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z <br />t <br />� <br />PUBL�C WaRKS <br />PERMIT <br />� <br />PU6LIC WOFKS Df_PAflTM°NT <br />3200 Cedar Sireet <br />EveretL WA 98201 <br />(42�) 257-8010 <br />ANDADCIFES�i.f�EP�I�.'iA 1._Ti-1ii•. :. �'E'(�. <br />��oi i'ip.?'LE h�4'E <br />LVEFLTT sA <br />PHONE� A_$B7BiQ7=� <br />rnx vnRce� i o. a <br />�)��= �%l��flill(.U.. <br />APPLICANT NMdE <br />ANDADDRESS�. <br />..:�:. <br />aHor�E. <br />PROJECI AUDf�ESS�. <br />DLSCRIPiION OP <br />PROPOSED WORI��JC`F' hD�.T j i�`?I c. h:.jmc,-:tL;' i 1i-'i�?.❑ <br />PERMIT CONDITIONS <br />Da1e 1; � <br />. i=00o <br />PublicWorksPermilN Ei�Ob0�7—DU3 <br />BuildingPermita �,�hp�_U35 <br />� <br />PlanningRelerencek lr..r`��� <br />i � : <br />Public Works fee $ <br />Guarantee S � v�� <br />� <br />1. All calis lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current Ci�y of Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Lor.ation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />v. __•nn_��t _,�l.-r =e�4.,� �,..c ._ _� St_r.ciae�3� 6i�_, :.., � _.�5 <br />7. T_(litdll CJ31pR .�IltCl�l UI�-�:UCbB �: �jgtrLN111F•ij j�' rf]- .�.� �� .��. .,:�....�- <br />(425-:;_u_',SO_1, su h as s�lt f�ni��, strav bal�s, ,.W,1 :__ r.,:cn t,.,n:;5t; . <br />E. F'dV� '[iV:.W.i;�' fCrqn r11F� ii:rdlt pn;�>�=cry lina rqAt t�: ,j�...1_1_�_�' !i3'iliU7� 1- �-,._, <br />n������ <br />� ������ <br />C') T • <br />JG <br />T/� RA/�TI\1/� IU I� �C <br />�v rwinru— <br />� <br />N <br />,, <br />�� � <br />� , <br />pw � <br />WMi �GG�G <br />V•TJ1 <br />jrjVlC•:�?�L�j <br />ACKNOWLEDGEMENT OF CONDITIONS <br />. <br />W <br />� <br />Y / <br />m <br />� <br />� <br />Z <br />0 <br />V / <br />O <br />a <br />The undersigned owner;applicant hereby aarees m hold and <br />save harmless Ihe Ciry of Everett irom any and all claims (or <br />damages. costs. expenses, or causes of action iha� may arise <br />6ecause of installaiion and maintenance ot ihe improvemen� or <br />other righl-ol�way use hereto applied for nd furlher agrees to <br />remove same upon notice ir � Ihe Cit ��d to replace public <br />propeny damaged thereb / <br />_������-' �__2 �i D 6 <br />Date <br />VJJHK nul HORIZ[D BV THIS PERIAiT 13U57 BO STnR7ED WITHIN t00 DAVS OP DATE PER�dII IS ISSl1EDItND 7HERLAFTEF IS TO BE OILI�[NTLV PURSUED <br />io (IOGIPLlv1lON 11115 PERAfIT MAV �H CANCFLLEU OY THE CIT1' UPON ANV STOPPAGE OF �yORK ON THIS PROJECT OVEH 90 DMS DURATION. <br />