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� P4JBL1� WORKS ���� ,���,�°°� = _ <br /> PublicWorksPermitx Y��'���7-���L <br /> P���' ■ Builtling Permit q <br /> PU�LIC WORKS DEPARTMENT Planning Relerence r. <br /> 320U Cedar Street <br /> Evemfl,WA 98201 O Public Works Fr.c S Ss5 .qu <br /> � � (425)257•8�4 �f������1 JUN 1 J 2� � Guaran�ee5 <br /> 1�/ N �7 <br /> PAAL rnr� ��� . <br /> i?:':I:'ci� NAME PU $��, Q�O APPLICANi NAME <br /> F':0 ADDRESS: ApJD ADDRESS'. <br /> CLIHTON wn raa:�s6 <br /> 36039146U4 <br /> PNONE�. FHONE. <br /> TA%PARCELID.b PROJECTADORG55: y�� bTfl ST �E NLOT �B <br /> DESf,RIPTION pF <br /> �r�orasr�wor�r <br /> .. :".LS _ .!1 J1 :;l` <br /> P[rIMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance- phon2 (425) 257-G6�0 <br /> 2. All work shall be pertormed in accordance with Ihis permit and current City ot Fverett De;ign and Construction <br /> S�andards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-5555 <br /> d. Cunnect side �evee pac City Standard N601. � <br /> 5. ronn•_,-t COVfT.nfi r�pypoF�riUC:: LO (�I� CI133I73pF ;;vStrID FrCi�V1(IN,;� iC�L i}]13 1!�L . � <br /> ��/'� <br /> V� <br /> W <br /> 0 <br /> � <br /> � <br /> O <br /> ���y <br /> _ V� <br /> � <br /> � <br /> ACKNOWLEDGEMENT O� GO;�DITIOWS <br /> p The undcrsigned owner:applicaN hereby agrces to hold ond <br /> � ;1 U C��-_ save harmless the City ol Everetl from any and all claims lor <br /> n mvetl lor Con tmciion Dat damages,costs,r:zpenses,or caUses of action that may arise <br /> �� � � because ol installation ard maintenance ot the improvement or <br /> " �. z�� ( _�- �:- other right-of�way use hereto applied for and furLher agreos to <br /> � `�+" � �'�-� ,�C` ,�" �' � ` �- remove same upon nolice from Ihe Ciry and to replace public <br /> FINAL INSPECTION prope amaged t reby. <br /> ApProvedasConstmctetl �a�e j C` � --- <br /> 0 <br /> Signalure ol pplicanl Date <br /> 170WK AUTHORIZED BY'THIS PER�dIT MUST BE START[D WI7HIN 780 DAYS OF DATE PERM!T IS ISSJED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> i0 G061PLETION.THIS PERMIT MAV BE CANCELLED BY THE CiT'1'UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />