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<br />PUBLIC WORKS DEPARTMENT
<br />3200 Cedar Siree�
<br />Evurett, WA98207
<br />(425) 257•8810
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<br />PHONE � ;,_,��,,;
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<br />DESCFiIPTION OF
<br />PROPOSED WORK: - � . .. . _ . � .
<br />PERMIT CONDITIONS
<br />PHONE:
<br />PROJECTADOFESS:
<br />Date
<br />Public lNorks Permit /1
<br />Building Permi� k
<br />Planning Reference x
<br />Public Works Fee S
<br />Guarantee S
<br />r0 POSTING..:'a.u�J..2.5..z'.:�:
<br />1. All calls for inspection shall be made 24 hours in advance.
<br />2. All work shall be pedormed in accordance with ihis permit and current City of Evere+t D;:sign and Construction
<br />Standards and Specitications.
<br />3. Cai! Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-A24-5555
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<br />vei, P'c.e---�: sit�. No vasr.in; of r::atec_s1
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<br />ACKNOWLEDGEMENT OF CONDITIONS
<br />The undersiqned owner/applicanl hereby agrees lo hold and
<br />save harmless the City ol Everetl Irom any and all claims for
<br />damages, costs, expenses, or causes ol action thal may arise
<br />6ecause ol installation and maintenance ot the improvemeN or
<br />olher right-of-way use hereto applied lor and fuAher agrees to
<br />remove same upon notice from Ihe Ciry and to replace public
<br />propeny damaged thereby.
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<br />:NORK AUTHORIZED BYTHIS PEHMIT MUST BE S7AFTED WITHIN 180 DA1':; OF DATE PERMIT IS ISSUEDAND THEREAFTER IS TO BE DILIGCNTLY PURSUED
<br />70 COIdPLET10N.7HIS PERMIT MAY BE CANCELLED �Y THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJEC70VER 90 DAYS DURATION.
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