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P!)�LIC 11VARK5 <br />PUBLIC WOHKS DEPAR�fIv1ENT <br />3200 Cedar Street <br />Everett. 9 01 <br />��25� . .�`� IN� _�u� i o 2oos <br />OWNERNAME�untx L,n1��.riYri1�t.J L <br />AMUAGDRESS17�_qL �3STH AVF :iF. <br />BOTHELL wF. <br />�norae 9257�3!716 <br />TA% PARC[L ID. a <br />DoiSCRIPTIOP; OF <br />PROPOSFD VJCRK�. <br />PERMIT CONDITIO�:S <br />9601� <br />PHONE' <br />Date 11!09/20175 <br />Public Works Permit # ���''S � 1-010 <br />Cubll-00? <br />Bwlding Pennit H <br />Planninc� Reference # <br />Public Works Fee 5 � <� • !' �� <br />Guaran�ee 5 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425; 257-8810 <br />2. All work shall be performed in accordance with ihis permit and currem ;;ity of Everetl Design and Construction <br />Standards and Specifir,ations. <br />3. Call Localion Underground Service 48 hrs. be(ore you dig. TOLI_ FREf: NUMBER 1•B00•424-5�55 <br />.otiuecr ..ide sr-sn�� pee ci`}� ::amiaed; dc_,r,;p::,�i�;•J. <br />�. ronnect c�:�ofc•ap ilownspouts tc� th� dcainag? s_r;t_-a: pso•.�id_ci �vi thi:: 1•_��. <br />r�. instali �e�,�ion .:ontcol maesuee, aa dete�miued by the Y��i>lic Woekn Lispe: --- .,.,c.i <br />as silt fcnce, �traw t�ales, 3W3S�s c�L Fiosi�_�n blan}:et::. <br />7. ^'h,z ,:c:�ccac':�,t ,ru�r me�r �.,�ith +.h,= _ui;lic F'_�cFs 7n._��=:rn� to di.ru�; porenria' <br />dcaan:��_�:. L.��.itiu_� j�:ioi. t�.. �- �_i�:n_:;;a pi.:,jt..-t. .. <br />r. <br />�ti = -�=- �� z <br />ConslmcUon ate <br />C / <br />: T�� �/�? ! f <br />Cocsimaed Date <br />a; <br />ACKNOWLEDGEMENT OF CONDITIUNS <br />/ <br />W` <br />r <br />� <br />W <br />0 <br />� <br />Z <br />O <br />� <br />N <br />Q <br />� <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Eve�eu from any and atl claims for <br />damages, costs, ezpenses, or causes of action that may arise <br />because of installation and maintenance of tne improvement cr <br />otner right-of�way use hereto applied for and further agrees to <br />remove same upon notice Irom ihe City and to replace public <br />pre erty damaged thcreby. <br />.��� <br />� _ a- S CLS <br />Signalure o� `pbcdn� 0110 � � <br />6^JOFk P,U7FiORIi:LD BY iH15 P[RA1IT M11UST BE STARTED VJITHIN t�o DAVS OF DATE PERMIT IS ISSUED AND THEREAF7ER IS TO BE DILIGENTLY PURSUED <br />iO CJtJPLE110W. TNIS rLRM11li t.1AY Ei6 CANCELLEO EiY THE CITY UPON ANY S"fOP?AGE OF WORK ON �i HIS PROJrC7 OVER 90 DAVS DURATION. <br />