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PHONC <br />PUB�i� woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />"�,ZS',��tg•-rt�ur trAY 3 1 2007 <br />I✓ ! J l.i . . . _ ..i ................................ <br />PERGF;EIJ JASE17 F, <br />�': � �iiti`t.'r F.]i�'. }'. ?1�'.� <br />E':�i��. _ . ... <br />p iC4 1� ��t�-(: <br />0 0_ _ 41; f. ,. I. .. . <br />oGSCRiPnoNov LF :(.L: t�T.•. ' <br />PROf'OSfL`VO�iK�.. . _ .•. <br />P[RMIT CONDITIONS <br />APPLICANT NAME <br />ANDAODRESS. <br />PHONF' <br />Date _ _... iO�;C. <br />Public Works Permit M pW0603–U_�:� <br />Building Permit p <br />Planning Reference # <br />Public :Yoiks Fee 5 <br />G�aranlee S <br />PROJECT AD�FiE55�. <br />--� ...,�Sh�'.. _.. <br />coEos-oaa <br />SZS... <br />1. All r,alls for inspection shall be made 24 hours in advance - phone (425) 25'-8810 <br />2. All work shall be performed in accordance with Ihis permit and current Ci�y of Everett Design and Consiruction <br />Stardards and Specilicalions. <br />3. Call Location Underground Service 48 hrs. belare you dig. TOLL FREE NUMBER 1-800•424•5555 <br />.. _,.�,.- -' ����=- ;�. ,:,. . ,,�;_ . :�:. _, . . <br />. ... _,:; ,_... :�: . ��.. - -.. ... :�• .__ . �,•,�_n�, <br />I--� �'�' 1� F-` 1-+ 1-.• <br />�� I- f'l a C/l ly� � 3' j� <br />fT11 <br />';: P C7r�� �Cf <br />- 1 f�i t.'`l _ <br />m • <br />� <br />r:� <br />�r <br />, :� M <br />'��� �.�,:� <br />N M�I�f�1C0 <br />���ocr7ir-r�t'ab��• <br />r•-; c.'I :=, � `�^ � �' �-; �a <br />�.' �' "i <br />- 'Ai <br />.1� . <br />� <br />l� <br />iT•, <br />l) <br />f ,� <br />� m,� <br />� �i <br />,_.,- <br />,., � �; <br />,_. <br />; :; <br />— ;;.j _' <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />� <br />� <br />O <br />a <br />The undervgned ownenapplicanl hereby agrees to hold and <br />save harmless the Ciry of Everett Irom any and all claims for <br />damages, costs. expenses, or wuses ol ar,tion Ihat may anse <br />because of mstallation and maintenance ol tl�,e improvement or <br />other ngh��obway use heieio applied lor and luriher agrees to <br />remove same upon no�ice Imm ihe City and to replace public <br />pmperty amaged Ihereby. — <br />� <br />/�' s �3 ��l�=i:(F <br />`_`�-�2--- <br />S�l�naturc o ppi�wnt Date <br />C!i`iih Alll HOHIZCU HV iH15 PC,H1.1It �dLISI U[ <TARTLU lVI7HIN 180 DAYS OF DAi[ PERId1T IS ISSUEU AND THEREAFTER IS 70 BE DILIGENTLV PURSUED <br />in Ci�1,11•lf I ION 7HIti P@RL!Il 1dAy I3P. CANCIII I E� 13v iH[ CITY UPON ANV STOPPAGE OF WORK ON TMIS PROJECi OVER f:l DAVS DU9ATION. <br />