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PUBLIC WORKS <br />PERMIT <br />PU�LIC l4'ORKS DEPARTMEN7 <br />°2JU Cedar Strec� <br />Ev�aclL WA 38201 <br />,�z�� �����TING APR 1 7 2006 <br />otvtieraran��E: � B7Tii hVE NE <br />AND ADDRE 3r'- <br />E�nETT UF. <br />a::s���a2��,� <br />PHONL <br />in% FARCELID <br />� 1iE61 Yi�it;;E- ?;,3I�: <br />D!`SCHIPTION OP <br />PI:]POSLD WORK. <br />PERMIT CONDITIONS <br />ANU nC1fJHPSS <br />c..iiS <br />PHCNE <br />f'ROJECT AUDRES ` � " <br />._ `�1:... .. <br />Date <br />F�,��:� !i—�„a,. <br />Public Works Permn p;; �, : : _ , �-_ :, <br />�uild�ng Permit # <br />Planning Relerence a <br />a.�.:��.,� . <br />Publm Works Fen 5 <br />Guaran�ce S <br />7. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-BB10 <br />2. All work shall be perlormed in acwrdance with this permit and currenl City ol Everetl Design and Conslrudion <br />Standards and Specifications. <br />3. Call Loca�ion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER i•800-424-5555 <br />,. _.:u_,ct �ide ..ew•zc p:.r �:*y Stan�i:�c9 A'� L71, 6i!:', P.i�.;. <br />. .is�_hac� = to :�.,n � �:.: c.� •n,. . - _ . - <br />3' `;�> . t�:���.�. ,_q, _��n:����„ur � ._ .. i �.. . .,_i .,i:.�. .:..i�-� <br />.,.�LE ia no im��a�.. .. _ ,.�.��,::�:I_,�. . ._��.-_ ._.... .�i�����_. .. ., _.r ,_ . . .�. ._._ <br />..,r.r i� c..,_��i;r�d. <br />Appmvca as Conslmcic0 D;Ve <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned ownerlapplitanl hereby agrees to hnid and <br />save harmless Ihe Ci�y of Evere�t lrom any and all claims for <br />damages. costs. expenses, or causes of action thal may arise <br />because of installa6on and �ainlenance ol Ihe improvement or <br />o�her rig t�of-way use herel applied for and further agrees to <br />,move , e u � notice Ir i the Gity and t repl, e public <br />i I� < �A r by I��Z.��Q� <br />\ _ . _ _ — __ __-_ _- � <br />S�qnatu „o �olican Oale <br />l7CRK AUIHORIZ[D 6Y THIS PfR�AIT h1i1ST �[ STAIiTED lVll HIN 100 DAYS Of- UA1E f-ERG11T IS ISSU[D AND THEREAFIER IS Tp �E DIIJGFNTLV PURSUfD <br />�C'-.061PI FTIO'J iP�IS P[R1.711 G1hV BF CA4CF.1.1 fI7 [�v 1 HI- CIiY UPON ANV 510PPAGf OF WOHK ON iHIS PROJECT OVFR BO DAVS UURATION. <br />