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PUBLIC WORKS <br />PERMIT <br />PUeLIC WORKS UEPARTMENT <br />3200 Cedar Street <br />Evcrett, WA 98201 <br />(425) 257-BP10 <br />r__„_ <br />71'JNLRNAtdE ' `� - V f4'r <br />,NonooAess-. 4954 Viata Place nrdo <br />EVERETT CA 4B'03 <br />42525215?6 <br />PHONE' <br />TA% PA9C[L I D. a <br />DESCRIPTI04 tlG <br />PROPOSED V:JHR <br />PEAMIT CONDITIONS <br />UCANi NM1L <br />hDDii[S; <br />PrinNe <br />ADDRE`5 <br />Datc <br />Public Works Pcrmit a <br />Buddmg Pcrmit a <br />Planning Rcicrencc s <br />Public VJorks Fec 5 <br />.9uarantee 5 <br />, <br />4/30i2004 / <br />Fi10404-030 <br />520.00 <br />L NI calls lor inspeclion shall be made 24 hours in advance - phone (425) 257-8810 <br />2, All work shall be pertormed in accordance wilh Ihis permil and currenl City of Everett Design and Consl�uction <br />Standards and Specificalions. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800•424•5555 <br />4. 9eight uf Fence shall not exceed 9"1 - Inches vhr-re it is in the public right of <br />vay oc in the feont yard sntback. Fence ahall be set back O PPPL fcom the edge of <br />�?avement . <br />5. Ounec aq�eae to iemove� th�� fen�- if the riaht of Nay it occupies is cequiced foc <br />public us�,. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />r <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciry ol Gverett Irom any and all claims lor <br />Aamages, costs, evpenses, or wuses ol action Ihat may arise <br />Uccause ol instaliation and maintenance ol Ihe improvemeN or <br />othcr right�of�way use herelo apppplietl foi an0 fuAher agrees to <br />remave same upon notice frorry/ihe C1ty and to replace pubiic <br />property damaged Ihereby / <br />/ ' � t I / �i i <br />I / • ✓ �-{ � L�// (: <br />-4�l.����j����� �--,�t'e / J_— <br />S�ynalure AppLcant <br />�;;[�,H!; rd n1��� J��7L D P I I I n:: Pi� n•.'ll ".i-1:7 GC'+1nRi@D AVIiHIN 100 DAYS OP DATf PERMIT IS ISSVED AND THEREAFTER IS TO BE DILIGENTLY PURSUEU <br />t. � U7': PI ( I P.;IJ i i n�. PI I�!'i I I: N' R! �'���:CI i I[ I� RY TH[ CITV UPON ANY 5701'PAGE OF \NORH ON TNIS PROJECT OVER 9D DAYS DURATION. <br />