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� <br />� <br />�f � <br />�:� <br />PUBLIC WORKS <br />PERMIT <br />PUDLIC WORKS OE-PARTt,1ENT <br />3200 Cedar Slreet <br />Everett, VJA98201 <br />(425) 257-8810 <br />OWNEF NAIAE <br />ANDADD(7ESS: P(' Z3nd In���s[ments, <br />7?14 7Fth P1;•-� N.E. <br />i.�� ���� ,; i � i � ��,3 <br />PHONE'. :1 � �i�','� U (•7 S � <br />TAX PARC[L I.D a <br />Ir,•:; . <br />9g�7p <br />Date <br />Public Works Permit a <br />�wlding Permd d <br />Plannm� Relerence # <br />Public V�lorks Fee S <br />Guarantce S <br />NAtdE <br />1!9120ni <br />pc107p 1-0, n <br />� 95 .:' i'. <br />ANOAD�PESS: ('._rl!3ili7Ci14D r•1OC?Flf:: ��OL'F�. <br />F.ci.bo:c C.c^• <br />�{�,,,(•p^_:;(l �d� r�:G91_nq <br />Sg <br />PHONE: !{C.�J��Gi7<��� <br />PROJEC7ADDPLSS: <br />lii�-�-.%, t'.t5::1 -='Ch _ <br />DESCRIPTIONOF 1 ��a_ ;;F•u'u _�,� �•� <br />PROPOSEDWCFK� �lUkl"'� L'. .7,_.Y'C '�ttI1�CLlp;7. <br />$d'.qCLLt� :�i�3 11�: :a hroR�7�1 3I1� IlnO� �1O Il�'.� IQIlI_iZt.zn sr3tcC �litClft <br />side �?:a=c, ti�:t_c, _'u[b e!id sidetiaL'. [epsit. <br />PERMIT CONDITIOtvS <br />1. All calis for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City o( Everett Design and Con<_truction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />i. Y��t *_c�aff:�.: norir.� �� i:OUI'S !7L'lOC �7:7::::`C�lrtlp❑ YpC :7i���S/?_1}: •'�:'::UCB. <br />`. Patci tx=nch Lack p_e ci.y u: Ev=r�t.t stand=.ccl. <br />�i. Fe�?air �1�I��dBIS: qr?[ r1Li c.v?c:.tt r:tand,qrd. � <br />��lLcs� P �1 �J� C�f �� L L J� Ct bLtR./ti. <br />� l-ZG-o� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees lo hold and <br />save harmless Ihe City ot Everelt Irom any antl all claims for <br />damages, wsls, e.penses, or causes of action that may arise <br />because ol installation and mainlenanco of the improvemenl or <br />other right�of�way use hereto applied lor and lutlher agrees lo <br />remove same upon notice Imm Ihe Cily and to reptace public <br />property damaged Ihereby. <br />SiqnaWreolApplicaM Dale <br />WO(?K AUTHORIZLD BY TIIIS PEFiMiT 1•fUST BE STARTEO WITHItJ 190 DAYS OF OATE PERMIT IS ISSUEDAND THEREAFTER IS TO BE DILIGLN7LY PURSUEO <br />TO COh7PlETIOM1. iHIS PERMIT WAY �E CANCELLED BV 7HE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS OURATION. <br />EPWP (]i061 DATF9AR. RJC <br />W <br />F <br />��^ <br />V/ <br />W <br />O <br />� <br />� <br />O <br />'�^ <br />VI <br />O <br />a <br />