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����'V �O�n�7 Date . , _ _. <br /> Pub:ic Works Permit X � - � <br /> PER M 1 T Builtling Permit a <br /> PUBLIC WORKS DEPARTMENT planning Relemnce k <br /> 3200 Cedar Street <br /> EvemB,WA 98207 Public Works Fee S � <br /> (425�257-8870 ' <br /> Guarantee S <br /> �ON'NER NAME APPLICANT NAME <br /> ; ANDAD017ESS. � � � .. � � ' ANDADDRESS: �.-�-� , ' .. ... <br /> _. 11t _ . . .�. . . .. <br /> 5".:^T _ _.��: - - <br /> FHONE: ..!.. '��;i�l;�1�1 PHONE: _._:��3Srr, <br /> TA%PARCEL I.D x PRQIECTADDRESS'.��,: <br /> •:I?�TEr� �.i.:.T!li�,I�L�r:'�:�': <br /> �ESCRIPTIONOF �-pjl l�qrltV�::, _�'.`� �2•}(. . � ' - ,:JIlC� <br /> PROPOSED WORK: . . . . . . - .. . . -. <br /> _ ' -. . . . .. - . . r . .- .. '. '� � _ . . . . . �� �� I <br /> �. :.., r�. .. . . . .�: -� ..���... .,. . � . . <br /> ..,. .; .,. .� <br /> L . . - -------- -- --- - - - - ----- �I <br /> PERMIT CONDITIONS <br /> t. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall 6e pedormed in accordance vaith this permil and cunent City of Everett Design and ConstrucUon <br /> Standards and Specifications. � <br /> 3. Call Loc::�icn Undergrnund Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-8Q0-424-5555 <br /> . . . . . . � � � - ,. .. .._ . . _ .. . . . . . ; � . .. . = <br /> . ��:il 1�'" "1 _ _n�:�. . _�i:': ' . .'_ �_. . . . . _ .. . _. . __�,.. ' . . . . � � _ <br /> .,. ,._,. .. .. . � <br /> � ���lfl�'� 8,^. 1116Y[Ur�lfKl �l)� i.h�F. �U��110 �: � � � <br /> � . . ._. . . . . . _ . _. . W <br /> O <br /> � <br /> ���- 3 � —GCo � � <br /> 1�- <br /> N <br /> O <br /> a <br /> �I -- � - - � i ACKNOWLEDGEMENT OF CONDITIONS <br /> . The undersigned owneNapplicant hereby agrees to hold antl <br /> � ��f .� ; � f,t_. . ^�,�, ;�;�`��� i;,� save hannless the Gty ol Everetl from any antl all claims lor <br /> Approved-�lor Construction� D, e damages,costs,ezpenses,or causes of acl�on ihat may anse <br /> because of installahon and maintenance of Ihe improvement or <br /> other nght-of-way use hereto applied tor and tunher agrees lo <br /> remove same upon notice Irom Ihe Ciry and b replace public <br /> I FINAL INSPECTION pfoperty damagBtl�hBfeby. <br /> Approvetl as Constructed Date ,.r' ' �- � <br /> � �. � •/�Y / �—'—� i ;, I'^ <br /> i <br /> �. ,�, ��r� <br /> SignaWreolApplicant Date <br /> WOFK AUTFIORIZED BV iH15 P[RMI�A1UST O[STARTED WITIIIN 1P0 DAYS Of DATE PERMIT IS ISSUEDAND THEREAFTER IS TO BE DM1IGENTLV PURSUED <br /> i0 COMPLETION.THIS PERIdIT MAV OE CANCELLEU�Y THE CIN UPON ANV STOPPAGE OF WURH ON THIS PRQIECT OVER 90 DAVS DURATION. <br /> LPWP P1U61 DATAflAR.INC <br />