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PUBLIC WOF3KS <br />�ERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 1 <br />(425)257-BB�j �QSTI�U J��-� <br />OV✓NER NAME'""""""" �. . , . �,,. ,. <br />ANDAODRES51�Ij] jO�ITH PL 5E <br />EL'EF:ETT i1P. <br />F�{ONE: 425:;7907Grv <br />TAXPARCCLID.a VU73CCUlUU'JUUUI.: <br />DFSCRIFTIONOF n��� �" ' 'i1�' <br />PROFOSLD WOFK'. <br />PERMIT CONDITIONS <br />APPLICANT NAA1E <br />ANDAD�RESS: <br />9y:;qb <br />rNorie: <br />PROJECTADORE! <br />Date �.�:�02%.i��.��1 �� <br />PublicWorksPormita Yr'�'.1i�1-�,iu! <br />.��'�. i!�.'� .- i-, i i i <br />Building Permit N <br />Planning Relerence a <br />Public Works Fee 5 • - - • "'�' <br />GuaraNee S <br />i 1...,.__ <br />1. All calls for inspedion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All ��ork shall be pertormed in accordance wilh ihis permit and current City of Everett Design and Construction <br />Slandards and Specifications. <br />3. Call �ocation Underground Service 48 hrs. belore you c��. TOLL FREE NUMBER 1-800-424-5555 <br />ti. ('Of:fU-.�71.: I:O��f.tp�: �jpWfi;j)pp$,=, tp ti�!a �jC.9Ztt3�g .'.}`:ti:N �7C�?Yl�Jt3�.� IpC Y�719 LpC. <br />��. �.713Cfi11 c'LO:1C�1'� i.'C�II[.CUZ tfiP3�UC�3 35 tl?CBLtl�iIiBG k�j� t:i@ Yublicr tJoc�ks 1fi3U2C[�:�C� ;tL•'f� <br />d� :711f f@I1C6� iYCdL I�dl�'8� .�bJd.i.CFi� OC EYi!51011 �J13lli:f'tE. <br />��, j:?R1UV� e'L631��R COIli.Y01 If1E'n3t7L2.". U��•J71 <'��IO[Jl�il.i�Il OF the pL'v_ei'i F�C1iJC tG flil&1 <br />;�,�,coval uf the �:eer�it. <br />i. Ali er.cav�ted mateciai ft_om fr,undarion, sidewallc and deiv�way:: shall I;e hauled t,; <br />,n npp�oved� F1CLIfilCt�c1 site. No 4�a�tiny oi mateeial is alluwd ��p i���3,s b�a�il,t,�y lo:. <br />C. Cnntact the 1duF:ilteo War_ee Di�t,e�r.r fve conne�;ting pcowisi��n'�-f�,L�4CI1�� }�}ll�in�:'.j <br />4V�.i�li!. <br />M'Z.LC1 JI.� u_'.d_L .�_•L'�._['8. -�C <br />Sl�i).�_[1 i��.� �.:;� <br />SFCH"u +,`0 <br />dF�.i� !1�.'�i! <br />�UJihF.; 84.00 <br />�u <br />� <br />N <br />W <br />O <br />Z <br />O <br />^,'U= ^S�OG '... <br />r-:; 1284,A5 <br />_ `_`.l-':E? i.2�:S <br />, CN�Sf?^ <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless the Giry ol Evmett trom any and all claims for <br />damages. cosis, ezpenses, or causes of adion ihat may arise <br />because of installation and maintenance of tha improvemenl or <br />othcr righPot-way use hereto applied tor and further agrees to <br />remove same upon notice Irom the City and to replace public <br />property damaged ihereby. <br />��l�vGt.i'� i "E', � O 1 — <br />SignaWreolApplicant �a�e <br />WORK AUTHORIZED OY THIS ^ERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERh11T IS ISSUED AND THEREAF7ER IS TO BE DILIGENTLY PURSUED <br />TO COMPi FTION. THIS PERMIT MAY BE CANCELLED �V THE CITV UPON ANV S70PPAGE OF WORK ON THIS PROJECT OVER 90 OAYS DURATION. <br />