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PUBLIC WORKS <br />PERMIT <br />PULiLIC b"JORKS DEPARTIdENT <br />3200 Ceda� Sbect <br />�_ Evcrett. VJA 9E1201 <br />`.'�5' ��B��STING APR 0 9 2006 <br />aANDADDRESS �CHJF.NhLIKEF. JJE <br /><02Uti 87Tti AVE SE <br />SN'!HC�IISH L7A <br />r��oNe �po3721942 <br />TAxPARCEIID u <br />�J0460i!IQ1'115i; <br />oi sam�nor� or i,TC? P�!PLE:i <br />PHOPOSCDIVbHK <br />P[RMIT CONDITIONS <br />ng ��rt <br />APPLICANT NAh1E <br />AIdDADUR[SS�. <br />P110.•:E <br />oa�� ,.�:-�,i,,5 <br />PubncWotksPermita c��,iiS,1�1-i��1� <br />�uddingPermita �liSD'7-�lf��_ <br />Planning Relerence a <br />Public Works Fcc 5 - <br />...`fl . ��� <br />�u:ir�ntee S <br />PROJCG7nDDHCSS <br />. _ _:� -0-9 hV=: <br />Li!T : i�F SHUFi FLAT 1::u2-iP-U4 <br />1. All calls lor inspection shall be mode 24 hours in advance - phom: (425) 257-8870 <br />2. All vrnrk shall be pedormed in accordance with this permit and currenl City ol Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1•800-424•5555 <br />y. Inntall ecusion runtcol measuees pe� City oi Svece.t St.�mlacd: for _,r..all parcel: <br />5. Fem'vva f.'L�181C�I1 CJI1iC(�l IOed3U1'e3 UF��JII Cplppl?L10I7 O( Lfle plO]c'Ci �C�1C�L ti� Slllal <br />ap�;coval of the pecmit. <br />"--��. Cuntact the 14ukilteo Wat�c Dis[cict foe connecting pc��visions ioe�thi5 buildinq's <br />��.3tae and sewc secvi�:e9. <br />�. n�:oftop [unaf? to t��- ti_�ht-l:necl t:1_�n9 .,sserent tc Che e�:��t 'vf� this�piAperty�an�:l <br />,ii:.�-1•..��y::d �n ih._ N.:'.;y 6� . �i:'.�-h - <br />ACKNO�VLEDGEMENT OF CONDITIOIVS <br />The undersigned owner,'applicaN he�eby agmes to hold and <br />save harmless the City of [vereu trom any and all clalms lor <br />damages, ms1=, e�penses, or causes ol action Ihal may arisc <br />because nl installation and maintenance of the Impmvement or <br />other righl�ol�way usr, hereto applied br and lunher agrces to <br />remove sanm upon notice from Ihe City and to replace public <br />propetly damageA ihemby. ' <br />:1—�—� � 1�ir� L� 'S�/_(/� � � <br />Si9n,�lure�p��~ Dale <br />\_ i <br />IVOR�ti �UiHORI: ED [iV 7HIS PER1.'IT A1UST [iF S7�H1 [D WIiHIN IGO Dh1'S OP OATE PERh11T IS IS �J[D AND THEFlEiAFT[R IS TO �L OILIGEN7l.V PURSUED <br />10[:UI.•fll_iIOW 7Ni;PCR4:I71.tA1'11f CA�tiCIIli1101' "HECIIVUPOVnIJi STOPPA�;(°OF1"IURNI;YTHI$PROJECIOI'GR90UAYS�URATIp� <br />W <br />H <br />V! <br />W <br />O <br />Z <br />O <br />H <br />� <br />O <br />a <br />