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:'�'if <br />� <br />; . 'r <br />PV���V ■����V <br />PERMIT <br />PU6LIC WORKS D[PARTM�NT � <br />3200 Cedar Streel <br />Evcrett, WA 96207 <br />(425) 757-8810 <br />. . . . "(:�.�• F�:'_ <br />PHONE: 'q�;;i�� <br />T4% PARCEL I.D.# <br />_. 'i' - �.�- . <br />DESCRIPTIOIJ OF <br />PqOPOSED WORK: . � <br />PERMff CONDITIONS <br />APPLICANT IJAME <br />' ANDADDNESS: � � <br />PHONE <br />Date <br />Pu61ic Works Permi! # <br />Building Permit q <br />Planning Ro�orence il <br />Public Works Fee S <br />Guarantee S <br />TO POSTING..�J.`..'.,.,',�,.`,;' <br />' � iPR0.1ECTA��RESS � <br />1. All calls lor inspection shall be made 24 hours in advarn:e. <br />2. All work shall be peAormed in accordance with lhis permit and currenl Cily of Everett Design and Constructir,n <br />Standards and S�ecificalions. <br />3. Call Location Underground Service 48 hrs. before you d��i TOLL FFEE NUMDER 1-800-424-5555 <br />. _ L�.�: "� ;•:?f ' '.:: L:- L.1_ .. ] '.,_ . C-;" f` . :'._C � . �':'._ . . <br />9].i �'C041(111 C�i. 1L� 1 RI��dJUC+'9 j�� [ rit}' nE FVEC�tt .�.9[L73L�.+ I�.' � . .. <br />�7O�1VHt.6�r? !fiifiC'.T]AZ :!'�7:i: f`.�L4^,ri3'Inn� `J].i�BVB)}r -,r7�i r}I'1V01J3y:: J1;:1� . . _ ... <br />:''J9'.�� r'?CC�1C=3� LI1L3. ZFn 4133`..lIIq ��T ludt'r_Cid� 1:: 311[.Wt?�j 4i1 *�113 hL'li'31[l�l _. <br />1:tt� mua, evc;:s vr deb::is Lo be ttack�d ^ntt• cc�_ci;?ay. <br />''-�Jli'1�17!.l 1f�-iLQL'ldlt� tb �:� 3�d�?�:ti:�] p❑ ;1�EWd�KS d�l�� :iitj�?tJ;31n.S i.D ha K@�?Y t`],-. <br />� _-,r p�-�i�sY:'i�+n tc:,v.•l. <br />"�ugr dr_tec r.��cer b„x i� zL-,:va s1�i,�s.�=.1k ;eai�. <br />.i�V•_ 3pd C='F�i3^@ 7UCP, •:1172T@1'� d!1•j S1�7e:131K 8g F�=+C •.1LV Of LVgt''. -'_... . <br />.-.. � ��5 �,n `.hi� prn����s.x;.'., ffr,ptd�Jp �74 di.tr�'ted L•n� khe Pui'•lir . . � <br />W <br />� <br />V+ <br />W <br />� <br />� <br />O <br />V+ <br />0 <br />� <br />. . ---- � - -�---- -. _ ... _ . _ <br />� <br />ACK�OWLEDGEME I I <br />Ii �/ J�/ The unGersigned ownerlapplican� hereby agrees to hoid and <br />�_��� ^.�...-� /� G-v C/f.� save hartnless ihe Ciry ol Everett Imm any and all claims lor <br />� darnages, costs, expeoses, or causes of action that may arise <br />,1 rovc Constmtlion Da�e <br />� � because of installa�ion and maintenance of the imprnvement or <br />/ other righ�-of-way use hereto applied for and further agrees to <br />II� <br />; ��` �O �� remove same upon nolice from ihe Ciry and �o replace public <br />� FINAL INSP ION property damagetl lhereby. <br />'� Apnmved Crns�mctutl Date� <br />r-� �-� � i--I I .1 � % <br />. __ __ _ _ Signat hcartl Dale <br />1 <br />�:'OHK AU7HORIZED BY THIS PERMIT MUST BE STARTED WI7HIN 180 UAVS OF UATE PEAMIT IS ISSUEDAND THEREAFTLR IS TO BE DILIGEN7lY PURSUED <br />10 COMPLETION. THIS PERMIT MAY OF CANCELLED BY 7HE CITY UPON ANY STOPPAGE OF WOFK ON THIS PFOJECT CVER 90 DAVS DURATION. <br />LP'1!P IT05) DATApAR. INQ <br />