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fJ�.d ': _ i. .:JUc- <br /> PUB�i� woRKs <br /> PUbliryVorkSPCrmi�# cq���:pq_pqi <br /> PERMITBuildingPermilN ,-,,.,,,s_,, ., <br /> PUBLIC WORKS DEPAflTNeNT Planning Reference N <br /> 3200 Cedar Street <br /> EveretL WA 98201 Public Works Fee S _ . � , <br /> (425)257-281�.� POSTING 1�0V � 3 2 ��Guaramee S <br /> OWNE(iN�ME�-,IL_p:. �:t:c'. r( r�,:..::�, .� :-y(:,�: �. APPLICAN7NAME <br /> AND ADDRESS � � � ���' AND ADDPESS: <br /> 1 7 i,j �.r.,:r_: :r._.. <br /> E'✓T.i�''T':' L:L. . '�.:�� � <br /> PHONE ��;'.;�i:ji�:]');j PHONE: <br /> TAxPARCELI.D.a �-��., PRQIECTADORE55: <br />, . . . . . . _ . 1 �1 -0 !;�'.i.F ..�. <br /> DESCRIPTION OF : .; ��� - <br /> PROPOSED WOHK:� �� ' � �"' ' <br /> PFRMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance-phone(425) 257-SB10 <br /> 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs.betore you dig. TOLL FREE NUMBER 1-800•424-5555 <br /> W <br /> �. lnr,t �li � . •c_ �u . zu� i ��i �r,.�:,:.tic � Hcr. �. r.; o: F.•:�:i,r!l �t.n.1t:_J: t•,� -ma.L1 pic,;;. � V/ <br /> `�. Remore ecc�ion � -muol reasuc.�e uwn c��oplati�n �?f thk pcoje�;� ptioc tc� fina]' <br /> approval af the pecmit. ,_ _ � ,— _ _ _ - <br /> 6. P.¢Hoove :�nd replacF cucb, fluctar rn.i �idevalk ss pec C.i,ty �p �y,�t�$Oan�iscd -Pl:,�� m <br /> !Y'e 305,� � 306 �n thia pcopo�al'� fconta9e aa directed Igyt ttj�:���t��;Fy�II'del�s g'd�ptr;�, ,� O <br /> fi.e. all unussd driv�veya nnd any brok�?n .�r danayed ace3 ■ust=k•e �eplacad) . <br /> ' _ � <br /> Z <br /> � O <br /> .n ti ' <..,-•, � <br /> �.� .w : �a�,{y -s-= .� <br /> :_.C1.��' '��'.K'�.:._:�i'��. � <br /> .. ._ .. .. - — . O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � - �' , The undersi�ned ownevapplicant hereby agrees ro hold and <br /> t�;;�, - ;�- - � . /..: (.%:'��� save harmless the City of Everett Imm any and all claims for <br /> npprov o Consima�on, Dete damages,cosls,expen;es.or causes ol action ihal may arise <br /> ' because ol installalion and maintenance of Ihe improvement or <br /> �� / ,v� other righFobway use hereto applied br and further agrees to <br /> G'`� — remove same upon nolice f�om Ihe City and to replace public <br /> FINAL INSPE ION properly damagetl Iherehy,� <br /> Appiovrd as ' nsimcled Uam � � � _ ,. <br /> 1 L'; _._.-1 � i/� <br /> Signature ol Applicant - j � Dale " <br /> WORK AUTHOPIZED BV THIS PERAf1T h4UST BE STARTCD lNI7HIN 780 DAVS OF DATE PERMIT IS ISSUEO AND THEREAF7ER IS TO BE OILIGENTLV PURSUED <br /> W COMPLETION.THIS PERMIT MAV�E CANCELLED BY THE CIN UFON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 OAVS DURATION. <br /> I <br />