0��15-u4i� <br />� <br />1. All calls for inspection shall be made 24 hours in advance - phone (425� 257-8810 <br />2. All work shall be per(ormed in accordance with this permit and current City ol Everetl Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMAER 1-800-424-5555 <br />d. An infiltrati��n o��eefl-vv cuulil be conr.ecte:l to the catch basin, C,F., �plashbloc:V:� � <br />betr�?n Lhe gaeage d streat. Ylaaae cuntart t' � Pi.iblic W��ck� ins�;ectoc (kick, � <br />425_':e_7qii3) Nith e�ylaid� t,:� cliainayie foc thi,: constcucti_�r.. � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />7he undersigned owner/applicant hereby agrees to hold and <br />save harmless Ihe Ciry ol Everett from any and all claims lor <br />dama�es, msts, expenses, or causes ol action that may arise <br />because of installation antl maimenance ol the improvemenl or <br />oUier righl-ol�way use herelo applied lor and lurlher agrees to <br />remove same upon notice Irom ihe City antl to replace public <br />pmpe Gam� tl'preby. <br />/ � / <br />SignalweolAppOcaM Dale <br />\NORK AUiHOR12ED BY THIS PERAfIT MUST BE STARTED WI7HIN 1B0 DAYS OF DATE PERMIT �S ISSUED AND THEREAFfER IS TO BE DIUGENTLY PURSUED <br />W COMPLETION. THIS PER�dIT tdAY B[ C�NCELIBD �V TNE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVhA gp DNYS DURATION. <br />