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'n. <br />,. <br />�- <br />-�J <br />PUB�IC 11VORKS <br />PEFZilA1T <br />PUOLIC WORKS UEi ARTMENT <br />3200 Cedar S!reel <br />Everelt, WA98201 <br />(425) 257-8810 <br />PHONE: _ '. .. . . ' . . <br />7AX PARCEL I.D.# . . . . . . <br />DESCRIP710N OF � <br />PROPOSED WORK: � <br />PERMIT CONDITIONS <br />I. <br />" . <br />�. _ ' <br />. i 4i'.r: _ . <br />, C;7� �.F�' <br />APPLICANT NA1dE <br />ANDADDRE55: <br />PHONE: . <br />PROJECTADDRESS: <br />Dale <br />Pu61ic Works Pcrmit tl <br />3uilding Permit N <br />Planning Reterence 11 <br />Public Works Fee 5 <br />Guaranloo S <br />1. All calls (or inspeclion shall be made 24 hour� in advance. <br />2. All work shall be performed in accordance with this permil and current Ciry of Everelt Design and Construction <br />Standards and Sptci(ications. <br />3. Call Localion Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />, .,_ .._:�. ..i::, �c .... _._.. <br />v17. c,rnsir,n �ont.r.c�i m�aeuees.r�r. � <br />... r C•RV.9i-prj !1131nC181 f:'Ott �r�4'ltjdf-t':;;: . � �... <br />':'r'=�� F-�, j?ELh.ltt�.d 9Lt'�. ?f. a13S�lf!,: ��f t13CdL1�._7 <br />�O f�1Lt� f11U.1 1?,.7n3 Jf �]ek�Ylu tC�: tia trdCke 1 CH:C•: <br />�I�'� �)1111�71I1�� 1GdLFrCldli Yir �}«> yt�fkNrj pfl 51�E-Wd�, <br />uTNo Cni: ���;i�r;trian rraval. <br />. h�j;U�.: _ u3tBC I7�YaC �?O}; 'j•' 3�i4Vr :,id�•.�a1F: qr�.. ... <br />. FiB�Or�.lr:• 9pL� L?K��3C2 CIl1C`� 'lUtt�'C 3RC� 9-�'�c'Hdl�: . <br />�;�;p �: �p�: �.-�e rhi�. �,t,;r,�-�s.a1'e froni�.3nF �s rii�.,.,� <br />r� °�����N�P <br />Approved as <br />� �� � � � �� <br />_%�Zc 06 <br />/Jale <br />� <br />3 ���-o�' <br />ome <br />..1 �. i � .. - <br />... _lli_., .' _. <br />.� , L f.�r fl ��. . � <br />.�t_:: f-.. _t �'_ - _ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett �mm any and all claims for <br />damages, cosls, expenses, or causes ol action thal may arise <br />because of ins�allation and mainlenance of the improvement or <br />other right-of-way use hereto applied for and fuAher agiees to <br />remove e upon notice Irom the Ciry and to replace public <br />prope � amage Ihereby. <br />/0-3-07 <br />Signawre o Appticant Dale <br />WL <br />1'� <br />V/ <br />� <br />O <br />� <br />Z <br />O <br />� <br />O <br />a <br />VJORK AUTHORIZED BY THIS PERMIT A1UST BE STARTED WITHIN 180 DAYS OF DATE PER�d1T 16 15SUED ANO THEREAFfER IS TO BE DILIGENTLV PURSUE� <br />70 COh1PLETION. THIS PERMIT h1AY BE CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJEC7 OVER 90 OAYS DUPATION. <br />[PKP P106) DATApAR ' " <br />