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PHONE <br />�uB�ic woRKs <br />PERMIT <br />PUDLIC WORKS DEPARTh1ENT <br />3200 Cedar S1reel <br />Everett, WA 982�1 <br />(425) 257�8810 <br />PEDEFi;EN DAVI[� <br />flli:: i?�Q�j <br />s�rer�7-r uA <br />42s2s9725ii <br />' �905300Q402PU(! <br />nrscnirnow or <br />ri�oroseo wor�K <br />P[RMIT CONDITIONS <br />�s�oi <br />nrrucnNr Nnr,+E �_,��; <br />ANDADDRESS <br />PHONE <br />Daie ;�i.'13;:.���)5 <br />PubhclYorksPcrm�Ie :W-��'��.1-0�-0 <br />CO�U3_pJo <br />Bwltlmg Permll a <br />Plannmg Reteren[c a <br />Public Works Fce S <br />Guamntec 5 <br />;?fi:: F.Pi::'EF. l,VE <br />S.i5.00 <br />1. All calls lor inspecuon shall be made 2a hours in advance � phone (425) 257�BE310 <br />2. All work shall be pertomied in accordonce wilh ihi; permil and current Gry of Gveretl Design and Construction <br />Standards and Specihcatiuns. <br />3. Call Location Undeiground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555 <br />4. F�a��N f:ac::iny acea with 3sphalt oL �:cncret�. <br />S. SI�,p,� pa��ina t" dcain tn �-atrh basin. <br />b. Do npt impac[ piopecty to the south With :ainNate� iun��ff. <br />, . � . �-.,_.,_, <br />nr"1�'.:�an.:v: PZ'rli�t. <br />1 � � �[-JCI�� <br />m �» z <br />� <br />� <br />� � -� M <br />�.� � �L�l u� tTih yf FM 4J <br />� �'1 • ! f:. . � <br />V <br />K1.1. . ..� � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undcrsigned owner;apphcant hercby agrees lo hold and <br />::avc harmless Ihe City ol Gvemlt Irom any and nll claims lor <br />A;miages, cosls, e�penses, or causes of aclion Ih:lt ntay ansr <br />br.cause ol installation and mainlenance ol Ihe irnpwvernent ro <br />i;,:�cr nc�hLol�way use herelo apphetl lor and lutlher ag�ces tn <br />remove same upon notice Iwm the City and t0 replace pubhc <br />property dam r.d eb � <br />� G/s��� _�t.sa— `7� ' 2 G' C' .) <br />Siqnalm olA�c�in1 � ���� � � � —Dale �- <br />1VORK AUTHORIlED BY iHl ; PFFihllT M11UST BE S1ARi E� WITHIN 180 DAYS OF DATE P[RMIT IS ISSUED AND TNEIiEAFTER IS TO BE DILIGENTLY PUf75UGU <br />TO CO�.�PlEliO�� 1 HIS PCF�.'IT L1AV �E C�NCELLGD UV THf GIIY UPON ANV STOPPAG[ OF WOP.K ON Ti11S PROJ[CT OVER 90 DAVS DURATION <br />