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j- <br /> i <br /> PUBLIC WORKS Date ; <br /> Public Works Permit p - ! <br /> PERMIT Building PermitN <br /> PUBLIC WORKS DEPARTMENT Pianning Relerence k <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee S � <br /> (425)257-8810 <br /> Guaranlee S <br /> OWNEFINAME APPLICANTNAME . , _ . ... <br /> ANDhODRESS � , �, - � ANOADDRESS: � . . - <br /> PHONE: PHONE . .. . . � <br /> 7A%PARCEII.D.tt PR0.IECTADDRESS: � .- � �--� �- � - <br /> DESCRIFTION OF <br /> PFOPOSED WORK: - � � <br /> .. _ _. . . ... . <br /> PERMIT CONDITIONS <br /> t. All calls lor insoection shall be made 24 hours in advance. <br /> 2. All work shall ba performed in accordance wilh this permit and current City of Everett Design and Construction <br /> Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555 <br /> � <br /> � <br /> N <br /> m <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> - — � ---- ACKNOWLEDGEMENT OF CONDITIONS <br /> � / � , The undersign=d ownerlapplicaN hereby agrees to hold and <br /> t � save harmle,s�he Cit of Everett irom an and all claims br <br /> `-��_� ` ,�--.J '�'� Y Y <br /> damages,costs,expenses,ur causes of action that may arise <br /> ApprWe or Consimction Da10 bF,Cause ot in5�allali0n and main�enanCe ot Ihe improvemen�or <br /> �/ other right-of-way use herelo applied lor and fuAher agrees to <br /> � ����� �- �7� "�� remove same upon notice from the City and to replace public <br /> -`---- <br /> FINAL INSPEC I N pro erty damagod lhereby. <br /> Approved as C nslmcted Date <br /> � . ����. . _ 3"��U� <br /> �_______________ __ Si n\at reo A plicant Date <br /> V <br /> VJORK AUTHORIZED BY THIS PEfiMIT MUST DE STA(iTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PUHSUED <br /> TO COFAPLETION.THIS PERM1!i7 MnV B[CANCELLED OY THE GTY UPON ANV S70PPAGE OF WORK ON THIS PROJECT OVER 50 DAYS OUflATION. <br /> t i'vlr�i;.ore DATABAR.INC. <br />