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' � PilBLIC WORKS <br />PERMIT <br />PU�LIC VJORKS DEPARTMENT <br />3200 Cetlar Stree� �I /� � <br />Everett. Wn�}tBO�TIINI] A' R O y <br />(425) 257 Bti1� � <br />OWNERNAME <br />nNe nooaess�, 10121 E\'EFa;REEN WAY <br />EVEhETf L�h <br />20b4766997 <br />PHONC <br />TAXPARCGLID.a ��r��..'.F';"".. — <br />NEW Hi�[fSF. - S\5IC l�iq <br />DESCRIPTION OP <br />PROPOSEO WURK�. <br />PERMIT CCNDITIOIJS <br />)0.:04 <br />PNGNE: <br />PRCILCTADDR[S5: <br />Date <br />Public Works Permll k <br />Buildir,g Permit �7 <br />Planning Reference # <br />Public JJorks Fee 5 <br />Guar.mtee S <br />:�/ li 3 0') 5 <br />PWOSU°-OU? <br />�fiSi��-,11�� <br />5��..�in <br />1. AP calls tor inspedion shall be mad�� 24 hours m advance - phone (42S 257-8810 <br />2. �II wnrk shall be perfonned in accordance wilh this permil and current Cily of Everetl Design and Construclion <br />Slandards and Specilications. <br />3. Call Localion Undergraund Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-BDO-424-5555 <br />y. ..�nn.=�-• ..:�1�= ..,:.�.�.:i� �„_r .iry ii+..3mi.ir�,i #r;n�i. <br />._c.nne��: i•:��>i'�.:�p �:i�:+:n:.i�ouce; [c� t�,•a ..li�.inaa? 3y�:tem peovr:f:r,:l .•.�r cni; lot. <br />. ��r.�..-'�Y/'���" �7. .. �: <br />Apomved lor Consiruction Dale <br />� � ) <br />��.� �C �11i1��C-" .1'�'(�.' <br />FIN�L INSPECTIO� J � <br />APP�oretl as ConsUuctoC � fJalo <br />,:. _. <br />;; �;�; . _ : <br />W M <br />Y -� <br />.y�. fli�nrni� .. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />= <br />V/ <br />W <br />� <br />� <br />Z <br />O <br />H <br />O <br />a <br />TLe undenigned owner;applicanl hereby agrees to hold antl <br />save harmless ihe City of Everett imm any and all claims tor <br />Aamages. costs, expenses. or causes of actior ihat may ar�se <br />because of installation and maintenance ot the impmvement o� <br />other nght�ol-way use herelo applied fo� and further agrees io <br />remo.� same upon noiice trom ihe Ctly and to replace pubi c <br />pr rty Camaged Iherr y <br />�,�,� r��� �1 ,�, _I!� 3 C2� <br />$ignaWreo npol`anl i Dale" ' <br />ll'(?Rti FU1HOf:l.'ED BV 71115 �'CF7�d17 L7USi RF SiARTED WIl HIN 180 DA1'S OF DATE PEfiM1T IS ISSU[b .1ND THEREAFTER IS TO �E UII.IGENTL� PUf15Uf: U <br />i„ I:OIdFi CiION ilil$ PCq�dli C1AV CF UANCCII tD E1Y 7HE C11V UPON ANY SiOPPAGE OF WORK ON iH5 PROJFCi OA EH np �t�y5 CUf�AiICN <br />