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t
<br />4
<br />PUBLIC WORKS
<br />PERMIT
<br />PUBIIC WORKS �EPARTMENT
<br />3200 Cedar S�mcl
<br />Evcrett, WA 98207
<br />,4zs,��;-9��OSTIN6 o�G ' 2 70��
<br />I9ENLELL SCOT'T Dg'�
<br />3207 l G4TH Pi, F,E
<br />EVERETT pjp
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<br />TA%PARCELI.D. a
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<br />DESCRIPTIONOF j�E�a H��U�',x.-i,j,.;' '
<br />PROPOSED WORK: � .... ..
<br />PI10NE:
<br />Datc
<br />OL'; 1::; :iUu: �
<br />Public Wurks Pcrmit a p�a,�'�J �. -�: 1 9
<br />Building Pcrmit p � �' U 8 � U li q
<br />Planning Rcicrence p
<br />i'ublic Works Fce S
<br />Gumanice 5
<br />F7ENGELL SCii:'L DEV
<br />3?07 lO4TR FL S}�:
<br />EV�RETT WA
<br />425 �791j70ti
<br />� 10 IiO.�',E i9Al'
<br />PERMIT CONDITIONS "" ` ' " � � ° � �� � - • .. ..
<br />1. �II calls for inspection shall be made 24 hours in advance - phone (425) 2,i7-8810
<br />2. All work shall be per(ormed in accardance wilh Ihis permit and current City o� Everelt Desig:� and Cons:ruction
<br />Standards and Specilications.
<br />3. Call Location Underc�round Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024•5555
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<br />, _, �.���t ,�.,� �_'ry :;t_ ,n�.._u d_�, ��r � �`,i � t, ��i�ti
<br />?�.�IIL�� f ��'�h���� �jul�1G�':OLIY3 CO C71�� Cji'11C19�JB 3}rcrPlP (.��Jb::_�.:' ,- H
<br />�lii . CU1- }_; _
<br />Install orosion control meacure5 pzr �ity �f Everett ;,t�ticl�id:, toi , V/
<br />��all parcels.
<br />Remove erosion control measures upon completion of the project pci,; W
<br />'�� final apptvvai of the peimit. -
<br />A11 eeravat�rl mat.erial f:n�i Eou:id,�t O
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<br />FINAL INSPECTION
<br />Approved as Consimcted Dale
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<br />;1 Q�4:: Ci!` 1"_
<br />i!]I.G 1]Si'.5,'.� �/�
<br />`cCH SU,OG O
<br />L'ur�6 S' .40
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<br />'$ J,^.i{�a.
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<br />ACKNOWLEDGEMENT OF�CONDITIONS
<br />�,.ri��_n i �_,..�v
<br />Thc unUcrsigneU oWnenapplic5n��her�by agrees lo holtl and
<br />save harmless the Ciry of Evcrett Irom any arq'aI1 daims for ���''?. -. ��[:
<br />damages, cosis, ezpenses, Ot cM�s25�0} action Ihat may anse
<br />because ol installation and maintenance ot the improvement or
<br />other righl-oi-way usc hereto applied for and further agrces to
<br />remove same upon notice irom the City and to renlace public
<br />property damaged thereby.
<br />�t�!/�%-�-`�L- � % f Z 'Z
<br />SignaWreolApplkanl Dale
<br />WORK AUTH.7P.IZED BY THIS PERMIT MUST dE STApi[D WITHIN 180 DAVS OF OATE f'EqM1T IS ISSUED AND THEFEAFTER IS TO BE DILIGENTLY PURSUFD
<br />W COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITI' UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVEq 90 DAYS DURATION.
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