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PIJ►�3LIC WORKS <br />P�F�MIT <br />� � <br />PUBLIC WORKS DEPARTMFNT <br />3200 Cedar Streel <br />Everett. WA 98201 <br />(4�1_25�7,-�A�t;iTI11: G <br />n <br />ONJNERNA1�E.,_�. — •;.r_::';F._� ' <br />hND ADDP�SS: ._ . ..,• .-,. <br />1703= _:St; s,.�' :;F <br />gi ,T�LL :"r. '� p �11_ <br />PHONE' :_S�a_'!�Ii� <br />TA% PARCEL I.D. # „ <br />ca�4':1lIlQ�(IfIC,;,i <br />fJESCRIPTION OF �•. I�;:,;.!`i: _ -' 1^,' <br />PfiOPOS[o WORN. � -..... - - � - <br />PERMIT CONDITIONS <br />AUG 2 5 2006 <br />APPLICANT NAME <br />:1ND N -0RESS' <br />PHONP <br />Date . . _ . , . <br />Public Works Permit �E'r�u f 0: -003 <br />BuildingPermit# ='!•'�.•_'�-001 <br />Planning Reference N <br />Public Works Fee 5 ,. _r, r,�� <br />Guarantee 5 <br />PROJECTqD�RFSS ._ _ <br />. .'_ _ "' '', ; e�,_�� _ <br />"_'.''i _ . _ _ !' :, . "LC�T _ . <br />1. All calls for inspection shall be made 24 hours in advaece - pnor�e (425) 257-d810 <br />2. All work shall be performed in acwrdance with this pe« nit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Localion Underground Service 48 hrs. before you d g. TC�I_L FREE NUMBER 1-800•424-5555 <br />" _'-'[1:lB�J' O1'!? :�EL��C �_@, 'i�1rV :iCd:1�1;3Cn ??�� r.?11� C'la, O. .. <br />. . connect �a�itoF, clownsp:,ut;: t_• the •icalnaoe sy3t>m r���o•:; .e:i 'ur -h•-`' -- - • <br />-. ���-t_..-i11 C-.�L��n �.��*'_,-�'.. ...;.,:,;.e�=: ,. �irr,.t�cin�_,j t�}' �.i��� -.�,:-.: ..: z�.:� ;n.�. ..:_. , -.. <br />�,I <br />ACKNO�VLEDGEMENT OF CONDITIONS <br />/ <br />W <br />H <br />VJ <br />O <br />� <br />Z <br />4 <br />H <br />� <br />O <br />o. <br />The undersigneG vneuapplicant hereby agrees to hold and <br />save harmless thr Ciry of Everett irom any and aIl cl,3ims lor <br />damages, msts, expenses, or causes ot action thal may arise <br />because ot installation and mainlenance of the improvement or <br />other right-ol-tvay use here�o applied (or and Wrlher agrees to <br />remove san�e upon notice irom the City and io replace public <br />proPerry damaged IhereLy. <br />'��..�._.a�„� '�1:� ;zl_ �` � _ <br />5�9na�ura o pplicanl Date <br />l';OHK AUTV109IZED f3v TF1I5 PCFM1tIi �dUST [3f_ STAPTED N/ITHIN tEf .,f,S OF DATE PERMIT IS ISSUED AND THEREAFTF.R �S TO BE DILIG[NTLV PURSUGD <br />i0 COI.!PL[T:ON THIS PEHL+IT IAnV (lL CANCELLFD �Y 7HE CITV t' ON ANV S70PPAGE OF WORK ON THIS PROJECT OVER 40 DnvS DURATION. <br />I <br />