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PUBLIC WORKS °"` � <br /> PubhcWorksPeim�I# _.,;;��p_.- . <br /> �ERMIT BuildingPermilX ;.iei 5- " <br /> �^.WORKS DEPARi 1.1[NT Planning Reference# <br /> ?00 Cedar Sireet <br /> Everett.WA 9820t Public VJor�s Fe��S - <br /> � 1�125) 257-8870 <br /> �% Guarant����S <br /> r�:a-s���rann�e nPrucnNr Nn�.+e <br /> Af:i�ADDRFSg1�.,�,-._•=.i�` . . ..�� : i ':�_._ . ANDADDRL'S_`, <br /> _ . � . :_�ii i" ' _ <br /> P�iONC .._._�• � _ � '_ PHONE� <br /> r,til.� <br /> �A%PAHCELID.H PROJECTnDL�RGSS� <br /> pC"','�' _ ' ' - _ _ ' <br /> f'�CtiC17IPTIONCf' ,__.. .. ..... ' ' .... .,.. . � <br /> PIlOPPS[.�NJRF . .. � <br /> PERIv11T CONDITIONS - � - � �- �� � � - � � -�� - �- � � <br /> . All calls (or inspec�ion shall be made 24 hours in advance - phone (425) 257-8810 <br /> �II work shall be performed in accordance with ihis permit and cunent City of Everett Design and Construchon <br /> Standards and Specifications. <br /> � Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER t-800•424-5555 <br /> W <br /> H <br /> � ,. �•_ :.ii._ � -w�. ; .,� �:_•��r S' �::.std = . c : _ �._, . �:. . � <br /> . _li�_ cantca�tci' mu�t III@�L Wlih Lhe tU1LL1: 's1�_�L�3 Ifi3�'-'CLO: :�� i)i3=113;: F�!LtiO:id:_ � <br /> .. �lll.3�]�' COUtlf1�7 j)C1��C tn i:,�qinttiny thc FCOJF'�_t. �—`••-, •-•r�--�—�f - . <br /> . 7nstall ecosion et�r.tLu: mea�uces per City of Evri-�tt �jt�an�3�#����'e���;$3c��= m <br /> —,c�. c-�._, :-�c7 0- � <br /> . HO �.1Ct� IDUd� C'�C{:S �?C l�E�>1:1i t0 �?? CCdC�G>�j DRtV L'��.i��i`_L1 f� �'3i� <br /> y� . , —��n m iT�, <br /> . F?F��i1L 'a3p1131L 'aTOUII� VdL2C tM1eiei ir:ieC Ct�Ri}�nC�tlllq f'.�+il � ��, ^ <br /> . . L1�1Cii1Pq :Ytf�CL9 ��C31�3q�o t�� ��Cd'_Il'a�]B «d9aT�'ili (.1 / <br /> J <br /> _ � N ;�' Z <br /> _ . � v,. <br /> fJ O <br /> ,N u� w <br /> r y� �-- � <br /> . �J�J�usi�.���i3S��'� .. . <br /> '�l`.'- -,n�n�z�o �� r �� �/� <br /> . . ., .- .—_ti:c.o�r_n ' O <br /> —�i�+�_�� <br /> �_, a <br /> ,,,.- -� _ r�i y�� .� �,�ir,�-r �Li�'r- <br /> . . . :' . " ' / /iyr. �i ?'//'ir �f-r FY'/i//✓�l"���'��. <br /> . . .. , : /'. /� � � - . . -. _ <br /> ACV<NOWLEDGEMENT OF CONDITIONS <br /> �° <br /> The undersigned owner'applicant hereby agrees to hoid antl <br /> -- o����� , ��_1_ save harmless ihe Clty of Everett imm any anC all claims tor <br /> �o�ed m�Constmceon Da� damages,costs.expenses.or causes of action that may anse <br /> because ol installation and ma'ntenance of Ihe improvemenl or <br /> r /������ otpe�righ4of-way�se herato apph�cf icr and iwtl�er agrees to <br /> / 'moco sa t upon notiCe Irom tlie C� �nd�o ropiace publ:c <br /> �INSPECTION �opQrty m ged thereby,.//� �� <br /> ' Appromtl ns Constmcled DOte j �����//G� <br /> I/'/ �X.',(u�✓_ <br /> /�� ��- � Si !�tiur��of AppL�an1 Da!o <br /> : 'i�n AUTHpq1�[f,!lt'111!S Pf-RI.1IT 1.711ST BE ST�ATED tVI7NIN •�fi0 qnvS OF DATE PERIdIT IS ISSUE��ND THLREAFTER IS TO BE DILIGENTLY PURSUFD <br /> � "�l! '-l �l�i`�'iL!'�� Lb1` RFC�N�CEILfDRV111LCIicl.i , r1�11"�li) �P4GF.O�l7CRI:ONTH15PHOJECTOVER90DAYSDl��ATION <br />