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PUBLIC 1NORKS <br />PERMIT <br />PU�LIC WOFiKS DEPARTMENT <br />3200 Cedar Slreut <br />Everett. WA 98201 <br />�425) 25.'�8810 <br />: :.F.Gg!� x-n-.;{. c..,;. <br />= r.:., i'.: <br />PHONP _. _:?!�?(r.r. <br />nar��� ��Nr mnrne . ., ,.� <br />nr�o no�ness �. [ .��. <br />PI104E <br />/ <br />Date ����- � ' <br />Public Works Pe�mil �+ � - � � � - � <br />Building Permi� # <br />Ptanning Refurence x <br />Public WOrks Fee S <br />Guaramee 5 <br />lA%PARC[LID.a - -;r":�j�,'it;.�j i I�'f±OJECTADORESS�.,�. ' ' _' <br />..,, i .. . ZJ�.' ._.. _....._. <br />f1F5CRIPTIONOf ' T.:T_r:•: . :.�':��'i�it?r : � "- _ . <br />PqOPOSFDN'ORK� � � <br />P[RMIT CONDITIONS <br />1. NI calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work sliall be perlormed in acwrdance !vith �his permit and current City of Evere�� Design and Construclion <br />Standards and Specifications. <br />3. Call Lor.ation Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />4. Gtori: tc b=_ _.... <�a :!:!��._:_. t:_�'h.a ..c':' -- c'•,_._. Fui�--_ ��:_..., _,.si�ec:t._;c . --- . <br />425-3:9-7du4i <br />.l `i. ' ' / <br />:./ ` ../1 1 i /� � (,� <br />MproveA �ai COn_�puC1�On D.lIO <br />� <br />r�-%. �,=_�i`�-1'�_�'� <br />— —. y <br />App�ovo�f as Consirueled Da�c <br />6-z6•n, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />V/ <br />W <br />� <br />� <br />Z <br />O <br />H <br />� <br />a <br />The undersigned owneCapphcant hereby agrees to hold and <br />save harmless ihe Cdy of Everett trom any and all daims tor <br />damages, costs, expenses, or causes of action Ihal may arise <br />because ol installalion and maintenance of qie impmvement or <br />olher right�ol-way us hereio applied tor and Iwther agrees to <br />remove �rr�e upon n tice Ima Ihe City and to replace pubhc <br />prop�rty �/i�ded the eby. <br />S:g� i nuuimant � — �- ��� Dato <br />IVUNK AU7NURI, [D [7V THI$ PCRt.11i 61US1 (iC 51ARif=D WIiHIN 1!�0 UAYS OF DNF PENAIR IS ISSUED AND THEHEAFiER IS TO BE DILIGENTLV PURSUED <br />IJ COIdPi I� k�`1 ini� PCHt.111 �dAv p�, CANCEi Lf30 B1' 1 il[ QiTv UPON ANY STOPPAGF OF �VORN ON THIS PROJEC7 nvFR BO OAVS DURATION. <br />