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PUB�ic woRKs <br />PERMIT <br />PUGLIC WORKS DE�AHIMtIJT <br />3200 C.:tlar Sireet <br />EvcietL WA 58201 <br />�425) 257-8810 <br />OVJNGRNAMF • "' • 'l��' <br />nN�nooness� 3401 kU.YEY, AVE <br />EVERETT wh �� 5:: G 1. <br />riioNE: <br />TAXPAIiG[LID.a ��U4�r' <br />C;APnA' <br />DESCRIPTION OF <br />PROPOSEO VJORK�. <br />PERMIT CONDITIONS <br />PHON[ <br />ADUR[SS <br />Date <br />Public Works Permit a <br />Buiitl�ng Permn t� <br />Plamm�g Relerence ++ <br />Public Warks Fee S <br />Guarantee 5 <br />i�� <br />1.i17j�0)7 i <br />Y47D511-O::�i <br />c0510-0�(� <br />� <br />._..:�U <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City ol Evr.retl Design and Construction <br />Standards and Specilications. <br />3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•800•424-5555 <br />a. �_onnect oid�� �n,.+•r pec r.ity Standacd., GOl,r,�),;,6�q. <br />`. runn�et all cooftop dovnspouts Yn the side sevec. <br />E. hll �xcavate4 m;tecial fco�a fouudati��n, aidavalk and aeiv�uays �hall I>�. ha.�i�1 *.. <br />�"� aPP«��?�� F'Ermitteci site. No vastinn c�f mateiial is allo��i cm thi� tui:.i.:n�; :_� <br />-. r��ve ,.1c�:r-way fe�::� che Iccnr. ���-:{:.eer}� :•ne ,.�:t •, •h�� .>il���� ;>av:ng. <br />�'r� /5A(iT:tl:.� I I.� I� I ��`. <br />�\.' "l!:?'11-��9_.-'__-- __' <br />, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />V/ <br />4 <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The untlersigned owner�applicant here6y agrees �o hold and <br />save harmless ihe City cl Everett Irom �ny and all claims for <br />damages, cosls, expene ^s, oi causes of action Ihal may ari;� <br />because of installation and maintenance of the impmvemenl or <br />/__�_ I T other r�ghbol-way use hereto applied lor and further aprees to <br />6� v remove same upon no�ice Irom Ihe City and to replace public <br />�����ty Aama etl herehy <br />�_ ��• Z/ `G�� <br />notwa ol ApPi�cam �ate <br />�Yi�Hh Al11HGHIZII� PY iHlg PCRG7li A9UST [3F 51AR7[D W11HIN 18� DAVS OF DATE PEPMIT IS ISSU[D AND TH[REAFTER IS TO BE DILIGENTLV PURSUED <br />10 ('CLIi'I f 110�. 1 HIc I`[� Hp9T IdN' L I�. GANCCLLFD �V iHE CI7 V UPpN ANY �iOPPAGE OF IVORK ON THIS PROJECT OVEFi 90 DAVS DURATION <br />