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i <br /> i <br /> PUBLIC WORKS I Dale Sjl.:j.: 7E ' <br /> Public Works Permil# v•d0�115-��; _ 1 <br /> PERMIT � ; <br /> �.uilding Permit M • <br /> � <br /> PUBLIC WOAKS DEPARTMENT Planning Relerence 7 <br /> 320J Cedar Slreet � <br /> Everr,ll,WA 98207 Public Works Fee S � � � <br /> 1 <br /> (a2�)257�8810 Guarantee 5 � <br /> OWNEi7 NAME APPLICANT NAl.1E /� //-� ( <br /> ANO ADDRESS: •�� -���"%'-'�'•'�'�' ' -�r�'.'��-�-- :' - .- AND ADDRESS!�1Gt� /7/I�^` G �lS� <br /> r_1 -L.N ST S'•' I1�� �./i'V� //•�L <br /> _�:T��� _ - �� �o� ��'3,G>y�����. <br /> PHONE: � r,—r - PHONE ��„( �i/�� 3�/3 3 , <br /> ...._ ._ . . I <br /> TA%PARCELIL.a PFOJECiA�OR[SS: _ _ I <br /> ' + � iili.' _:�C`� �F. <br /> r�i'-',y . "�� 1. c�� - I <br /> i <br /> D[SCFIPTIO'�OF ;y.,. � � ����_�- -.� <br /> _ ^�'" 7 <br /> PROPOSFD1YnRK ' � � AUG I J ZOu! <br /> TO POSTI�G. .....................w.�.. <br /> PERMITCONDITIONS ` ` � � ` ' -�'� � � � � � <br /> 1. All calis for inspection shall be made 24 hours in advance -13kenc-'t42�i�-�5'+"'BB�6' <br /> 2. All work shall be pertormed in accordance with this .�ermit and currenl City ol Everett Design and Cons�ruction <br /> Standards and Specifi�ations. <br /> 3. Call Localion Underground Service 48 hrs.betore you dig. TOLL FREE NUMBER t-800-424•5555 � <br /> . _ ._ . . . . . .. : _ _- _ .' ,- .. : : . _ .. _: . . ._r�.:=icn in `.l� <br /> . . . , . „ , �. . _ . . . , � <br /> . . . . . . �.._�.r-.-. � � <br /> '-�7c�-f�t'�fx��s���5�'� i-'-q����� W <br /> C '!/`F � /� � y �- 7! C'�!- O <br /> i��/, /7%1 / .3 _ '� '=;-fi�� � <br /> � c� <br /> � <br /> �.'. � <br /> � ` <br /> O <br /> �, r'^ <br /> V/ <br /> O <br /> a <br /> . ACKNOWLEDGEMEN� C' CONDITIONS <br /> ^/ G {�'�I � J The undersigned owner�applica,tl hereby agrees to hotd and <br /> /Y J save harmless the City of Fverett Irom an,�nd all claims for <br /> � ved irn Consimcuo Daie damagas.costs,expenses.or ca�se�.of action that may arise <br /> because o insta on and mamiena.ice ol the improvement or <br /> �j ^—���� ' other righl f��vay u hereto applied for and fur her agrees to <br /> re upon�ot�ce Imm Ihe City a to place pubhc <br /> AL INSPECTI N � °rty da i�aged thereby. ( (� <br /> / / ! I (1 � <br /> npprmetl ati Corslmcic0 Date <br /> �- LC^ C>� Sipna�ulo o�A OIiG�n� Dale _ __� _ <br /> / ( <br /> WOIiK AUIHOP17EL E3'i TN�S P[HM171i h1lI5T ff STARTEG P:IiHIN 160 DAVS OF DATE PERI.IIT IS ISS AND THEREAFTER IS TO�E OILIGENTLV PURSUED <br /> u�Cnt.n'I Fn0"1.7H!S PGRf,tl f M1�nv oE ChNCELLLD AY if�[ C�ITV UPON ANV SiOPPAGE OF WORH ON THIS PROJECT OVEP 90 DAVS DURA710N <br />