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♦ <br /> � puB�ic woRKs °��° <br /> ,�,i_:.;�..n���:; � <br /> PERMIT PublicWorksFmmita � � <br /> PWOJI�: .ii,:.. <br /> �uiltlmc�Pennit p � <br /> PU�LIC WOFKS DEPARTAtENT Plann�ng Rclorence a ° <br /> 3200 Cednr Strcet � <br /> Evcretl.WA 98201 PubLc Works Fec 5 ')'��� _ !�l�;S G ? <br /> (425)257�8810 <br /> Guarantce 5 <br /> 01YNEfl NM![ . . � ? �'l:l�):.L' APPUCANT NAI.'L � <br /> 1NDADDNCSS . � ` Y,�I. �`�� ., ANDAO�RESS�. <br /> : "p.SiETT Fh , <br /> PI/O�E -�..'�' -`'�. �. - - -�. L PMON[�. � <br /> TASPARCELID.• PfiUJECTAODH[55: li.i . ..iil.'. ,\J= , - <br /> DESCRIPTIONJF .�._�... . .'i?1�!�( ...,. ..,+, �(.'. <br /> PROPOSEDIVORK� <br /> PERMIT CONDITION,ci <br /> 1. All calis lor inspeclion shall be made 24 hours ir�advance - phone (425)257-8810 <br /> 2. All work shall be performed in accordance with this permil and current City of Everetl Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Undergiound Servicr, 48 hr. befare you dig. TOLL FREE NUMBFR 1-800-424•5555 <br /> . . .. ;u . . .._ " ,'�:�.. ', .-._. . _ -� . W j <br /> � <br /> — <br /> � <br /> m <br /> � ��;-;;: .:< � <br /> ozo�;,. <br /> UTNGF `_�O.Or� � I <br /> r i,., SJ.OG ^ <br /> �:: ,-'P � `,1�;/' <br /> -_ _ � <br /> ( �f��Nc� �ar �fC�� O <br /> ' a <br /> ACKNOWLEDG[MENT OF CONDITIONS <br /> �/ The undersigned owner/applicant hereby agrees to holA c�nd <br /> - 3^CJ � save harmless tfm Ciry ol Everett lrom any and all claims tor <br /> �pm� v[�a'or Cn slruc mn Oale damages,costs,expenses,or causes ol action that may ansu <br /> � because ol inslallation and maintenance ol Uie improvemem or <br /> / . l�,v� cther righl�ol�way use hereto applied lor and luriher agiees to <br /> _�`U� � rcmove same upon nolice Irom the City anA to rep�ace public <br /> f' AL INSPECTION proPerty damaged Ihereby. <br /> A(i{IroVM d5 COnS�NCIP4 Dale ) <br /> �_� �c�-�M�I—�L�Qz— <br /> S�gnaWreo�Apphcant � Oate <br /> WORK AUTMORRGD BV THIS PERMIT MUST f3E STAflTGD WITHIN 18C OAVS Oi DATE PERMIT IS ISSUED AND THEI7EAFfEP IS TO B�DIIIGENTLY PURSUED <br /> TO COMPL[710N.iHIS PEPId1T MAV�E CANCELIED ISV T17E CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVEIi 90 DAYS DURATION. <br />