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PUBLIC W�RKS <br />PERMIT <br />PUDLIC WORKS DEPAFTMENT <br />3200 Cedar Sireet <br />everen, wa sezot <br />(425) 257-BB10 <br />ri+oNe <br />Tax ��nF�c[� i.n. n <br />orscrairrrora or� <br />aHorosro wonK <br />PERMIT CONDITIONS <br />�PPLICAN7 NN.'d� <br />ANDAODRf.S`., <br />rHONi_ <br />nunrei.ss. <br />oaie <br />Pub6c Works Permil a <br />Du:lding Pertnit a <br />Planning Relerence x <br />Pubiic Work; Fec 5 <br />Guarantee 5 <br />G��[yia RFdci::i 1 <br />4316 $ 3Ld ?.\'�= <br />EVERETT L�F. <br />9258798871 <br />d115 ; 3rd A��e <br />5/18/2n05 <br />P470505-D::� <br />525,�ri <br />c72��� <br />1. All calls lor inspedion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All H�ork shall be performed in accordance with this permit and currenl City of Everell Design and CcnsirucGon <br />Standards and Specilicalions. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-0245555 <br />9. Wew deivevay �ha�l be in9talled as pec Citl of Eveeett Sr_andard plan �I?fiF. <br />5. Schedule a pre-o:�ns[cuction meet.iny vith th�:�� Pu'_.�� [+c�ct;s Irsr�,ec2�,c !33i�-7d�iJ� <br />tu Ataetin�a woch. � <br />� <br />�� � <br />�nppulrcn icyconsVIX;um 1 <br />! <br />� ��v ,� <br />� �fuit,L INSPEC N <br />ly., rovrd as Gonstmcted <br />-� <br />� L b <br />Uale <br />���;,"1 <br />7 )v ' <br />��=-�`l ` � , � ���^, <br />�� � <br />.�v(�iCt �Y��� <br />� <br />1� <br />• <br />a <br />ACKNGWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby ayrees to hold and <br />save harmless the City of Everetl irom any and :JI claims �or <br />damages, cosls, expenses. or r,auses ot aclion Ihat may arise <br />because of installation �nd maiNenance ol the improvr.men� or <br />other riyhl-obway use hereto applied lor and further agrees to <br />remove same upon notice trom ihe City and to !eplace pubhc <br />proporty damaged ihereby. <br />Signalwe ol Apphcanl <br />Y;JP.H Ai iI11�7P V[ I) CiV iHIS PFfi�dll L�i19T PC S1M91 LU Vdl i HRJ 10n MYS Of- I)Al[ Pf_fl�NT IS ISti�ICCI hND THH7GSFTl=R IS TO BE DILIGENTLV Pl��SUED <br />IU Lf�^.l-I I ll� nJ 7HI i P[FiMI7MI,Y li �/.•:�.! I I; 6I�1 ll�l t�.11� UPOVnN1' SiPf-PAFI f�l� C;t:P✓ P'J llll ; PCOJI Cl OVCR 90I]>YS DURAIIOt� <br />