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PIJBLIC WORKS °"" - - � <br /> PERMI`t ��b���Wo�kSPe�m�,� _��.�� r_ ;__ <br /> BwltlingPermif# p,_l,_ij,;_p�,j <br /> PUBLIG VJORKS DEPARTIdEIJi Planning Reterence# <br /> 3'e00 Cedar S�reol <br /> Evuren,WA 98201 Pubhe Works Fee 5 .. <br /> (425�257�8870 �� ' <br /> Guarantee 5 <br /> OWNERNAh�lM^-•; _ APPUCApIWA�.1E n <br /> �.T'i ���1,Ff ' A. , ,.,. <br /> ANDADD�+FSS� " "' " Adl�l�I`DRI�55 �il.i( 1 U �:)� <br /> .ao�; ::?:r�.B <br /> :;- � ;�OSiIUG. . <br /> EVEkEY'T � ............................. <br /> 'riti -- - <br /> PrioNe 4253554690 PNorve, <br /> TA%PARCELIDk ,�.�ii'.� ; :^ 'ifi�:i' .. PROJECTADDRESS <br /> . . . . __ . _ . � ti - _ ' "_ _ <br /> . . . . ....._ . <br /> D[SCRIPTIONOG _?v:�.��..-L. . ""' ' "..'j"�'..�: <br /> PROPOSED WOf7K '".� .,. . _•" ...� . <br /> PERMIT CONDITIONS <br /> t. All calls for inspection shall br, made 24 hours in advance - phone (425) 257�8670 <br /> ,�. All work shall be pertormed in accordance with this permit and current City ol Everelt Design and Consirudion <br /> Standards and Specifications. <br /> 3 Call Location Underground Service 48 hrs.belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> _ i__: an . ::�otxn , �L.;_n�. . ,_< _ ._�., _ � _ <br /> W <br /> . .� ... .....:. :. : _� <br /> . . . .. . all �LOP.: �I7 C!•RY20� �I?d:JC_ . ��?C rltV' ::�i £VeC'=TL 5'.d1173L�7.. . .C•S¢�,yLL . _ , � <br /> . . ��I1CT� MU�'�� ��n.�•}�p nC Clc.t�Cl3 CO k�� TCdCl::�,j CO1LU CnA:�VAY. . . . . � <br /> ' . .. .,1",.. . ._.. :.._.. . ��� �.. .... ... .. ..� • ,. � . . . � . �.. . _ , . <br /> . , . __ _ - _. _ . . . � W <br /> � t O <br /> � <br /> _ � <br /> w ` <br /> O <br /> V 'r^ <br /> V^/ <br /> V <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � 6 The untlersigned ownecapp�icaM hereby agrees to hcld ana <br /> � � �7 •('�� ��, save harmtess the City ol Everetl irom any and ail claims foi <br /> �uw �ad ior Co�st�uct�on Daf damages.costs,ezpenses.or causes of action Ihat may ans�:r <br /> because ol installation and mainlenance of Ihe improvement cr <br /> �"� olher right-of�way use hereto applicd lor and turiher agrees lo <br /> �-� __�� ' ,�.�,..�t._ �_,� remove same upon notice Irem Ihe City and to replace pubi�c <br /> � L�PECTION proper{ maqp�ther. y.,, / <br /> �PPmved is C��n::irualrrf D�te � � ,/ /� <br /> p K � �;, ��,J�.C.' z5 2GCf. <br /> � '�7'"C'/ S�gnature o pp��ca _ — —�% ' —_ ' <br /> iJ�.�HF.AUTIIOR17Fi)RV 1 HIS VCRh9T IdUST BE 51ARTED WITHIN 1l30 DAYS OF D�TE PER�dIT IS ISSIIED AN�iNFREl+FTFR IS TO BE DILIGENTI��",J��� f :�� <br /> .�� .•'•�'I f L['i4 1H151'I fiHl' ItAV BF CANCI_LLCfI(�V iHE Q71'UI'ON A^JV ci01'PA" � ,r l�C��r:OtJ T�U�V'i�OJGi'" �',I �°"`DM1�'��IIRAI"'O <br />