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/� <br />� <br />TYPE OR PRINT ONLY <br />PUBLIC W RO KS PERMIT <br />wreuc woruce o�wrMerr <br />�ao c.ar an.� <br />Ewrott, WA 9{201 2bY-lS10 <br />!Q POST�N6 per �__ B <br />ONa 9/25�7 / <br />��,�„�« 97-�3q <br />eunairq P«mlt • 56602 <br />�a� waw F« s .35 v ° <br />BK i.J� <br />PORT OF GVERETT PO BOR 538 EVERETT 98206 259-3164 <br />ownx �UWnp Addw Clq' LP Phab <br />CONTACT: BOB MCCHHSNEY 259-3146 <br />'�� �� �� �Y �P � PhorN <br />PROJECT ADDRESS pi known) ,((n(%O _ <br />Attach four (4) copkn of plena fw p�o�wiW work - pew to xeb and nWa the folbwinp H epplka6ls: <br />'Property Llnsa �putline end dimenebna of all ezistirp antl proFws�d sWctun� on the bt �EzlsThp rW propoe�d utiNtla <br />'Centerline of strset Mndkab NoAh 'Show anY (xopoeed Ondirq C�onOM �Show menurortrnh <br />PERMIT CONDITiONS: <br />1. All calls for lnapectbn shall be made 2A hours in advance - phone 259-8810. <br />2. All work shall be pertortned In accordance with this permft and cu� rent City of Everett Deeign and <br />Construction Stendards and Specificatlons. <br />3. Call Location Underground Service 48 hrs. before you dig. TOL: FREE NUMBER 1-800-424-66Qd. <br />/, IiUL�`'� 7�0 /gC O�o/+c. �Ier <br />C�O�y QTrar�%�� <br />, <br />��� �2��� d <br />� M ��Z78�'�2 <br />BUILD 3411.75 <br />SFCHG 4.50 <br />N 9561 <br />WATER 1200.00 <br />N 31309 <br />SEWER 70.00 <br />UiILITY 1101.00 <br />N 97339 <br />OTi'ER 35.00 <br />TOTAL 5822,25 <br />A OH2749 <br />CHEK 58�^c.�5 <br />ACKNOWLEDOEMENT OF CONDfii0N3 <br />The undersipned ownedepplicant hereby apreee to Iqy m.l ervs ryar.nleas <br />the Ciry of Everett from any and ell claims for dert�pp, oosts, ezpsnae�, w <br />ceuses of ecHon that may arise because ol instell�tbn rW rtWntwwice ot <br />the Improvertient a ottrer rlpM-of-way use hereto ep{�Md lor rW MINr apisea <br />to rxnove mms upon notice trom the Cny and to nµics puWb piopety <br />drnepedthxeby. <br />,��.a2v� lI � - - I <br />� � <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STP.FlTED WITHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFTER IS TO BE DILIC'NTLY PURSUEO TO <br />COMPLEf10N. TN!3 PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAf3E OF WOFiK ON 7}NS pRW ECT OVER 80 DAYS DURAT1pN. <br />