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i <br /> i <br /> 1 I �e , <br /> �/� PUBLIC VIrORKS �I PublicWorksPermi',� ��������� � ���, <br /> - PERM IT Building Perm�t a � <br /> PUBLICWORKSDEPARTMEf1T � PlanningReference; <br /> 3200 Cedar Street <br /> Everett.WA 98201 MAY 18 2009 P�b,;�Wo,ks FQE S <br /> ��)�������-- �. Guarantee5 -- --- --- �����. <br /> I-. �____� — —__----. ANDA[]DfiESS' � I ' <br /> OVlNEFi NAh1E APPLICANT NAPdE I <br /> ANDADDF7ESS � . . � . ' �.�.� <br /> I <br /> � .�. il . . . .. . _ I <br /> PHONE_ � :�u�,���;��.. . . PHONE: <br /> iTAXPAHCELI.D.# PPOJFCTADDRESS . <br /> i _.- — �_'_—__-. _-- ___ ._--" —'_ - -� _ �—_— <br /> Ue5C171PTIONOF . .. <br /> IPROPOSED WORK: <br /> � <br /> �__ . - --_ __—--_'—_"_ - . __...__"_� � <br /> PERMIT CONDITIONS � � � - � <br /> 1. All calls for inspection shall be made 24 hours in ar':�ance. <br /> 2. All work sluil he perlormed in accordance with ihis permit and curreN City of Everetl Design and Conslruction <br /> Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig.TOLL FREE NUMBER 1•800-424-5555 <br /> � <br /> . . . . . . . � . � . . . .. . -_ .. �/� <br /> . ... . . . :. . . ... .. � . , . . ' ._.�. . . . � . , • � , ..r :Laln f.i'. . . V� <br /> F1 �r�_.rt Storin Idanu;l =� c,.�. Tlie <+r,cr.�:�.sat�- c:A::•> re;.:ich i � ` '�rNF, - W <br /> Kr �.JlI�7. �t'n °�.k3`'fIL��°f]C f +!. GI•?L°� '�2�4�1.^.. I.�, ' .��' �i-"i�m, ,_ <br /> . .:7..�3L: EC�:.i]��R �_:titK�:�i .oaa�..CCa_:: `•@L" �lt.�.' �: E'Y LEtY; S�'Jlh4aC�l'� ��('iC'�@'d.l� �3T." � . O <br /> � � i :•,Si 'i'1.9t'i-:! ib9tai:1.]_ ?T,,,q IO�JI;��ilt.7,(i� � :14zE".Jdl�: ]tt(� ejC��t�'4,fiY;i S�letla. lr• :li�l}-�� � <br /> . �nV�?��: DE'[1f�.if�vii ;5.;:-�. �j,y J3:'Yl�l�� i,L �3ta[ld} 1� 31?rv--�d 1�A t�12."i �qlZr�]..lii <br /> ., .. ., ' . '. . . .. � - . . _ ^i . . . � . .�q��� � . ` <br /> - . �:•�•SL ��3`:1ti�1. O <br /> .�.� � <br /> .._ - '-.a` � <br /> i O <br /> a <br /> - - — - ACKNOWLEDGEMENT OF CONDITIONS <br /> � ! �� 1"he uraersiqned o�medapplicant hereby agrees to hold and <br /> `— _ � , �. , save harmless the City of Everett imrn any and all claims fo� <br /> , . -- . �-- damages,costs.expenses,or causes of action that may arise <br /> I Appmved br Consimclion Uate �� because of installation and maintenance of�he improvement or <br /> I other righl-of-way use hereto applied lor and Iuriher agrees�o <br /> � �� ��__ti✓._�� remove same upon nolice irom the Ciry antl to replace public <br /> � � ' iNSPECiioN - � property damagetl thereby. <br /> ,, Appm�:ed as Consin¢letl Dale . <br /> � ,_ �� _09 , <br /> � ___ SignaWre oi Applicanl Dale <br /> VJGiI✓nU7HOF¢ED 6Y 7HIS PERM1IIT MUST OE STAHTED WI7HIN 180 DAVS OP UATE PERMIT IS ISSUED AND THEREAPTER IS TO BE DILIGENTLV PURSUED <br /> TO COI.;PL[TION.THIS PERPdIT MAY�E CANCELLEU BY THE CIN UPON A'JY STOPPAGE OF WORK ON THIS PROJECT OVER 90 UAVS DURATION. <br /> EPVJI'1���.� OATABAR.INC. <br />