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� <br />PUB��c woRK� <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Ever�tl, WA 98201 <br />(a2:1257��1;,(� 7/1�'�.T�N� FEB 2 0 20 <br />l.� � 414 t <br />JWNFR NAL1G__ APPLICANT NAIAE <br />41JG�D�RE3'6t-�.AG;'L hr,1fT ANDADDRESS' <br />l.l:.: ::'!T?i L't. f)E I <br />rt'.�,-rTT :, ,._�;i� <br />PHONE' ]�S3_ i�: i_. <br />��%PAqGFLID <br />. .t nj.:.:' "i.l":1f i <br />DG$CRIP710�' ��-����; <br />PROPOS[D WOIiIEF" <br />PERMIT CONDITIONS <br />PHONE' <br />D2!C _/�S:-�i�QC, <br />Public Works Permit t 4i0o0_- ',_ <br />BuildingPermittt CC�tiOL-i.4� <br />Planning Reference # <br />Public Works Fee S <br />Guarantee 5 <br />9��.. . ...., .. <br />1. All calls for inspection sh:ill be made 24 hours in advance - phone (425) 257-8810 <br />2. �II work shall be performi�d in accordance with this permit and current City of Everelt Design and Construc�ion <br />Standards and Specilicatims. <br />3. Call Localion Underground Service 48 hrs. bebre you dig. TOLL FREE NUMBER 1-800-424-5555 <br />--'--.-.` --..= sewe� F�ec O.t.' �:a.^.cl_:c.'. d'� c. _, ... <br />-�n::..�_._ _;i's c,.,,;fr„�, ��.?�.ntr�,.;�it�: __ *ii� :i,i�: .... _. <br />. ,: � • �,t�.-,�:,�I �, �..,..:... -..-. f i,�.:���t'���n ,_,;-4-�]�� .,r.,-i .i ...,. , �P�]� C� h.���.le:l i�:- <br />.. . ..� �.�• � . . . . ._ . _-. . . ., :_ .w- '�r .'�.., l.�'� 1: ..'. <br />{�, 7 . <br />�c�Y .3 % O � <br />{ m l lor Gon,slmcuon Di�c <br />� �.��� � /` °�- <br />FINAL INS CTION <br />Apprwetl as Cnr;tmcted Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />V/ <br />O <br />� <br />z <br />0 <br />� <br />� <br />0 <br />a <br />The undersigned ownar:ipplicant hereby agrees ro hold and <br />save haim�ess Ihe Cny ot �vereit fmm any and all :laicis lur <br />damages, c�sts, expenses, or :auses of acUon that mny anse <br />becadse ol ins!adation and raintenance ol Ihe improvement or <br />other right�of-way use he � mlietl br and lurther agrees lo <br />remove same upon r.obr, ,. � the City and to replace pubhc <br />propertydamyed rereb} �� <br />I' �'CQ <br />Siqnatu � � -��� ���� � � <br />V;Jfik AUIHOH12E� 6Y THIS PERIdIT IdUST B[ STAfiTED IV�iHIN t80 DAVS OF DATE PERh11i IS ISSU[D AND THEREAFTEfl IS TO BE DILIGENTLV PURSUED <br />rp Cp1.7P1 E710N. iHIS PERtdIT IdAY f3E C�N�CCLI.E� [3V iH[ CITV UPON AIJV STOPPAGE OF WOFK ON THIS PROJECT OVER ua DAVS DURATION. <br />