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, <br />, . <br />,' PUBLIC WORKS <br />� ` PEFiMIT <br />PU�LIC WORKS DEPARTMENT <br />3�00 Cedar SVeet <br />� Evemtt, W� 98201 <br />(425) 1.57-8810 <br />OWNER NA ".."". ` .•' <br />ANDADDRESS[01�7 [�I�ii b:, <br />�`:FRE1'7' G4l y(i:'U� <br />•72qr,Jg�By'i <br />PHONC' <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Datc i li ld!200fi <br />� FtJ0�i10-035 <br />,�'ublic Works Permit # <br />,,�,,��.lp_pn7 <br />Building Permit # <br />Planning Relerense u <br />Puolic Works Fee 5 .ia-i'�� � <br />Guarantee 5 .�� ���' <br />APPLICANTNA6fENYt'1"Rl. AH1:g <br />ANDADDRESS: �;h1fC•Fi/5 ALDF•F <br />PHONE: a=�iJ1�16111�1 <br />. i <br />.AVI�: <br />t. All caC_ '��r inspection shall bs made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and crrrent City ot [verett Desic�n and Co.iS;ruction <br />_ Standards and Specilications. <br />3. Call Location Undergrouno Service 48 hrs. betoro you dig. TOLL FREE NUMBER 1-800-424•5555 <br />.. ,'ouu•=_�: _:i•i�> .::.��.i pet Ci*y "_t:w�.i.�[� u's ,;i,i. ��.i�<, ���U4. <br />`. C�illlle?�7t Ci�OCtO'i cjp:Jn3 N�uYB ti, 1@ c�fo7l7d� e:i L@i11 .l'OV1�1�?� <br />� ! 3 y, ��� i t<•� tli��• 1-�r. <br />i. lnstall eroeion control neas ��c City of Everetj Stan•.i:�.�i_ fo� ;aall E.c:�r�-i� <br />. A catch baain ao pae City c ndacd Plan l402 with a aas trap �c Stamlac�' Plar. <br />n�710 is required for the parkin5 anea. - "" ""'- -" � "" <br />E Ra[I,lnq .�,:in. ^ha11 L? a n,ni��im �! .. �.I -7„h. •F,° s 5 � <br />I� - - . f Ua-i� �.h�Y¢i;=-0 e7� _2E'[u�e,i.- <br />II.:d'.J: . I .. _,... . -� R�`'� YI���LC�.� - <br />c'1 (�` <br />TO POSTING�S b9 <br />-G bl !O M <br />t-O-� M� <br />� � U1� W <br />'?���-�'�;] �TJy,1�fp��. <br />�L+1 _ C ����. <br />. .,� . -.. - . . . <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />�'^ <br />V, <br />W <br />O <br />� <br />Z <br />O <br />H � <br />N <br />a <br />The undersigned o�:ner;applicant heiehy agrees to hold and <br />save ha�mless ih�� Ciry of Eveietl lrom any and all claims for <br />damages, cosls espenses, or causes ol action Ihat may arise <br />because ol installation and mainlenance ot the improvement or <br />other righbo;�way use hereto applied lor and further agrees to <br />remove same upon notice Irom the City and ro replace public <br />��openy may�d theieby. <br />i � <br />-�i—'�=- - i o I j J( <br />i S�qnature o Applicant Date ' <br />,, // <br />11'ORK AUTHOHIZED OV THIS PFR�dI71AU5T B[ S7ARTED WITHIN 1B0 D4YS OF DATE PE�iMIT IS ISSU_D AND THEREAFTER IS TO BE OI�ICcN7LY PURSUED <br />10 G06�PLF1 iON 1HI5 PfR1.111 IAAv (�C C�NCHI ED BV THG CITV UPON ANV STOPPAGE OF WORK C N THIS PROJECT OVEIi 90 DAYS DUAATIDN. <br />