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PUBLIC WORKS °' ' <br /> p�,:l I�e'ir�.rchS Pcimil n Yil . . _ . <br /> PERMIT �°"'j � <br /> �uiloing Permil a <br /> PUEiLIC VJORKS DEPARTI.IENT Plannmp Fe�erencel� <br /> 3200 Cadnr Strcci piihhc Wo�45 FCC 5 � <br /> Everen.WA 9�201 � '� � ' <br /> (425)257�8010 Gumm�tec a <br /> 01YNER NAME "� � � ����r'�r' APPI.iGn'.7 !:nCI <br /> nHono�aEss�. 7g?5 TYEE kG nr.unnon�ss <br /> EVEF;ETT �lA 91i�G3 <br /> i�r+oNe <br /> 4�5�7�+R 89'25 i=nnr:[ <br /> �nxPARCEI�on �_�7lul ll PI�:,J[c;7nDC,HL55 �iC,�`i TSEEFC� <br /> ���scnirrioN or <br /> I' . O O _ IJ r.: � <br /> I'PUPOSCDIVOHK <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspeclion shall be made 2A hours in advance • phone (425)257�Bfl1U <br /> 2. All work shall be performed in accordance wlh this permit and currenl Ciry ol Everett Des��gn ond Gcnstructron <br /> Slandards and Specificalions. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FAEE NUMBER 1-800-424•5555 � <br /> 1.?.�s[all infiltcation tcEncA in [he back ya��l f.: �•: f .P :����- ff vf th a.b:lit :� � ` <br /> �.vht-lina r_„ e:t�stin❑ deainage sy::tem in '1�•�=_ n.i. int �. !�c.a�,:.. n � ���ncu �. .. oili f��. _ � <br /> . . .�. :c .. .`i ' ,b_=�, .� : _ lcnn i�•_c City Stan;la��.l:�. � <br /> � <br /> 10-01-03 2:O1rH O <br /> ;I 0309Q03 � <br /> F'LAN Ci; 513,:4 <br /> 6UILD �O1�.S5 Z <br /> MECN 60.00 � <br /> FLUIf6 119.00 <br /> DFIVE �5.00 L <br /> SFCHu 4.50 � <br /> q 0305016 � <br /> ELEC 55-00 � <br /> "f�t1Al �B09.o� /� <br /> :i1�!!!9 <br /> i_�l ;F=}, ' 1 <br /> A OM47i.' <br /> j. � . ,i . ; !�/. � , , . � . . " - <br /> ' ' � /(� C��Tkk- � ACKNOWLEDGEMENT OF CONDIT�ONS <br /> // The undersigned ownedapplicanl hereby agrees�o hold and <br /> �+ U <br /> -�-�'�i,� �_ 9/CJ) savc harmless Um City ol Everetl irom any and all claims for <br /> Gd�� damages,costs,expenses,or causes of action thal may arise <br /> Ap(SwlO lor ConslmU�on ��� 7 Uecause ol installation and maintenance ol Ilie improvement oi <br /> � -- olher righl-ol�way use hcreto applied lor and luriher agrees to <br /> C l / �' '�_ _ remove same upon notice from Ihe Cily and to replace public <br /> �r �1.,� ., ' � � �� . <br /> propc(�/�y�do�mag�eA��th�e�re��y. <br /> AppmvMasConslmcled Uolr- `K../KI .�� (.�.� ��1� Iu� <br /> i4Vw] % ___.. - ___.__— _ _ _ <br /> Eip�miwe ol Apphc.�N Dute <br /> WOCO�ap�HTOin`l 1�ItOYi'!{ . I I I.�':i'1�1 ( It';!-I I�I D li`V iHl,f'ilY UI(l'1��JY tii��I I {tLl(i(1�C:OHN`ON)iHl;�f'R JJLCT l\rGfl PO DAV9IDURAiION�Ui7SUC:D <br />