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� <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPAIiTG1ENT <br />3200 Cedar Slreet <br />Everctt, WA 98201 <br />(a25) 257�BB10 <br />oate <br />PuC!�c Works Permit a <br />�uilding Permil b <br />Planning Relerencc n <br />Publ¢ Works Fee 5 <br />Guaramee S <br />5i iS! ::iu i <br />0'. ,_' ... . <br />owriea uan+e aaP�icar+r ��a�ne <br />A��D�tDDRESS =fv7.T.`.i�`.'.� :?jRC._.M1':.:.C'�� nNDADDPE55 �:�..tf.�?�: i_��.. :�:LC�i <br />,SGi�� ._.:i: ..�J...� .�.^...� il .li;... ..._. .r�. i.�'�,.� ���`:.... :�i <br />��•..:�'S..-_ r:t . _��.! .�:�t .w:.. �.'�� . �GQ:. <br />PHUNE PHONE <br />iN;PARCELID d FROJECiADDRL55 <br />.�� .��.r_�.r ��V.: <br />_a1 <br />Gh$CRIP I ION OF <br />PFOPOSED WORh <br />p��-., - ;-.i,..:;---_� ,,�i._.,�,-. .... t.. J -. . ...�.,.� .:.,. r.:..� �.� -r-. .,,�... .. <br />•1 ... wi�...._:� ._...�:...,_.. ..J ...: ,.�� _� _::....... ... _.: v r...JfLI�....J.!L�:Je <br />PERMIT CONDITIONS <br />t All calls lor inspection shall be made 2� hours m advance - phone (a25) 257-8810 <br />? All work shall be perlormed �n accordance w�th this permd and current C�ty of Everen Ces�Gn and Construc!ion <br />Standards and Specilica6ons. <br />3 Call Locafion Underground Seiv�ce a8 hrs be(ore you dig TOLL FREE NUMBER 1-800•424-5555 <br />;C.. .. <br />!.�I � .il.S.r�.:1i) .:�_i'��i.J�GS:�:� CiL....,.:r•.. _...G_:ii �..Ci�„ <:�.�. :i:i:'G:- ... ..�_�. ... �_O'.'�C:' <br />c.....,...:�.ti: �:'.S:_,_. .�:.;li':�.�1 � �.:"? 3:::3':"i ...`.�:L�.,.:.:'::.C_`.. L'' ..=.:�.G''_'L �_..���`:!.,-_..: _.._... <br />.'!. CiO:'C.... .C..�::0.1 ... .�:.C.::A:.ii• <br />:`.�,.. jr:'�f1.'�;,' :il�� etL '. r,... ' _ .',�.� 'L _ <br />a•. - ♦ ..� ✓.�� r . <br />" � ':�. 7� :,.._:.. _ �..1 �=et0 . � G: '•. i: L_. ] J :l' _ r�,.� ..9 iY...::._ <br />�..��:��e.'.w:�. <br />•� .,'1•�.i�. J.. .�_71...�� ��ef VO�6�d .. �.... ✓:L�J:�I�:. J� .�_ � ...� � ..�_j.'Jt <br />_JC IS3.1::�..:.. ....... .�.J G._C. .._....r�..'ll,!_ ....C`. Un <br />--� <br />.. ', i <br />- �. <br />__�_ <br />: � �.j <br />/ % <br />•. i.� � �%/�`-' <br />Uaid / <br />/ <br />i . <br />PINAL INSPEGTION <br />n�,P�o�ca ,s co�su�ciea oai.� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />V/ <br />W <br />O^ <br />/ <br />O <br />'�^ <br />V / <br />O <br />a <br />The undeis�gned owner�appl�cnm heieby agrees to nold and <br />savo harmless Ihe City o� Everett irom any and all cla�ms lor <br />damages, wsts. espenses, or causes ol action Ihat may arise <br />because ol mslailation and maiNenance nl Ihe improvemenl or <br />olher righbobway usa hereto applied lor and turther a7rees to <br />remove ,ame upon notice Irom Ihe Gty and to replace pubhc <br />Freperty damaged Iheieby <br />, �,. ;� � i / i' � � � <br />._�✓. _LR� .� .. _.i .�. �` �� V_,`. .^ <br />� "�=Signalure cl Appunnf' 1 Daie j .� <br />t _. . _ <br />R'OqK AUTHOFIZF.O PV IHIS PLHldIT A1U5T OL STARiE[7 \YI i HIN tB0 D���S OF D. TF PEPh1IT IS ISSUI:O �ND iHEREAFTER IS 70 BE C7ILIGENILV PURgIIED <br />TO COh1P�CTiON THIS PEHEIIT IdAY BE CANC[LLED BV THC CITY UPON ANv S70PIh1G[ 06 WORK ON 1HI5 PRpJECI OVER 90 �aVS DUPAiION <br />