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PUBLIC WVORKS <br />� <br />� <br />OWNER �F;j.t,NL Hia' <br />ANDADDF3ESS:..�, �qy <br />Y <br />L?.KE ;:'F..�17S <br />PHONE: 9GG: 5 J771; i <br />PERMIT <br />PU6LIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 38201 <br />(425) 257-E'�810 <br />10 POSTI� <br />J I )1'� <br />TAX PARCEL I.D{N�i r7 �J U i j: U � n�1(�, <br />wA �b�5e <br />U[SCRIPTION�4) E��?rjE - ADA r: �:kSI� i'.9 <br />PROPOSED WOFiK�. <br />PERMIT CONDITIONS <br />MAP, 0 7 2001 <br />ADDRESS <br />PHONE: <br />Date ... ;. �_0���.�', <br />Public Works PermiF� �%'='-=-- ""- � <br />BuildingPermilp ''-�C'�--��i'- <br />Planning Reference # <br />Public Work; Fee 5 ;__,: u; <br />Guaramee 5 <br />A�DfjESs: y - <br />�_. .:�3 P:: ':!•' �;:�.•T 1 <br />..- i _ GL^.'ii:..�•.� ' '�" <br />i. All calls for inspection shall be made 24 `�ours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordanca with this permit and currenl City ot Everett Design and Construction <br />Standards ard Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />§. rnnn��.t ..i,'.� �i�4/a[ jE•_ �'1Cr ..:.3i::3Ci] S�: nlj'!� niiy� ni!i. <br />�,. rc.r.nar_c LOVif���� IiJW:I:p.>UL:: �O t}ic CIL3i11d<i2 - SLBID �,LC✓J1i72:� _Jt iP1F: l��i. <br />��. 1(13id�.1. .FCPSlnll t�plltC��1 MEdSUt�u di C1FCrCIR1!19�'� (1}' iilE ��i��:i0 �.:IK:i l.il9l'•i_�`tiit:� S;]Cj`. <br />as si't frr,^c�, ST[3W I.��:�i�;,; ..,;le ,<�c �co��_�n t�lanF:�t::. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />Y/ <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless Ihe City of Everett Irom any and all claims for <br />damages, costs, erpenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other righ4of-way use hereto applied for and further agrees to <br />remove same upon notice from ihe City and lo replace puolic <br />pro ed the b'y.` - <br />� ��Q/61.r <br />SignaWre ol Appliwnl Daie <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PEfiMIT IS ISSUED AND THEREAFTEfl IS TO BE OILIGENTLV PURSUED <br />TO COMPLE710N. THIS PERMIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON �� hIIS PflOJECT OVER 90 DAYS DURATION. <br />