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PUBLIC WORKS Date �_ r;'`; '-; / <br /> P����� PublicWorksPermita r��„1:_,�;�g <br /> Bu�lding Permi�q <br /> PUBLIC WORKS DEPARTMENT Planning Reference a <br /> 3200 Cedar Slreet <br /> Everett.WA 98201 Public Works Fee S ;�; <br /> (425)257�8810 "- .`���i) <br /> Guarantee S <br /> OWNEliNAME Fe:���7:_�C FLdICe APPLICANTNAME <br /> AND ADDRESS: AND ADDi7ESS: <br /> 5�1!)5 .:_ICd :iV� 6i <br /> E`.'EFs.TT GL? �"n1L"' <br /> aHONe: ��52�7p?7p PHONE_ <br /> TA%PARCELI.D. p PROJECTADDRESS: <br /> J��'.i:n i'�L�� �V� 47 <br /> D[SCRIPTION OF - <br /> PROroscnwonK� In:�r.�ll [�Lnl� �_ULIi [.�CY:B'd3�: <br /> � <br /> PERMIT CONDITIONS <br /> 1. All calls ror inspection shall be made 24 hours in advance - phone l425) 257-8810 <br /> 2. All work shall be perlormed in accordance with this permil and currenl City of Evere�l Design and Construction <br /> Standard,and Specifications. <br /> 3. Call Loc.,tion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> �i. ;epla.:•_� •=:ctistin; ioll•_�.:I c:�.;_�b cln•:ewsy with zi d::op cur�b J�i•,_•way ap�c:n ti�: p�>i -_y'_� � <br /> ,tan�iae,i a;i�; or N 'iiS . ' - <br /> � <br /> S: Cu ll 33�� -�`tr��3 -F� ��'�e, — Gon c o� ��c�-tc-� �A <br /> �)r �b l � S���i.,�' `�r+ n� (.tl c^r �(_. � <br /> 7 <br /> ]2-0";-03 .4;34F� Z <br /> fi ?l.^OOfl O <br /> C�RIVF ^�,OD <br /> �i'I:1�AL ^S.Ofi <br /> ,_,.�_p Fl�.'. :�1 <br /> A 0>f:ii`i(1 � <br /> ' �/ �-r L� tA��� G�CiLC O <br /> � � ,�, a, <br /> C ��5p `�P�� � 9 <br /> � i��`Y` <br /> n�' P'` /�' ,k-� <br /> '! ;F �fnl / ' <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 1 <br /> /,, �/ n` The undersigned ownedapplicant hereby agrees to hold and <br /> � /1����'K,�f�Q-. I L_J �� save harmless the Ciry ot Evcrett from any and all claims tor <br /> ApProveJ lor Conslmction Date d�mages,costs,ezpenses,or causes of action that may arise <br /> because of installation and mainlenance ot the improvemeni nr <br /> other right�ot-way use hcreto applied lor and lunher agrees to <br /> remove same upon noticr. Irom the Cily and lo replace public <br /> FINAL INSPE(:TION pro damaged � r by. <br /> ApProved as Cunsvuctetl Da1n � �O� <br /> Si �aWrehApplicanl Date <br /> WORK AUTIIORIZED BY THIS PEFMIT MUS7�BE STARTEO WITHIN 100 DAVS OF DATE PERMIT IS ISSU[D AND THEREAFTER I^TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.TMS P[RMIT MAY BE CAVCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAl'S DURATION. <br />