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PUBLIC WORKS <br />PERMIT <br />PU6LIC WOFKS DEPARTM[NT <br />3200 Cedar S�reel <br />Everelt. WA 9820t �. <br />�azs�zs7-�� �(�I�TINl7 C�� Q�i LUI <br />O'N.'JI:Ht1AldG . . �_,ut��".. ' <br />ANI: AI t',HI155 ''hJ 4 ._�. L':. <br />_. . _:.E i. . . <br />d_`4..:11:: <br />PHON[� <br />PARCEIID.b '-"" <br />I��':JFIPTION Of' <br />�'R�1POSf:D WORK. <br />PL-RMIT CONDITIONS <br />Dlie .. -' <br />r:. �:iir" ___ <br />Pubhc Wortis Permq a <br />..:.:�,�.]-�_�� _ <br />6wldmg Permit b �_� <br />Planning Relerence z <br />Public Works Fee S � <br />Guaraniee S <br />APPLICANT NAIdE- <br />AND AODfiE55� <br />r�noc[ <br />PROJGCI ADDFi6Sti -� � - <br />1. All calls lor in�•>ection sh�ll be made 21 hours in advance - phona �425) 257-8810 <br />2 All work shall'�e peifoimed in �ccoidance with ihis permi� and cwrent Cay of Fverett Design and Constrcaion <br />S�andartls and Specdica�ions. <br />3. Call Locatior Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />... _, . , <br />. , _ . -.... , . <br />�. _... ;_.. :.<. _. --- <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />W <br />H <br />� <br />d <br />� <br />� <br />Z <br />O <br />� <br />O <br />a <br />The undersigned owner�applicanl hereby agrees to hold and <br />save harmless the City of Everett from any and all claims lor <br />tlamages. costs, eapenses. or causes of action that may anse <br />becausa of installation and mainlenance of ihe impwcemnnt or <br />mher right�of-way usc herelo applied for and tunher agrees to <br />remove same upon notic fmm ihe Cily and to replace pubhc <br />property damaged �her � � <br />r , <br />� � ��'It�c�_-- ' - - �f -� G �' <br />S�gnature ol AVPlicam D.71e <br />� / <br />\';; �FF. ,1U7HOR12[U [31' INIS P[HIdIT tdU51 8[ ST�RiLD \'JIiHIN 160 UA1'S OF OA7[ PE(7h11T IS ISSUEO AND 1HEREAFTER i TO BE DILIGENTLV P7fiSUED <br />l0 G01.1P1 k_iiON THIS PF.-RA7IT IdAV I3E CANCELLED f3V 1NE CITV UPON ANY STOPPAGE OF K'ORK O�l iHIS PROJECT OVEf� 90 DAVS DURnTION <br />