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PUB�ic woRK;� <br />PERMIT <br />PUBLIC WORKS DEP�NTI.IENT <br />3200 Cedar Slreei <br />Evereit. WA 98207 <br />(425� 257�8810 <br />A�N[7JACDR@S5Qu4 Ol'imi'�r f�t 1^.-- <br />EVEY.ETT irn <br />4�535?:i::�' <br />PHONE <br />Ir��oNe <br />7nX PAHCEL I.D p (- _•,., ' PROJI <br />'(�IJ'� it g@.� _ .} 3': E 1_ [ q'_' <br />fJ( SCHIPTIOIJ OP <br />PHOPOS[D WURK' <br />PERMIT CONDITIONS <br />... �� ,_ �1�. / <br />�d�C <br />r: �.. _�,;_ <br />Public VJoiks Permit b <br />Bwldi,�g Permit # <br />Planning Reference x <br />PbUlic Works Fee S ' ' � ' � <br />Guarantee 5 <br />E� -. _ .. _ _ . .. , ., <br />9�S..c-,,,���: <br />1. All calls for insper,iion shall be made 24 hours in adv;mce - phone (425) 257�BII10 <br />2 All work shall be perlormed in accordance with �h�s permit and current City of Everelt Desgn and Construct�on <br />Standards and Specit�calions. <br />3. Call Location Underground Service 48 hrs. belore you diy. TOLL FREE NUMBER 1-800-424•5555 <br />. : i t . . _ . r .. :: t : � ..' . h� :1.:: e �t 1 ,� u � t. . L .: � i : � i - <br />...,_;, .,r.i , .am� ,i.l��� -�r, s' :�il _;c: � ����, :n � ,.n � : t � i ��.. . <br />i1��' u.. t _�.❑ tn.� :r .�tii`. i_ �i�ItLln�i .. i.:.xl1f�. ,. d�.��._) -�.. <br />.. _ _" - ' . .., 1 . . �. � .. :�• i _ . .... ' . ,. , 1.. _ - _. . ..�3Ih�... .. . <br />������ t � I Z �- S" <br />, U <br />AppmveU lor Consnudion �ate <br />.�/ ._ � . -� >k��.�.—.� --- <br />- NAL WSPECTIGN <br />AparovadasCon,qrucmd Dn1e <br />/ - c'G � C"`E- <br />ACKNOWLEDGEMENT OF CONDITIONS <br />z <br />0 <br />� <br />� <br />0 <br />a <br />The underslgned cwneUaoplicant hereby agrees to hold and <br />save harmless the City of Everett irom any and all claims lor <br />damaaes, costs, expenses. or causes of action �hat may arise <br />because of installation antl maintenance of ihe improvement or <br />other righl-ol�way use hereto applied for and lurther agrees to <br />rem6 same upon notice Im ihe City and to replace pubhc <br />Proper y tlamagned there <br />� �tll/�{,�f1 ��'"� 'Y�� <br />SignaWre ol Appbca ' Date <br />V <br />WJHh AUIHORIZG� !3Y THIS P[R�dR �dUtil F7[ S7AHi1ED WITHiIJ 1B0 DAYS Of DATE PERI.iIT IS ISSUED AND iNEREAFTER IS TO BE DILIGBNTLV PURSUED <br />i0 C�"idPt 1_TIOtJ iHIS P[I1b;ii 61AY 06 CANCCI LED E3V TH[ CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECi OVER 90 DAVS DURATION. <br />