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.:�� <br />i'AA►/ � 'i>' <br />� <br />OWNEq NA1dE <br />AND4DDHESS: <br />PHONE: <br />7A% PARCEL I.0 A <br />PUBLIG 11�ORKS <br />PERMIT <br />PUOLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everetl, WA98201 <br />(425) 257-8810 <br />_ COL•1 h'�lr'� � �, <br />- -_ T� � :�. _ <br />_.�'lfl�� i� � <br />DESCRIPTION OF _ . _... . . <br />PROPOSED WOFK: . . . . _ . . <br />PERMIT CONDITIONS <br />NAME <br />PHONE: <br />PRQIECTAD�FiESS: <br />Date <br />Public Works Permit N <br />Building Permit # <br />Planning Reference ; <br />Public Works Fee 5 <br />Guarantee 3 <br />'I�F! 2 5 2007_ <br />Tr? PQSTIN�.� ............................ <br />�. All calls for inspection shall be made 24 hours in advanr,e. <br />2. All work shall be oerformed m accordance wi�h this permit and cu« ent City of Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service 4U hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />.:... ..�. ; :r:�:�.. �,.,.-:� - .;,_ �-�i.:_�. � . . . <br />' ill t-Cn� 3::�11 r_Ot7tC��1 m.c3:;LLYF,F�.EC � � . � . � , . � <br />�.tf•3VAC J 1t+8ta��i:f1 i`Ce"';L fb27�C)�C-ii�it: . -1�.. L _..... .y . ,.�_ .. ._. <br />_ ,L���r 'l it`_H:1 ..,4,_ T':, w - ' , 1 � �.� �. <br />}''=' _ 1 d�-"4!I ?." t4'a'._ _ ,... _.. h-;' 9___... ' <br />. '-C'C� ':SUr1� T�QCr::: �il i�cC�1"1F` T•: %6 i.r3C�7� . �. � . ' . . <br />�illltil!lr,+; tll�aC�?S"id19 tfi 1`� gYd�l�at1 i}❑ `J1- <br />. {'t,. t:c:�l�::t[;F:r, L1^_ o_.. <br />...: 1;3*yL' IIIi_t =.0 �9::,r i r` 3b,_'Yf? 9:"j9h1�11f - <br />_.�V� 317�} Tey'.�iA��B C'UT�tr� �LILCBr 3:]•� C�'�1�7Bb` ' .. <br />. +� iUn nil t}t?t2 �)pip��n�r-.:1�? f...�,ilY94r 9s; . . � . <br />. . ,. . . .. . ' � . . � � � � <br />�E� 1 5 2006 D <br />CITYOF <br />p��mit S ry ��T7' <br />/�.��- _�/��0(� <br />ar Consimaion D Ie <br />�:�-(�'�� ��7/07 <br />Approved as <br />Date <br />/ <br />W <br />� <br />� <br />� <br />O <br />� <br />ZA <br />V <br />YJ <br />�. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />savo harmless the City of Everelt Irom any and ail claims lor <br />damages, costs, expanses, or causes of action Inat may arise <br />because ol inslallation and maintenance ol �he improvemen� or <br />other right-of-way use hereto applied to• and turther agrees to <br />remove same upon notice Imm ihe City and to replace public <br />prc�eAy damaged thereby. <br />�. ' � o� <br />�t�.1 ..�-- 1 "Z l 1 <br />Sic�nature ol A hcant � Dato � � <br />V/ORK AUTHOFIZED 6V THIS PERMIT MUST BE STARTED WITHIN iC0 DAYS OF DAIE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLV PURSUED <br />TO COMPLETION. THIS PERAIIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF VJORK ON THIS PHOJFCT GVER 30 DAvS DUR4TION. <br />LPWP (7/Ofi� DATABAR. INC. <br />