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P��«� ■�/���� Date 1U/11/3UOi <br /> NERMIT PuhliclVnrksPermitk �4i0_!.v—ijt_� <br /> 9uilding Permit M <br /> PUBLIC WORKS DE?ART�.9ENT Fianning Reference tt <br /> 3200 Cedar Street <br /> Everett,WA 99201 Public VJorks Fec S N i S+ . :�v <br /> (425)25'-88�0 <br /> ` Gua�antao c <br /> 1C, 1 �I 1 ��I �� �, i-L(i � Z�:P� ��� ..� <br /> v <br /> O:NNER NA�aE ��i'„' <br /> ..t..a'•.,C 7�:T� APPLICFNT NnIdE <br /> ANDADDRESS: . _ . _ . . ANDADDHESS: <br /> __ ��- �E�_vlili A':%c �'-'�-_ u <br /> ._�A;�Lr 4ir'� = _ �i <br /> PHUNE- i -�Ilr '17 :.�' a:�;�'1 IFHONE. <br /> TA%PARCELI.O.0 FHCJECiA�DRE55: - - - <br /> Ni•!C; i'1:F:::i L�. ._. . Pi<F:.'i. <br /> DESCFIPTION OF F� (" ", ' ;� � � -� ���� �1 <br /> SIS._ LnaxII�7C; A1�L_ �';PA=;iri�, <br /> PROPOSED WORK: <br /> PERMIT COUDITI'�NS <br /> t. All calls lor inspection shall be mad�24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and currem City o( Everett Design dnd Construction <br /> Standards ar.d Specilications. <br /> 3. Call Location Undergroun� Service 48 hrs. be(or� you dig i�LL FREE NUMBER �-800-424•5555 <br /> a . F�Eh 4PFF:J'c5� G���Ci GA:�.� _� - -Oi `W <br /> r <br /> V+ <br /> _ _ ' -_ W <br /> , :_;. _ : . -FJ!J Q <br /> � , �_ � „ - aP Z <br /> � - _:. -:� <br /> . .�_ F— <br /> � <br /> O <br /> a <br /> ---��— <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> . � <br /> � �, The undersigned ownedapplicant hereby agrees ro hold and <br /> �.e � " —6�� save harmless the CiN of Everett tmm any and all claims for <br /> approv.d r Cons�mauon Daie damages,costs,erpenses,or causes ol action that may arise <br /> recause of install:lion and maintenance of the improvement or <br /> other righbobway use herelo applietl lor and furlL=r agrees to <br /> _ remove same upon notice trom the City and ro replace public <br /> PINALINSPECTN..� propertydamagedthereby. <br /> fnp�ovetl�s Con„�,���d Date <br /> .�li�k,cc; �t�w►-- 3o v <br /> Signawre ol Appti:am Date <br /> WORK AUTHORIZfD 9Y THIS PFRMIT MUST BE 3TAR7EU 1'JITHIN iB0 OAVS OF DATE PERIAIT IS ISSUED AND THEREAFTEA IS TO BE DILIGENTLY PURSUED <br /> TO COMPL[TiGN.THIS PFFfd1T IdAY BE CANCELLED BY THE CITY 11PON ANY SiOPPAGE OF V/ORK ON THIS PROJECT OVER?0 DAYS DURATION. <br />