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' <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />EveretL WA 98201 <br />w25J zs�-ee�o <br />oa�w[� Nnr,�r- ?7IELSEN THi4fAS :: <br />AND AUDR[55� <br />S"718 �6TF1 ,r. <br />IdIRCZLTEc? ,. ...-_ <br />PHONE' Q;.±35SI�r,',j <br />IA%PARCEIJD.a (lil4'J70�•7i�(�.ti;�:��. <br />DESCRIPTIONOF �.��'!,'F' P.'!.^ . � -(��;�j� � - <br />PROPOSEUIYORK'. � . � . - . ..". . . . . .,. ... <br />PERMIT CONDITIONS <br />PHONE <br />Date <br />GY':.. <br />PublicWorksPermit# i �Oh05-i�q? <br />Building Permit # <br />Planning Relerence # <br />Public Works Fee 5 <br />Guaranlee S <br />PRCJECTADORESS:�. <br />. .. . � .�.......�. Li..�1 <br />�o�:o,_r�_a <br />'_�.nn <br />t. All calls lor inspeclion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance wi�h �his permit and current Ciry ol Everett Design and Construction <br />Slandards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />-:nr.�_± __.,. �_ __ r.a_ ;_ _ .,�;.r.ciacci M'a cii'a, ..�, . ,. <br />�_'JII�l�Ci CnnlL�i�?•�jnL7119}`pUtL''L�i t�l�? 7Cdlll'a�3r_ .�i�+:fF:p �:•Y`�:�i_. .JL .::ls rit. <br />7'he contiactc�r muat meet vith the Fuhlic Wocl:s Inspe..:.,:�c i'r,n.i}•, ..;;_-:.3u_-;}-.� � <br />..^VE3 j?l�tential ��C31I73�7B tOUL1f1!7 j?C10C i9 I?eginning C�l� j7CV)r-C1. <br />:natall �rosion contL�l measuces as deteemined Cy the F'ub?ic �ork� :n�pect_c, _.,_.. <br />�11L i?I1C@� SCC3W Vdlo�� 5W�31NS� JL' �L'p311��1 I?13IlICt'Yfl <br />�.�ltiot�u el'081on Ci�OtYi�l Ii�ie3sUl'PS UFOn cotnpl0tlon UL th� p�.� _. _.. �. "..,.,.. <br />�>val of the permit. � <br />• t�J �j1Ct� Ilill�r G���iCE OC ��@�?C1:9 tq �)i• r���rh'•�j �Jit'i: CQ.g�jW3�:. <br />. i= :v.: ��� �y.:�.-..� _ fi.,,u. ,h�.� .:-•_�nt t,1.-,Z,:.rt„ iln=� -��it `.•', ?ti �- �., _.:.r .� „�:i:���. <br />j�� ��. �o <br />�A }�ry;nTlilA <br />s �! r �,��: � i!Ni7 <br />� <br />�� ��� � a� cc <br />Ap lor 'onslmc�ion ate <br />�� ��/ <br />_s- l� <br />FINAL INSPE ON <br />Appiovetl as Conslmcted Uate <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicam heieby agrees to hold and <br />save harmiess Ihe City ol Everetl irom any and all claims lor <br />dama9es, costs, expenses. or causes ol action that may arise <br />because of installation and maintenance ei tliE improvemenl or <br />other right-obway use hereto applied lor and lunher agrees to <br />remove samo upon notice irom Uie City and to replace public <br />p�operty damaged ihereby. <br />���_ ..�..�� G!i o� _ <br />Signaluro 01 Appliean� � Date � <br />IVOHK AUTHOfiIZED Ov 7HI5 PERGtII R1UST BF STnR7LD WITHIN 1P0 DAV$ OF DrVE Pr'.RA11T IS ISSUEO AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br />i0 COtdPI.L'TIO^1 l 1115 PERh11 f 1dAv �E CANC[LLE[1 BY 7HE Cltv UFON ANY SWPP.IG[ OF 1VORK ON THIS PRQIECT OVEfl 90 OAYS OURATION <br />W <br />H <br />Y / <br />W <br />O <br />� <br />Z <br />O <br />/�� <br />V/ <br />O <br />a <br />.� <br />