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PUBLIC WORK� °:"° � <br /> 1iil:.: : ,os <br /> � Publlc Works Pcrmit t��0311-ii�17 <br /> P�RMi�' BuilJingPermitN �0311-04d <br /> PU�LIC WORKS DEPARTPdENT Planning Reference k <br /> 3200 Cetlar Sireet <br /> 6veretl,WA 9d201 Public Works Fee S � <br /> � (azs)25�r-e'le i o7' p�1- a_5.D U <br /> Tt�i f'US1IIVl7 � '�AY��2004 Ciu�r�nteeS <br /> ov�Ne�Nnn�NDLF•.SC�•NS CONTFACTIN� IIIC nrF�tic�rdrranr.�E,r�- <br /> nNunooae ,u�u,,00n�ss �r;.r <br /> EJ BO:: 0091 <br /> LYNNtiCw}D .:, ?9ii:'c. <br /> PnoNe 9i:577i21158 v�ior�r <br /> TAxPARCELI.D. � PHOJGC�AUDHG55' _ <br /> �J0..809i' r�ri:�,.''il�l - �-- ' <br /> i�."r. „�,�� 43 iiL��1 �S <br /> oescnirrioN or- ��, fiJl�:;E <br /> riaoFo;ro won�! <br /> PERMIT CONDITIONS 11C�F:TH i'F:EEF: v'�F,LEHS L�.-�T ,:� , �I <br /> 1. All calls for ins�e:�ion shall be ma�'^24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be pertormed in acwrdance with ihis permit and current City of Fverett Desiyn and Cons�ruction <br /> Standards and Speci(ica�ions. <br /> 3. Call Location Underground Service 48 hrs. be(ore you diy. TOLL FREE NUMBER 1-800•424-5555 + , ' <br /> W <br /> �l. C'�,nnecr :idr sc�.iec pec fity :itandacd N's 6�i1, 6ii�, t3ii,, � <br /> � . CO�I]eCL 1'OOItiJ[� {�i�Wf13 ��Ut3 CU C}li (�l'd]Odi" S.✓�tFID iYU41!I=_�. ?"� � <br /> P I- F � - t tnia l��t . <br /> . II1;L311 EC451�?❑ CUI1LC01 IR�d•JUCE'S �.�?C �'li�/ Gf EiVECEtt (iC11Uj8C�1S iGC SIi1311 �iaGi513 <br /> . kemov� eioaion cc�n+_n�_ measuc�s �pon cumpl�tion _�f tne pco�:1CT t�L1GY tr� f::nal � <br /> =t ;>coval oi Lhe peCmir_. O <br /> .- . �ill P_!;CiV32Ci� 01irL731 ftiJiG f91111<jiiY19l1r :iL�jEVd].{C dR�� ��L'1V�''�/d}':: :7�1d11 �Jr 113�!i�_�I �_ ' <br /> -+n appeoved, paimitt.ecl site. No �aasting of mntetial is :;11ouWd oq i b � i i_ t . � <br /> P • Ccmtact the Mukiltee t�at:ac Distcict foc ccnnecting peovisio u-�c�h � ' l�i�n��': <br /> ,:t,�r an�:i seM�_i �rcvice�. nfP �15��4 Zr <br /> �. . . =pla_ _ b[r..__.. _..[b pe� �^iL'. °t>ncl:c:: K�(i5; FLi11.D 1256-9� <br /> � �RCHu 4.50 O <br /> ECH BG.00 � <br /> i��_liMg �i4,Ui; <br /> '':�F'I:Vi. �i.(;C+ � <br /> -: '';�_ 1;;5n.,w` - �� <br /> - - _ � <br /> a �r�r, � <br /> ACKNOWL[DGEMENT OF CONDITIONS <br /> c�,,/'-e� J /D -� The undersigned ovmer/applicant hereby agrees to hold and <br /> /}ti�'��(,�✓ �/ /�J �J save harmless thc City ol Everetl irom any and all claims lor <br /> pp�vetl lor Constmction D� e damages,cosls,ezpenses,or causes of ac�ion�hat may anse <br /> � � , because of inslallation and maiNenance of ihe improvemenl or <br /> �,/ other right-of�way use here�o applied lor and lurther agrecs to <br /> e� L'L�'G3*�� � 't"��' remove same upon notice Imm�he City and�o replace public <br /> FINAL INSPECTION propo�ty damaged ther by. <br /> Approvea us Cons�mmetl Dalc � - <br /> �—�'��—� //_�/�G.;� <br /> i. SignaWreolApplican Dalc <br /> WORK AUTHORIZED�V THIS PERM1IIT M1tUST�L S�ARTED WITHIN 100 DAVS OF DA7[PERMIT IS ISSUED AND 7HEFiEAF7[R IS TO BE DILIGENTLV PURSUED <br /> TO CO�dPLETl04.THIS P[RMIT A�AY BE CANCELLED OY iH[CRY Ur ON ANY S70PPAG[OFVJN -1N THIS PROJFCT OVER 90 DAVS DURA710N. <br />