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PUB�ic woRKs <br />� PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />(425) 257�8810 <br />OWNEF7 NA61E <br />ANU ADDRE55�. � �� � � <br />PHON[: <br />TAX PARCEL I.D. p <br />APPLICANT NAI <br />r AND ADDRESS: <br />� <br />PHONE: <br />PROJECTADDF <br />D[SCRIPTIONOF . �,. F,j; <br />PROPOSED WORK: . t 'I7 � : I ? �#?� � . . " , ' � � <br />Dale <br />Public Wo�ks Permil N <br />Building Permil # <br />Plannin� Reference # <br />Puhlic Works Fee $ <br />Guaranlee S <br />.. �:1d•.li , ,I' " " ,'� <br />�. . ;J�- . . ' '... h <br />� 1..?�i':�!.r. ' . <br />� �,.'., .. ..: i i ' .��� . . . . i � .. ; . }��: <br />. . , .-J, . . .. . UT, �.1'. . . .. ��. llT <br />PERMIT CONDITIONS <br />1. All calis for inspectic n shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perfo�med in accordance with this permit and curreM Cily of Everetl Design and Construc�ion <br />S�andards and Speciticat�ons. <br />3. C:.II Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />;, , „ <br />; . .. .. ��r :;.�IlL• �'il �Lt}�f�:t9�cc:' 'i!�:L:aL.�C+3t (•idl�.ri�:�wti1�S �•�.:Il �la:. . . <br />. � tn tkr d�sna irri Clayn �r�. hct,i•,n aFmciticati�mx. <br />, .I..�k r�� �R�.f�'�n•2. �+Y6 �1.��.f.. �=OnBtCU•7tiOn °itJCrMEt'!+1. �� ••.•_j •� . <br />a,:et+�n :n s�y� P-1 aied T; _` �a in the •:i�•�ast:. <br />i. . , �;. <br />Appiovr lor Conslmclio � Dale / <br />�-6 -D� <br />FINAL INSP TION <br />Appmved as �rstructetl Oale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />N <br />W <br />O <br />� <br />Z <br />O <br />H <br />N <br />O <br />a <br />The undersigned ownerrapplicant hereby agrees to hold and <br />save harmless the City ol Everetl Irom any and all claims (or <br />damages. costs. expenses. or causes ol action ihat may arise <br />because oi inslallation and maintenance ol the improvemenl or <br />other right�ol�way use hereto applied br and lurther a9rees to <br />remove same upon notice Irom ihe City and to replace public <br />pmperty damaged Ihereby. <br />SignaWro of Appliwnt Dale <br />l5'ORK AUTHORIZ[D BY 7HIS PLRM1IIT MUST BE S7ARTED IVITHIN 1B0 DAYS CF DATE PEFiM1T IS ISSUED AND THEREAF7FN IS TO BE DIIIGENTLV PURSUED <br />70 COAIPL6T10N. THIS PGRI.IIT A1AV BE CANCELLED OY THE CIN UPON ANV STOPPAGE OF WORK ON THIS PROJECT GJER 90 DAVS URATION. <br />