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0 <br />PUBLiC WORKS <br />PERMIT <br />PUDLIC WORKS DEPARTMENT <br />3200 Cedar Strcet <br />Evcrett, WA 98201 <br />�azs�zs�-er,� pOSTING SEP 3 0 <br />OWNERNAME'jU'`,�i �1 . <br />AND AD�RESS` Li� 1 1 <br />�IILII.: '�tl �vF :': <br />EVEi:E7'T P7A <br />PHONE: :i _'_' ; 4 . � '. _I,I � � <br />TA%PAFlCELI.D.a <br />'_f :��... I_! 4 <br />DESCflIPTIONOF � � � ��� <br />PROPOSED WORK: <br />/ <br />PERPdIT CONDITIONS <br />PHONE: <br />Dale � . <br />�'=,9/ ::iU:: <br />PublicWorksPermita p;•lU,;Q5-U�6 <br />Building Pcrmit k <br />Planning Relerence a <br />Public Works Fec S y � 5. U U <br />Guarantec S <br />lul��_ �t.11 P,V�- W <br />� �y ��M ,� ��� <br />1. All calls for inspection shall 6e made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permil and current Ci!y of Everet� Design and Conslruclion <br />Standards and Sper.dications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />-, . I_.1 1 i l�.i�.; i i'_ lJ(',: �.,' � Il'..- . �, <br />. . . _ i.'1_?41}4 I'J2 �, :IIE. ,l �lir7 }.:2 ]ili �.i, <br />,`��31CIf:ltlty 7;�J:'i:. . <br />- i:��...T; C L"y . . . _,- r�.. . . .�. �,: . .l , . i, � r <br />_ _ ... . �.:'.1::.:1._ _.:,1:",.t...if� ` .:[i. <br />k�� lv�-�-e- �/ �IoZ <br />Approved lor Con,iruciion Dale <br />�_��../�� Q�.'Lr-� ! ��%' �"�� <br />FINAL INSP C� <br />ApprovetlasCanstmcted Date <br />05-30-92 i.0:10Af1 <br />tt OtOJO�S <br />07HEfi �5,00 <br />�DTAL �5.U0 <br />i�:A�H <br />A OMSilb <br />ACKNO�VI.EDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />W <br />O^ <br />J <br />Z <br />0 <br />��0 <br />� <br />0 <br />a <br />'fhe undersigred ownedapplicant hereby agrees to hold and <br />save harmless the Ciry ol Everett fmm any and all claims lor <br />damages, costs, ezpenses, or causes ol action Ihal may arise <br />because of installation antl maiNenance ot the improvemeN or <br />otner right-obway use hereto applied tor and further agrees to <br />remove same upcn notice Irom the City and to replace public <br />pwperty damaged iher��by. <br />��: 3�0 �Z <br />ignalureoiApplicanl bate <br />WORK AUTHORI2ED BY THIS P[RA11T fdUST PE S7AR7EU NJITMN 100 DAYS OF UATE PERMIT IS ISSUED AND TH[HEAFTER IS TO BE DILIGENTLY PUFSUED <br />TO COL'!'L[TION. THIS PERI.:IT tdAy �[ CANCGLL[U �Y TFI[ CITY UPON AfJV ;TOPPAGE OF WORN ON TIilS PROJECT OVER 90 DAYS DURATION. <br />