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� <br /> PUBLIC WOR� °a'° - '��'� �° �` <br /> P����� a �a�fdH:,,���+ US��� PublicWorksPermlt# ?WOb03—�Jc <br /> REGl ��' <br /> �J Building Permit x rp.:p�,—pp; <br /> PUBLIC WOPK�'tfl'BPF�f�Y1dEtY3JOJ�i Planning Relerence a <br /> 3200 Cetlar S�reet <br /> Evaett.N'A Q829�Ip�� r�l�4G.70 Public Works Fee 5 _ <br /> iazs�zs;-�e,=� C 4G.50 <br /> Guarintee 5 <br /> 1 �^�� �E��.� <br /> OW�YCf�NAtA[ � � APPLICANT ' 'lU <br /> n, ��noonrss�-:���_-:,;, :`:r-= L D'KIVE nwo nooae�'�.fa <br /> _ ;�,nw loo�rx n�:t ::r TL $839.20 <br /> s,i,>xrkZse � .. C}ECK 5��."v.20 <br /> Pllp��[ PHONE- <br /> �/4i j�S^�� <br /> TA%PMC[L�D n PROJLCT AGORi-5$ <br /> ,-��, :r, " —"T.'. _ _ <br /> Cf'Y��PTION OF <br /> PRCPOJFD YIOHK� :1. .. _ � � . . .. .�_F'.t � . . �. �}_ <br /> PERMI' CONDITIONS <br /> 1. All calls tor inspection shall be made 24 hours in advance -phone (425) 257-8870 <br /> 2. All work shall be perlormed in accordance with Ihis permil and current City o(Everett Design and Gonslruction <br /> S�andards and Specificalions. <br /> 3. Call Location Undergraund Service 48 hrs.betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> , .._ . ,, _t.�_- _. ;: •. cr... . ::,., � =_n ,_, � :_ _.. __ ._ -„_ �; - - � <br /> � — - � .. _. ; , � - . . _ ,�. . . . . - � .. _ , _ _ . _ . . _ .. � <br /> ��v c.t�— �,y�� � <br /> m <br /> � <br /> 7 <br /> 11 /,a_`'/c,,� O <br /> ! <br /> � <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � ���� 7 7 � The undersigned owner,'applicant hereby agrees lo hold and <br /> �� J �/ �� save harmless ihe City of Everetl irom any and all claims lor <br /> nnpre .: ., :�sm,rno� Da � damages,costs.expenses.oi causes of aclion ihat may arise <br /> /'� � because ol install�tion and maimenance ol Ihe impwvement or <br /> �� //,%�/' w �//�.x(�J olher righl�of�way�se herelo applied for and lunher agrees to <br /> � �` J remove same upon nol��ce Imm Ihe Cily and to replace public <br /> FINAL INSPE � ION properi amagetl by. <br /> fyiprovedas .nstmcled Dale . <br /> Signaw et A I¢ant � Date <br /> lVolih Ai i11!UHii f-D BY iNlS P1=RIdi7 61UST PL STAq7LD WIIHIN tE10[7l.1'S O��DA7(3 PERtdIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTIV PURSUED <br /> I�',Ct'�1,1f'I!1 u)'; 1IIIS I'EJ�UIi t.1AY Hf C��JQ-I LfP FlY 1nC Gi V uPON ANY STOPPAGE OP�VORK ON THIS PROJECT OVER 90 OAVS DURATION. <br />