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UWRtHIVHMC <br />ANDADDRESS' <br />PHONE: <br />TFX PAFCEL I.D.a <br />DESCRIPTION OF <br />PROPOSEO wORK: <br />PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTtdENT <br />3200 Cetlar Strect <br />Everett. WA 982M <br />(425) 25i-8810 <br />T <br />_ .'7"' _. <br />PERMIT CONDITIONS <br />PHONE: <br />PRQIEC7ADDRESS: <br />Date <br />Public Warks Peimit a <br />Building Permit J/ <br />Planniny R^!cr�nce � <br />Public Works Fee 5 <br />Guarantee 5 <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be pedormed in accordance with this permit and currenl Ciry of Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. be�ore you dig. TOL FREE NUM ER 1-800-024•5555 <br />�// �r C/%' �� <br />II <br />W�, <br />= <br />V+ <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />- - - ACKNOWLEDGEMENT OF CONDITIONS <br />� �' The undersigned owner/applican� hereby agreas to hold and <br />c� y�Cr ff ��, �1�� � save harmless Ihe City of EvereU Imm any and all claims for <br />PP ���' J` damages, costs, ezpenses, or causes ol aclion thal may anse <br />A r d �yryConstruction Da : because ol installation and mainlenance ol the improvement or <br />�� /// other rlghFol-way use heret��p plied for and luriher agrees to <br />,, ����� remove same upon notice '6in the City and lo r=place public <br />INAL IN Ci property dam ed ih <br />Appr xsConsWdeA Dale �' v�^ <br />I - `�� Z_Zv^ <br />_ //��._ Sign re ol lic � t Oale <br />WOFiK AUTHORIZED �Y TNIS PERMIT MUST BE STARTED WITIiIN 180 DAVS OF OATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br />?0 COMPL[iION. THIS PERId1T h1AV UE CANC[LLED �Y TH[ CI1 V UPON ANY STOPPAGE Of WOflK ON THIS PROJECT OVEF W UAYS DUFATION. <br />DAiA�AR.INC <br />[ PWP (I/WI <br />