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PUBLIC WORKS �d�� � <br /> Public Works Pcrmit F <br /> PERMIT Builtling Pormit p <br /> PUBLIC WORKS DEPARTMEN7 Planning Relerenco N <br /> 3200 Cedar Sireet <br /> Everetl,WA 98201 Public Works Feo 5 <br /> (425)257-8870 ' <br /> Guarantee 5 <br /> OWNEH NAME APPLICANT NAME <br /> ANDADDRESS ..i��T - � ANDADDRESS: <br /> . !iE1�`fAL ''.� . <br /> - • � "� � SEF " � 2007 <br /> -„ ,, <br /> . :_'. . , _.. , �� �,�. <br /> :R��_ � � �' l),� � �NU ........................_.... <br /> PHONE'. PHONE: <br /> .._.���_�� � <br /> TA%PARCELI.DM PROJECTADDRESS: <br /> DESCRIPTION OF I <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS � <br /> i. All calls(or inspeclion shatl be made 24 hours in advance. <br /> 2. All work shall be perlo;med in ac iance wiih this permit and current Cily of Everett Design and Construction <br /> Standards and Specitications. � <br /> 3. Call Location Underground Servic.:48 hrs.befom you dig.TOLL FREE NUMBER 1-800-424•5555 ` <br /> r <br /> � <br /> _ -Cj .._ ...Cj:OIiL' ' - it:- �.ILd:]I.��Ic - . � <br /> -�Ot� t�qllfiC� L la�-.7 74..�..jfPC �. .h}' rI F�'� . ... Y <br /> � . �' Ref�C'7 �R1. L�rN� f� nn='ati !7� 47�i v��• . . . . . . r, . . f71 <br /> , _� rac�•tred sir�. N� wahtina ��� matNc.al i� tl� �.,on cha �uil�ina��: - . W <br /> �ict, muo i �+-k5 oi debii� to bu tca..l.Fd cnto L't�5t�4ay '�`r' -� =, ,. O <br /> �iiidln�� a�at�cial� rn !M. starka�i nn sider.�alk� an�i=s:d�aajks kn be A�nt ' <br /> ...�1 F�E'CiF4CC:31� tTc.VP'' , . <br /> Z <br /> _ . O <br /> H <br /> � <br /> O <br /> a <br /> Q4/ G�o � c� , � <br /> -- - -�------� -� -�- - --� -� - "-�------ ACKNOWLEDGEMEN70FCONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to hold and <br /> _ ��/�,�r, � save harmless Ihe City ol Everett�rom any antl all claims for <br /> T "��[f�— `� '7 damages,costs,expenses,or causes o�action that may arise <br /> Appro�M lor Canstr.�cuon Daie because ol,�n.;tallation and maintenance ol tha improvement or <br /> � other right -way use hereto applied for antl funher agrees to <br /> .������� remove upon notice Imm the Cily ard o replace public <br /> ' �f "INSPECTION propetl getl Ihereby. 11 <br /> AppinveOAsConsWctetl Dale i/I �� ,cl <br /> ��� f �� <br /> J ���—�' 7 . s�gnaw o ecam •oato <br /> \VGRK AUTHORIZED BY THIS PENId1T MUST BE STARTED W ITHIN 1 BO DAYS OF OATE PEFMI�IS ISSUED ANO TMEREAFf ER IS TO�E GILIGENTLV PURSUEO <br /> 70 COM1IPLETION.1 HIS PFRh11T MAY�E CANCELL[O�V TNE CITY UPON AN�STOPP4GE OF WORK ON THIS PROJECT OVER W DAVS DURA�ION. <br /> cntai.qq rt�c <br /> f r1vP J o91 <br />