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� <br />�j <br />) <br />PUB��c woRKs <br />�ERMIT <br />PU�LIC WORKS DEPARTfdENT <br />3200 Cedar Strcel <br />Evcrett, WA 90201 <br />(425) 257�P010 <br />owrieR Nnr,+[ ELLI S D! �N1\LP S LOFRIE <br />FNG AfJDR[SS. <br />i0201 215T hVE id <br />EVEkETT WP. 9c�1'1:1 <br />�'HONE q253557�3� <br />TnxPaacE�i.o n U0538200�Jfiii7iiii <br />oEscr�iarioNor- P.Es'Ti�FE : 15T 7,t�'E G <br />PROPOSG� WORK_ <br />PERMIT CONJITIONS <br />I,PPLICANT PL1kE <br />�INDADDRESs. <br />rnoNr:. <br />PFiOJ[C7 <br />Date OB/06/2003 � <br />Fublic Works Permit u py0309-004 <br />pwlding Permit d '=�3G3-008 <br />Planning Reference, p <br />Public Works Fee S ,�,?5.00 <br />Guar�Nec S <br />7. All calls for inspection shall be made 24 hours �n ad��ance - phone (425) 257-8810 <br />2. All work shall be pertormed in accordance with Ihis permit and curreM City ol [vereti Design and Construction <br />Slandards and Specilications. <br />3. Call Localion�Underground Service 48 h�s. before you dig. TOLL FflEE NUMBER 1-800-424-5555 <br />�1. P:�=st�_�ee �l�t Are W�:t.=i� �=.ti•-c hc:_,}:-uF� [o D!;i}:11te_� :._..�ai. <br />ACKNOWLEUGEMENT OF CONDITIONS <br />W <br />H <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />F- <br />� <br />� <br />a <br />The unUersic�ne6 ownerlapplicant hereby agrees to hold and <br />savc hormless the Ciry ol Everelt irom any and ail claims for <br />tlama9es, msts, expenses, or cnuses of action that may arise <br />because ol installa�ion and maintenance of ih^ improvemant or <br />othcr righDc6way usn hercto applied for and lurthcr agrees ro <br />remuve saine upon notice Irom the Ciry and lo repl,�ce public <br />property dam ed ihrreb . <br />�,,=-,�C�.C���� _ ���, �� 3 <br />Signature of Applmanl Date <br />WORK AUTHORI7FD BV THIS PEFlMIT MUST E3E STARTED WITHIN 1�0 DnYS OF DATE PERMIT IS ISSU[D AND TH[REAFTEP IS 70 B[ DILIGENTLV PUHSUED <br />TO COFdPLE710N. THIS PERMIT MAY �E CANCELIED DY TH[ CITV UPON ANV STOPPAGE OF WORK ON 7HI5 PFOJECT OVER 90 DAYS �URA7ICN <br />