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� <br />iJ <br />OVlNER NAME <br />ANDADDRE55: <br />PHONE. <br />TAX PARCEL I.D a <br />OESCRIP710N OF <br />PROPOSED WORK�. <br />PUBLIC WORK� <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cetlar Slreet <br />Everott, WA 98201 <br />(425) 257-8810 <br />PC land In��estm_•r.ts, <br />7'14 7Pth F1:,•�e N.E. <br />!dary��:it�� W:a <br />A_533G6i5�J <br />hPPUCANTNAME <br />Ir,: ANDADDRESS: <br />9�[7n <br />PHONE: <br />PRQIECTADDRESS: <br />��LI�ZLfPI� J�':.I�C, �:i�:k�� �."nn��_ri�,n. <br />Date <br />Pubhc Works Permit # <br />Builtling Permit p <br />Planning Relerenco N <br />Puhlic Works Fec 5 <br />Guarameo 5 <br />^c�ntitcii._•r:nn �_:,�,_ _��r� <br />F.:i.�:[�:t L.'r, <br />Srn;,�>mish �;c <br />4�5^.�7747� <br />r <br />ligi�nn� <br />P�iJiJ7n1-014 <br />:95.�in <br />��pL'p. <br />9u�9 i_r.�n <br />r, � <br />j�tr1CU�. 'j1�� ilj' �- tCBI1CI! 3i1� �:np! p.�.' I1�L! j•til�il?�r_p F�3`�C 71:�`C1[t <br />sidu »i;_-r, d3te�, c:u.b �Il�_I '�1•:Ic.67315: cap,�i� . <br />PERAAIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall he performed in accordance with this permit and current City of Everett Design and Conslruclion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER i-800-424-5555 <br />t�� ff' rt'w 7� (7n:1C:7 iiC1pC r;J:l.*C'1�?`1Cq1 t^C .;:adbl3L!: '7t:?;UL'B. <br />4. Yat a--:': n=-��._ - <br />5. Patci; rc_nch b;tR pec c1�y of Eve.rett �tanc!_=.eci. <br />7. Fi2j�d11" 3i(1c�l,ili: ji�C C1'i GV.3:r:C 7t.311�?C�'�. ' <br />�F� n�( p�l l�,� c���� ��� d�a� <br />_ l - ZG -o� <br />ACKNOWLEOGEMENT OF CONDITIONS <br />The undersignetl owner/applicanl hereby agrees to hold and <br />Save harmless Ihe City of Everet� Imm any antl all claims lor <br />damages, costs, ezpenses, or causes ol action Ihat may arise <br />because ol installation and maintenanco ol Ihe improvement or <br />olher righbo(-way� use hereto appLed lor and lutlher agrees to <br />remove same upon notice from Ihe Ciry and lo replace public <br />propeny damaged Ihereby. <br />Signaturo ol Appl¢aN <br />Dale <br />WORKAVTHORIZED BY THIS PERIAIT MUST BE STARiED WI fHIN 180 DAYS OF DATE PERIdIT IS �SSUED AND THEREFFTER IS TO BE DILIGENiIV PURSUEO <br />TO C01dPLETION. THIS PERMIT tdAY OE CANCELLED DY THE CITV UPON ANV STOPPAGE OF WGFH ON i411S PROJECT OVER aOOAYS OUi7ATION. <br />EPK'P 0�06) DATAOAR. INC <br />WL <br />r <br />'�^ <br />VI <br />� <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />