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PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />"�'aS�b�TING.....,�R.0 � 2uo� <br />OWNER NAME <br />ANUAODPESS: - � . . . <br />PHONE: <br />TA% PARCEL LD.N <br />uu47�7 <br />DE.^�CRIPTION OF <br />PROPOSED WORK: ': � ' � <br />PERMIT CONDITIONS <br />ANOAODF[SS: <br />PHONE: <br />PROJEG7ADDRESS: <br />Date _ <br />Public Works Permit M 1"� ��. �� <br />Builtling Permit N . . _. <br />hlanning Relerence 7f <br />Public Works Fee 5 � <br />Guarantee S <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Desiyn and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800324-5555 <br />..�_ . _..'--{ ....:i_ ..... _ +._ .... �,-- - "t:. F�c _. .� i� .:.__ .,.. <br />rnstal i�r.oe;i,m �-ontco] mwa�uc�e^.,ac derw�minwi I,y the Pp1ii.1C UdCk9-'1fl6(,.?��rr.�r .., . <br />.el�i fanr�, :it[�+w h�,ies, swqle�s, 4C FLp31C�ii f�1901iFtR. (���.r.�.+-srn�':;:_c��:,�4: <br />F:AiCOV� ?C^9�OR _!�l?'COL IG�39LLCr36 �l�^I7 :9mj!],Ptin❑ :�( CiIE' �?C�i��+:�,�?C��}y�=':�:fy'.-r'1.i1'." <br />_oval ci thF j�cirit. `' <br />-,.i1 �aravate•r1 m�t:.rSal fr���a fr,,i�ndati��n, SIiIE'V31A .905� �IC']V�v9}i3 shall br hau]-- � <br />;��r��ve-�i, ��ncmit*-:-d �ite. ti�? waating cf m3teri-+i 1� allowd,y�n this buildir � <br />'ro d+rt� au'� rorY.^ o� debras to 4e tcacked _�nro cc,edvsy., i.� <br />No t•uiidin� mar.Acials t�_ Iw ata�:kF.� on sid�vall:s ani �i�i?:r�LF:� te be E:�_� <br />o »rn f,�. ,:-�as.vter4n tc=.�vel. ' <br />—,C�.,. ,t, ��r..,v f���.. rho frrmt � r�r�.,. iir.. <��^: ,, <br />�r t•.• :�irt t�� th� .,rsoa,n p.7vinq. <br />���%L%r� _. � : � _ /0 �'S� <br />� Approv�ssl f Conslruction . ale <br />�-� ��� 7 _ �-o� <br />� PINAL WSPEC ON <br />Appwved as onslmcteA Dale <br />ACKNOWLEDGEMENT OF CONOITIONS <br />Thc undersigned ownedapPlicant hemby agrees to hold and <br />save harmless the Cily o� Everelt Irom any and all claims lor <br />damages, costs, ezpenses, or causes ol action ihat may arise <br />because ol installalion and maintenance of Ihe improvement or <br />other right-obway use hcrelo applietl for and lutlher agrees to <br />remove same upon notice Irom Ihe City and ro replace public <br />pro�perty dama tl Ihereby. <br />,(a,l� r,.�,�,�i� l� f 3 ��C� <br />S�g�aNreolAOPlicanl ale <br />WOHK AU7MOfiIZED �Y THIS PERMIT MUST �E S7ARTE0 WITHIN 180 DAYS OF DAiE PEPMIT IS ISSUED AND TMEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COMPLETION. TNIS PPflM1T h1AY BE CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 �AVS DURATION. <br />1' PR�P 1; rp61 DAT�B�R. INC. <br />W` <br />1""'" <br />,�A <br />V/ <br />W <br />O <br />' <br />Z <br />O <br />v/ <br />� <br />a <br />