PUB�ic woR�cs
<br />PERMIT
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<br />Date � - '
<br />Pu6lic Works Permit � - � � - � - -
<br />Builtling f' md 7! � - - � � ' '
<br />Planning Reference y
<br />[vrren, WA 98207!�-., ,'-1?,,;��, Public Works Fee S -- •
<br />W25129-8810_II_II ����l��.l"I
<br />Guarantee 5
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<br />PERMIT CONDITIONS
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<br />1. All calls br inspection shall be made 24 hours in advance � phonr, (425) 257-0810
<br />2. All work shall be performed iu accordance with Ihis permit and current Ciry ot Everelt Design and Construd�on
<br />Slandards and Specifications.
<br />J. Call Location Underc�round Servicr. 48 hrs. bebre you dig. TOLL FREE NUMBER 1-800-424•5555
<br />�. ��' ❑a'"' .._�jP ;r_'.���L �HC f'_ $t3R�13:'�j .. . r;i��..,. - �.
<br />. F.o„gt�q� nir,oif :o�.ist bu clis:•harged tc a �c i:i•>��n�F,:... .r.;,!t.:�ti_m = stea: }..., -,;
<br />` LV�CELi $t��Ctti i'�dDUdl z-i'..[�.i. TII�? d�?�JCOK11(l3L�' 912Q CC�I1C�1 16 1.5� Wltj�� .. .a^-•'[.
<br />,�;d 25' ]ong. See attachment for e�oc� detaiis.
<br />. Th�: cer�zactuc mu�t mea*. w�tn :he Yubl:c i�ocks Insp�=t��r to diacus°: poten�::._
<br />�,c.:inage iouting pC10C to beginnirp the pc•:;ect.
<br />��. Innr.�il eco�ion contro110�3flUC?3 as dete�mined by the Public iiuek� in..r�=:�_.., ..._.�
<br />,. sil*, fer�r-, st:-au t�ale.�, sti�al��, _�i c�c_�sii�n blankets.
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<br />FIW,L W GCTION
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<br />ACKNOWLEDGEMENT OF CONDITIONS
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<br />The undersigned oanenapplicant hereby agrees to holtl and
<br />save harmless the City ol Everett irom any and all claims for
<br />damages, cosis. expenses. or causes of action thai may arise
<br />because of installation and mainlenance ot Ihe improvement or
<br />other right�o6way use hereto applied for antl further ac�rees to
<br />remove same upon notice �rom Ihe Gity anA to replace public
<br />pmperty naged 14Creb . i
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<br />S�g Oio�u 01 Applman� �� DPIC
<br />C;pHe ��UiHORIZEO BV TNIS PERAl1T MUST 9E STARTED W:THIW t[i0 �AVS OF OA1@ PFR1dli IS ISSUED AND THEREFFTER IS TO BE DILIGENTLV PURSUED
<br />IO i��il.iPt I�iION. THIS PERL11i 1.1AV PP CA.':G[LL( D I7V 1'fIL 711 V IIPON AN" SIOPMGF. OF \VORK 04 iHl� PFlOJEI'T OVER 90 DAYS DURATION
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