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� <br /> / I <br /> PUBLIC V1��O�KS ���� , ,-, -J,- <br /> � Public Works Permit a pW0507-i1 l•: <br /> PEi;N11 T r0507-011 <br /> Beilding Permit q <br /> PUBLIC WORKS DE?AATMENT Planning Reference k <br /> 3200 Cedar Sfreet <br /> Everett,WA93201 PublicWorksFeeS $�5,ij�� <br /> (425)257-AEl ? <br /> l� �Jf}C,°�`fI�1�� JUL 1 20 6 Guarantee5 <br /> Ol9HLR RAId ' d D Pt�A.K CF'FEI{ LLr APPLICANT tvAhiF�_;�i�: <br /> ANDADDRES�� B��y n1i� ANDAO�RESS: <br /> CI,IN?'ON r;a �����; <br /> PHONe 9152388:;�] riioNe <br /> 7AXPAFiCELI.D.a[11Glybllili,l�Isi(I(I PCGJECTAODRGS$ila ��_.'.�: Y_ y �_ I_ . <br /> DESCRIPTION OF �� J <br /> PROPOSED WORK: <br /> PERMfiCONDITIONS LC!T :%1 !'A7•1SrF.L`f <br /> 1. All calls for inspection shall be mede 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be peAormed in accordance with this permit and currenl City of Everelt Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs, belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4. ronr.a:•. ;-i:ie .,._.= ;�•: r_:*, 1. � <br /> - . __ `i:._:rj3C�j rir��. <br /> . !'onnect �,.-_,fc;1.,�':l�,wi�:;p.:,uts �.' : rh:e'.:i[:iir,i•_i_� s_�s�<.�r p:.:�•.� � <br /> i:ieci foi this 1-vt. � <br /> V, <br /> '�' �' -� : ' � <br /> � <br /> � <br /> A <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGENIENT OF CONDITIONS <br /> � {� The undersigned owner/app:icant hereby agrees b hold and <br /> d F' ��'Z�j � � � � J save harmless the City ol E�aerett irom any and all claims for <br /> n mv r Consimaion aie damayes,cosis,ezpenses,or causes of actior that may arise <br /> N ' ' because of installation and maiNenance of the improvement or <br /> P �� '7////(� other righhof�way use hereto applied for and lurther ac�rees to <br /> ``�' �� � remove same upon nohce imm the Ciry and to replace puGlic <br /> FINAL INSW TION � prope, mage ereby� <br /> Approvetl as Conslrucled Dam ��`/ :/�y�- � �/v� <br /> Signalur�ApplicaniJ/�!y V — Dat " .. <br /> VJiJRK�1ULilOFiILED 8Y iHl�PGFlLSIT�1UST P6 ST:.RI�FD 1VI1!IIPJ 1�0 DAYS OF DATE PERh!IT IS IiSUED AND THEREAFTEfi�S TO�E�ILIGEIVTLY PURSUED <br /> 1�)C C1LiPl Ll IUN 11�_;p[R:9 f I Y5'RC 1:,1NCL'LLi=D liY TNh CI IY UPO^I ..Nl'S�OPPAG[OF VJORK ON 1H15 PROJ[CT OVFR 3J DAV'S DUfiATIOF: <br />