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<br />PUBLIC WORKS
<br />PERMIT
<br />PUBLIC WORKS DEPARTMENT
<br />3200 Cedar Street
<br />Everotl, WA 98201
<br />. (425)257•8810
<br />Date li 4i2��n7
<br />PublicWodsPermita p�070!.-00^
<br />Building Permit N
<br />Plannin9 RelerenceJ7
<br />Public Works Fee 5 : 1., 5'j S, Q Q
<br />Guarantee S
<br />uWntnrvnnac ANDADDRE55:..�3FIS17i Milpf{Qfj Fi. C�T+RY Ell'�k
<br />ANDAOORESS: F��T �p y��,F���
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<br />PHONE: PNUNE: 5i1_i�.Q�HS�S
<br />TA%PARCELLD.a PRq1ECTADORES [G16 7�F.F:MI1lP.I: ?+\B
<br />DESCRIPTION OF r,��, �� n_ 7
<br />PROPOSEDWORK: j�jSTP.L� i.tF�TEF. 'R"PF�.4Lu CT-I'E
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<br />PE ' ^'T CONDITIONS
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<br />1. F�.II calls for inspection shall be made 24 hours in advance. '� i
<br />2. PII work shall be perlormed in accordance wdh Ihis permil and current City ol Everelt Design and Construction �j�(/ _� � 0'
<br />Slandards and Specifications. "� 1�',y'���
<br />3. Call I.ocation Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 _���� W
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<br />- � ACKNOWLEDGEMENT OF CONDITIONS
<br />i� � � The undersigned mvnor/applicant hereby agrees b hold and
<br />_�'�.c.i� ���dCr i't�' �il � save harmless �he City ol Everett irom any and all claims br
<br />damagos, costs, expenses, or causes ol action �hat may arise
<br />AppG ed lor Cons�mclion �e � because of inslalla�ion and maintenance ol the improvement or
<br />�(.�Q �E`J�� E y j f-'� ` �^ other nght-of-way use herelo applied for and turther agrees �o
<br />v �. � f�,L-�� /� 7' �/ remove same upon nolice irom the City end �o replace public
<br />FlNAL INSKCnON property damaged thoreby.
<br />Approved is Iructc � �� - � � �J��_ � �/v � . .
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<br />�'/1pn�a �olApplicanl Date
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<br />WORK AUTHORIZED OY THIS PERMIT A1UST �E STARTED WITNIN 180 OAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLV PURSUED
<br />TO COA9PL[TION. THIS PER6llT h1AV [lE CANCELL@D �Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PR0.JECT OVER 90 �AVS DURAiION.
<br />kP1VP O'9G1 DATABAR. INC.
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