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.�� <br /> . • � <br /> P��i��� ����OV Date _ . . _. ._. . <br /> Public Works Pmmit n <br /> ��■ ��'� Building P2rmit rl <br /> PUBLIC WORKS DEPARTMEN�i Pianning Reference n <br /> 3200 Cedar Sireet <br /> Everett,WA 98201 Pu�rc Works Fee S , ,�.�� . . � <br /> (425)257-8810 <br /> ��. G�arantee 5 <br /> OWNER NAME ."�PPLICANT NAME <br /> ANDADDPrSS: ��-�Vlt.i Y<sCO:n, ANDAD�RESS: r.�9C1 i�lB.::I_ iUR!i <br /> ba... 47L�7 ��ii �_ . ._C. 1'IJ F'.rl:. ���.�:GJ <br /> E�rLFET^ [iA �� =:..i�i ; GELL?Vi7E Wa �i_ � � � <br /> PHONE'. .,� �� - �,,, - PHONE: <br /> �i"s5.._ ��.�.,u 80U5145�8�.1i1 <br /> 7AA PARCELI.D.a PROJECTAUDRESS: <br /> �i,'.3 47t�1t =,L-r�>c.t -liti <br /> DESCNIPTION OF <br /> PROPOSED WORK: /, !.j�:.-� ' . . .. _ i 1: .:�_ _���f .,.. , I.i�l ]��il ]:] 11i{ ]Jcl�� <br /> ?4] <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 I�iours in advance - phcc� (425) 257-8010 <br /> 2. All work shall be per�ormed in accordance witn ihis permit and current City of Cverelt Design and Conslruction <br /> Standards and Specifications. <br /> 3. Gall Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•B00•424-5555 <br /> , � :_,u, i _ '_ �� �1:�nF it, .i ���n�.� �i�. _ �c t .� �� � ��i i�.i� � � <br /> ' _ � j_-iti�: . oli ji_ aial. L�i; _ at, i :.Iu�� .�ii :i ti1: 1�2 , t '. - , ._ . <br /> ' � 1' J - -ui�! t ii : � in �li � <br /> iilled infiltrarion trench along the west ed�7a oL t ;,�� , , _ ,f,.-, _ . ,_ __,, . � <br /> �� � ' - .� . � , > > i: �, .. ' _ .. � <br /> 0 <br /> � <br /> £L'cLNO tl � <br /> 00'OZ D13H� o <br /> 00'OZ 1tl101 <br /> 00/'�O['�Z H3Hlfi1 �/� <br /> 8'Ili�1l(/�L�L� /� [��t �/ � <br /> f1JTj�uj G�-Ol'i L� � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> l� rf � The undersigned ownedapplicaN hereby a�rees to hold and <br /> �{ �/ save harmless the City ol Evermt Irom any and all claims lor <br /> ppr cd IobCons�mcb n - Dato damages,cosls,eMpenses,or causes o�action Ihal may arise <br /> �/ , �� because ol inslallation and maintenance of the improvement or <br /> .���� ` other right-o4way use hereto applied for antl lurther agmes fo <br /> -� remove same upon notice from the i.ity and to re lace p lic <br /> FI�!AL INSPECTION (��i/�Z pro e damaged the b . <br /> Approvetl as Constmctetl Date � Uj 6 3 �� C.c� <br /> ���-�1�_ � <br /> Sig aWreolAppi�cant Dale <br /> WGRK AUTHORIZED BY THIS PERMIT MUST BE S7ARTED WI7�iiN tB0 DAYS OF DATE PEfiS1IT IS ISSU[D AND THEP.EAFfER IS TO BE DILIGENilY PURSUED <br /> TO COh1PLFTION.7HIS PERMIT MAV 8E CANCELLED�Y TH[CITY UPON ANY STOPf:1GE OF 1V7PK ON TH15 PROJECT OVER 90 DAYS OURATION. <br />