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PIJBLOC Wt?RKS <br />PERMIT <br />Ev <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Siree� <br />[veretL WA 98201 <br />�aze� zs�-e�@,p` s.�� _U_ •, <br />.�v i L�.J�i�4� <br />OWN[RNAld¢�[1�IR E17TE:hF;.I�FS i,i,C <br />AN� A�DRES . � <br />�1�03� 3STH A;� :;� <br />EOTF.ELL 4;7, ;�ri�`,� <br />rFioN�� 925793171� <br />rnx Pnnceu o a�BC90:GiiZr GE ;,' <br />DGSCRIPTIONOPj�;ty' $�jt!$E - $.y�_' _�y <br />PFOPOSED WORK: <br />PERMIT CONDITIONS <br />JUL 3 0 2006 <br />PHONE� <br />Uate ii'_i.:J-.^ <br />PublicWork;Permit#PWOU01-� i��� <br />BuildingPermittt ���F>f'1-���_-_ <br />Planrnna Relerence N <br />Public Works Fee 5 ;_ _, n.�� <br />Guarantee S <br />PROJC'CT ADDHIiSS-, _ <br />... .._ ,..:1 Lt. i'. N'.... cl <br />-+� '^ ._ i . _:" )i'1�_u;��: _ . _... . <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 current Cily of Everett Design and Construc�ion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL F�iEE NUMBER 1•800-424-5555 <br />'�. (.ORIIr_[:t i1C�B :.e'+h?L' ��@C Clr}' fiidi1�73t'. ��i C,IIj� nli'?� !.I,�.i. <br />5. G:�I1712CY [OOTtUD t�04lf1gtrpUCS ti� Yilu (jL'31f134c' 9}�3Y�'fi FLC�V1�;_.. _-. Ch1L _... <br />F. In:�rall -.cns�,,❑ +• , � _ <br />.ill`C�:1 IDH3i�ICB. 89 �j!:LrCiG1l1C�� )i�f tilE �.�il?li,] rJ���iK:i iR551'.. _�t��t.. ._.. <br />r <br />-,-: �.1} °_ .: ....� . ,., ___'c .�r >1:�.�. -��I: i��fl__..... -.i <br />..., -� _ .. .� .:..�1 (:�..�_. ..•:. ": -��,r.. <br />c <br />a� Cor;Irucied <br />//�9/C:° <br />Datc <br />2 .5 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicaN hereby agrees to hold and <br />save harmlzss the City of Everett irom any and ail claims lor <br />damages, cosls. eapenses, or causes of action Ihat may arise <br />because of installation and maintenance of the improvement or <br />other ric�hFof�way use hereto applied lor and lurlher agrees �o <br />remove same upon notice from Ihe Ciry and to replace public <br />property damaged thereby. <br />Signa�u of Appliwn� �� � � � � <br />`�� \_— — _ <br />� <br />bVORK AUTHORL'FD Bv iHIS PERMIT 1.1UST BE STARTED WITHIN 180 �AYS OF �ATE PERMIT IS ISSUEO AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COMPLEIION. -fHIS P[RIdIT A1AV �E CANCELLED aV THE CIiY UPON ANY STOPPAGE OF WORK ON THI3 PROJECT OVER 90 DAYS �URATION. <br />/I <br />� <br />V d <br />� <br />� <br />Z <br />O <br />H <br />� <br />O <br />a. <br />