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Pus�ic woR�cs <br />PERIVi17' <br />r'UBLIC WORKS UEPART�dGNT <br />320� Cedar Sireet <br />Everett. WA 98201 <br />(425) 257-8610 <br />AT IfF' RTtI .F ; fipqT{>��(-mT,'1}; 7� <br />OWNERNAMEp �� BUX }�` APPLICtd^.TNAG1[ <br />ANDADDRESS ANOAGDF_SS. <br />Ui1VALL 47A �9��i° <br />20��0197913 <br />PIIONP <br />TAx PARCEL I.D a _ _ <br />1�EW HCiI.f��, - _.�...•. 1_.1:= <br />DESCRIFTION OF <br />PFiOP05[D WOFiK- <br />PERMIT CONDITIONS <br />_.-_,,, ; <br />DaI� <br />....r,:,. � .. <br />Pubiic Works Perm��; r. _� �1 �".- , _ <br />Building Permit k <br />°lanning Reterenr.e = <br />:..`:.1 <br />Puh�ic Works Fcu 5 <br />Guar,�ntee S <br />To ��S��N� µi'R 0 9 ZOU6 <br />���ior�F <br />PROJFCIA�DRESS � <br />1. All calls tor inspedion shall be made 24 hours in advance - phone (425) 257-5810 <br />2 All wnrk shall be performed in accordance with this permil and current City o( Everett Design and Gonstruction <br />Standards and Specifications. <br />3. Call Lonlion Underground Service 48 hrs. before you dig. TOLL FREE NUMBEFt 1-800-u24•5555 <br />a. _�:.r.nert :ide se:.+_r pe�c Cit}' Standarj i?'s fO;.,EOG,�:O:l. <br />-' ---'i- , ..._.r. .�� ..�.�r.��: vr.e, _ "._ i. �... .._ p ..., T ' -..._ _ _. <br />.. :n1._ .i,� ..i� . � .., _. _ ., . . . ' . ...... . ....:.�:��i.. . .. . ,�' .- -':. <br />_- --- -- <br />,. <br />J� �"c9rrJ7;i� �C� �Ji <br />�p ovutl tor Cons�melion Ie <br />--.%!:.-� �� . <br />/ L INSPE ION <br />Approved a, Constmcted Date <br />3 �� ,"C; <br />_ �_ t=. <br />�r;�i� (S1 +lr F-` «� <br />J I-. r.J .c.. ,_ . <br />_, -. •..:1 .. � . <br />�cKNo�v�Eo���,��N � oF cor�oiT io�vs <br />Z <br />O <br />�A <br />� I <br />� <br />� <br />The undersic�netl ownerlapplicant hereby agrees to hold antl <br />save hannless ihe Ciry of Everei� irom any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other rigt�oFway use h�relo applied lor and lurtl:er agrees �o <br />remove s pon nolice from Ihe City and to replace public <br />proper�y da aged thereby. <br />� ll����� -lb ��'�'�_.. <br />Si�naWre ol App6cant Daie <br />\YnqF qU11104i.'C-q E3V TMS PLNF,41 � 1.1L15i FF STY.H i_b INiHIN IG� �A1'S OI� PliE PIA':'1 IS ISSUED AN�7HEN�AF?ER IS iO 9E DILIGEM LY PURJIIED <br />�. d.'�I`I i .. i, i. �=1'- td i�_1 .� I?i .'��'lffl L[� 3V iHE CIiV U' k �fdV SiOFPAGC O� :"�ORK ON TiiIS PROJFG i OV[R 9� DAVS DURATION <br />