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<br /> PERMIT ;��,
<br /> Building Permi�p
<br /> PUBLIC WORKS DEPARTMEN�fji,_:_; Planning Reference/+
<br /> 3200 Cedar Slmet
<br /> Everett,WA 98'207. Public Works Fee S
<br /> (425)257-8810 � - . .
<br /> � � � Guarantee S
<br /> OWNER NAME � � � APPLICANTNAME"�
<br /> ANUADDRESS: � -. . ..-,�.-,-: .. �. ANDAD�FiFSS: �. ._.. . _..
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<br /> TAXPARCELI.D.# Fr^U�CTADDRESS:
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<br /> DESCRIPTfONOF ,. _ ' � �- � � �
<br /> PROPOSED WORK: �
<br /> PERMIT CONDITIONS
<br /> 1. All calls for inspection shall be made : hours in advance.
<br /> 2. All work shall be performed in acco� :� -ce with lhis permit and current Cily of Evere[t Design and Consiruction
<br /> Standards and Speci!ications.
<br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555 W
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<br /> t.,�.g7rih r.OTif.ifi] t1f:�9C;Lll'wC: ��ut i�li�J r�f $1BL'Et� :itF7I±�<lC'?�5: fp: small
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<br /> I ACKNOWLEDGEMENT OF CONDITIONS
<br /> ' / T�� \ The undersigned ownedapplicant hereby agrees to hold and
<br /> � � y �� � � • � • ��L' save harmless Ihe City of Everett irom any and all claims tor
<br /> �� ��� �� �� damages,costs,expenses,or^.auses ol action that may arise
<br /> A vetl lor ConSlmclion Dato '�
<br /> ( 6ewuse ol installation and maintenanco of Ihe impmvement or
<br /> other ri ghl-of-wa y use horeto a p plied tor ard lurther a grees to
<br /> _ • C�G � remove same upon nolico Imm Ihe City and to replace public
<br /> FlNAL INSPECTION ��J, prop0rty damaged�hereby.
<br /> Appmved es Conslructed Dato
<br /> �,w ` �,�u �l�- �.� �.� N/z�f �-
<br /> �\\�P(�� Signal re ol licant Date
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<br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DATE PERM1IIT IS ISSUEO AND THEREAFfER IS 70 BE DILIGENTLV PURSUED
<br /> TO COLIPLGTION TI IIS F[RG'.17 G7AV L7F.CANCFLLED 6Y THE QTY UPON ANV STO^PAG[OF NJORK ON THIS PROJECT OVER PO DAYS DURATION.
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