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� <br />PUB��c woRKs <br />PERMIT <br />PUBLIC WC�RY.S DEPARTMENT <br />3200 Cedar Slree� <br />Everett, WA 98201 <br />(425) 257-8810 <br />APPLICANT NAME <br />�7 ,( h1 ��1tT!iaFS ANDADORESS: Oi�1'i:.R <br />15730_p ri,trt:T%:: =Llrr DF: <br />I�fILL ^r:EEY. 4'z 9 <p12 <br />PHONE: �'r,,7FQA?4;. <br />TA% PARCEI I.D.N <br />DESCRIPTION OF <br />PROPOSED WORK: <br />TO D D I PHONE: <br />PROJECTAODRESS: <br />iu)Q?F.u£?jiltqilil <br />���4:�9H�:tLc; -�;. irL'IT� !r ;v�Lr@�5 t 7;? _: ,TH ST� <br />1717 3°�TH :i" ?ItPC <br />PERMIT ;ONDITIONS <br />Da1C <br />PuMic Works Permil p <br />Building Parmit # <br />Planning Referonce p <br />Public Works Fee 5 <br />Guarantee S <br />'4, - <br />cf,tnF.__-ri:. <br />pnr.,_-r�c <br />,_-,(�i� <br />LC�TS 14, 1�. t�i aLi•'F' ,.<1 f.•,Ae " <br />EVERETT DIV F. <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be pertormed in accordanco with this permit and currenl City ol Everett Design and Construclion <br />Standards and Specifications. <br />3. Ca�l Location Underground Service 48 hrs. belore you dig. TOIL FREE NUMBER 1-800-424-5555 <br />4. ";,il , c;. r- i:e _^„_ �,.:� ;r,�?C�iFc�j �'-`= �,1_t. �j.;r�,, �-.:_n; r,r.:i:; art��_h�.: . <br />�. Fc�_�i.l=...sn.a [ �ion.~•:mtcol e:: •�1Y2�;*c'� by the Fubli «�:,c}:r: �n c.�^t_•c. <br />. K�� .ir.• srt�. � ; cl an .�r a . �::m� . . . . . .� <br />]r,' �, �_:.,, ;.t.e9.11 .'.p._( I-_a (r.ittl�cy I91:81 �a ...��]y(:vCj�, � . <br />_ Pn U,.�L�i�-- a�y � 7 <br />mvcd lor Consimc�ion Dal <br />�"rU �� e�� _._ i � /z-n�y <br />Date <br />/ /3-O% <br />. �,,.; <br />:,, � �. <br />�.. v, � _ f,. <br />-,�_ ,,�.��r_'. <br />-. �_:;; <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersignetl owner/applicant hereby agrees to hold and <br />save hartnless Ihe City of Evcrett from any and all claims for <br />damages, costs, nxpenses, or causes ol ac�ion �hat may arise <br />because o� installalion and maintenance ot Ihe improvement or <br />other righ4of-way use hereto applied tor and lurthet agrees to <br />remove same upon nolice �rum the City and to replace public <br />proF �rty mage r y A <br />% n <br />( Sl�..sl '�'��(/�_� <br />�i.J�v� <br />Signalure Nppliwnt Date <br />WORKAUTl10RIZEDOYTNISPERMITIdUST0E5TAfiTEDWITHIN1800AV50FDAT[PERMITISISSUEDANDTHEiiEAFfEI' •�'OEDILIGENiLYPURSUED <br />TO CO�dPL[TION. THIS PEHIdIT MAV �E CANCEILED �Y THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT G��N 90 DAVS DUFiATION. <br />�'AYPf�/ad <br />DAT���R.INC. <br />Z <br />O <br />'HA <br />VI <br />0 <br />a <br />