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(-��I nn �. �-� h I � I 7 /3 "' 1'y-- � <br /> �M�"M ■- O��O� Date :;��i,�:::i;�, <br /> ������ Publro Works Permiti#�„*.,t•U1-0 j 1 <br /> Building Permit# <br /> PIIE3LIC',"JOI?KS DFPARTI,1[NT Planning Referr_nce# <br /> �200 Cuctar Strcal <br /> � Everctt,WA 98201 Public Works Fee S ;�� �,,.� <br /> p725j 257-8610 <br /> Guarantee S <br /> o�;x�irr,n;.e�� nr�f���cn^�r Nnr.�e —I <br /> AND ADDtiF�ji(' AND ADDRESa�j.�.. )•�r,r�.=p;r.❑ <br /> Up _F,�rr�ra��ji��:.� �{u�y�. r�rl: ?A'enuB hc <br /> �,'LZ.L1� .... . ��. � JL�I�l.e �`v��.� _ .� <br /> PHONE� PI iONE: <br /> � �(IF�r�j;;�;;i117 <br /> TAX PAfiCEL I.D.u PNOJECT AODRESS' <br /> ily 1 � - -.�oY <br /> DESCRIPTION O[ , <br /> PROPOSE.f]NfOLN'r"�.r ' �'� . . -- _ ,_:.� . _.. __ . . . . _ �7 . . '_ 1t�:_� <br /> _ I <br /> PERMIT CONDITIONS <br /> 1_ All C2115 foi in5pec i�i� inll I�� i� � :'�1 ' .0 ,ui�, � � .��,�.i i i ?S.� � � � <br /> Y. All wOrk sh211 be penc�mod in i�ruiu��nc� nd'i ;nis p m rt �n�l r.;m�.i t ��ny ot _��n9t D�S.gn ond Cc�i_Vuct��on <br /> Standards and Specifications. <br /> 3 Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1•800-424-5555 <br /> � <br /> . . . . PT rjlr_ d].�.CC':•=j [�I.3Ii �J3tN.1 _ 'CI-iip Sil: �.1�- rJ `"" "_.,: l:l:j' .� _ _ . . '_" � <br /> :.❑ Cile. Eldl�a. <br /> � <br /> . i•:�ep cily str��ets sn� �ide�rall:s r.leac ��f dict ar.cl debiis at all Y.imes du[1n;: � <br /> ,.. LLL� riOR ' CN'r_[ 311� sldavaZk r1E3ri1l1Q F7�73Z1 �i: �NCLOCIGNi ^❑ 3 L=�IU13L � 3 _.. _ . . <br /> ._ ii �t-ly i. te;._:_,�i�t ,hot�ll ; . -��i . EL-,};.,n, •1:.mr��:..;j :,�- TMi�sir.n :•t.rb, ;iict i �.... m <br /> . . � , .. . ,. � - i �- - . � - , _ _ ,. � .. . . . � . � , .. - . . . - c ,. _„ .t .;��� . . .. . O <br /> � <br /> � <br /> � <br /> �/� <br /> �f J <br /> IP°1 <br /> �.L. <br /> � ACI;NGINLEDGEI�4Ei�T OF CONDiTIONS <br /> i._ <br /> � ;7_� /N The undersigned owneVapplicant hereby agrees to hold �-��o <br /> '�(1(/.(. save harmless the City o(Everett trom any and all cta�m;tor <br /> � pp vetl or Consiruc on oa --F�„�- damages.cos�s.expenses, or causes of action Ihat may aris�� <br /> ,� becaus=ol ms�allation and maimenanc2 of the improvemen!cr <br /> ;,/ /�� �7 other righl-obway use hereto apptied for and further a9rr-cs tc <br /> ���✓�� ,L��[.'L—_ I �"" �''-��1 remove same upon notice irom the City and to replaa; ;n,i�'�c: <br /> INAL IN CTION proper da a d tl b . <br /> Appmverl as Constmclud Date �,/ <br /> r��- �12�-Z°� <br /> Sig ure ol Applica Date <br /> ,, , , �.. J�Jirl. i� iI�LS!' '�!.1�iI !.U15�f?i-57AR1Fl>NI7IiL11fODAlyOF �AiEPf- �C�TISISSII�f'� iJ� ii1ERE�FT[RISTOBEDIUGEtJICIPI�RSUED '� , <br /> i.��[� i i :i�;t; i I;I� PFIV.V f �+ P.L�:1,';�[1�.L[D HY 1 HG CI ry UFON A�JV S�OPP�G[OP 670�K QJ THIS PfiOJCCT OVEF 9U DAVS�UFAI IOH. " <br />