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PD�BLic woRKs <br />PERMiIT <br />� <br />PU9LIG WORKS DEPARTMENT <br />3200 Cetlar Street <br />GverelL WA 98201 <br />�azs�zs���o �r;;Sey��,j� JUL 3 0 2006 <br />(�bVNIER NAtAC APPLICANT NAI.tE <br />n`IDADDRESSaLUE F.IDGE CUNS7P.UCTI�:�}! S?7�� �1NDADDRESS: <br />PO BOk 3�[ <br />DWALL 'uLA 'r�8:;1y <br />F��iow�:� "tOb8197913 �"o"�� <br />inx rn�c[i. t.o. n <br />o�,r,r�n�uo�u ar <br />rr,oi>osrowor�k�ti5',: HG!L;L - EAiTC 1cE <br />P[RMIT CONDITIONS <br />noo�r-ss <br />�.��� <br />Pubiic Works Permit R <br />Bw''ing Permit k <br />Planning Relerence u <br />Public Woiks Fee 5 <br />Guarantee f <br />:���.��,; <br />LG^t �� irF 6iEii:.::.:;. ,.��T <br />t. A!I calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Loca�ion Underpround Service 4f3 hrs. before you dig. TOLL FREE NUMBER 1-800-�424-5555 <br />-�. �'onnect �i�9 � ..e. �_ c=_ _, . ..�,ndac�i �'s r.;i� - -, - <br />5. :_onnact ��-_t } ...� }.,_., �;-• :i,ir�,.r> r-.r,� .,_.:ie:i i._�: th�:: iot. <br />r . ?I1Si3 ' '�L� v <br />' S1 �❑ _ ilt .. .�.._LE. .i3 �j��r .CI?i!1 ... � � iiC �%i�1'iCS 1115�:� . � ;yCll <br />i <br />. . . , . , . .. _ . . .. , _ . _ .. : � . .. . � _ J 1 C � . � I _ : : , . <br />i <br />i• L�� I r. ,�� � i L/ <br />pro or Canslmclion Date <br />._.-- �' i,C___ � �. <br />INAL INS ION / <br />Appmved as -0rslru9ied Daie <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby aprees to hold and <br />save harmless the City of Everett Irom any and all claims for <br />damages. costs, ezpenses. or causes of action Ihat may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remrn� sa e upon notice from ihe Ciry and to replace public <br />properry amaged�hereby./�� <br />. / / <br />..._- / [ �/,L✓ _ o�_�;S"-c, r-_ <br />Signatcre ol Applicant Date <br />�IOHK AUiHORIZSU RY 7HIS PERLUT IdUST �[ STARTED WIiIIIN 180 DAVS GF- DFl71; PERId�T IS ISSUED AND 7HEREAF7ER IS TO BE DILIGENTLY PURSUED <br />i0 C01.11'LFl i0u THIS P[F,n11T R1AV BF CANCELLED BV 7HE CItV UPON nNV STOP�aGE OF WORK ON 7HI5 PROJECT OVER 90 DAYS OURATION. <br />� <br />� <br />� <br />V! <br />O <br />� <br />Z <br />O <br />H <br />� <br />A <br />� <br />