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Pt�BLIC WORKS <br />PERMIT <br />PUDLIC WORKS D6PART�dENT <br />3200 Cedar Slreel <br />Evercu.�V 9 O7 �P � „� <br />� r� ,,, � �,� <br />(A2�)2$� , TING...:::......1.-�--------�� <br />ANDADDFESS: �rrui,HrvirvAmL- <br />qT7,r.j -:.,);j-,', ANDADDR[S5: <br />��: o.G:: lU5' <br />hil�?''ILTEi� E'A t�6i?5 <br />PHON[: PHONE: <br />a>Fa.:_:���, <br />TA%PAHCELLD.p PROJECTADDRESS' <br />DESCRIPTION OF � � �� � � � - � � <br />PROPOSEDWORK: 1:�'17 H�'�q:,L - ...�Ir 1._.t <br />PEFMIT CONDI110NS <br />Date <br />5; 1�; =fiL� <br />PublicN�orksPermltN =�30508-�i�P <br />,=,�5ng_r�n> <br />Building Permit k <br />Planning Relerence u <br />Public Works Fee 5 <br />Guarantee S <br />CR,IT � OF I11'Pu'krITY G?�.x:C�Si! <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance with this permil and current City of Everelt Design and Consiruction <br />Standards and Specifications. <br />3. Call �ocation Urderground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />-,Cc�nn•_cr _:�oit�.p __�,�n;p�,ur, r�_ rhe �jrair_:,q� `etn pco•._�ad 5x �his J-'--• <br />� . .:li.,'n].1 iC0�1..� �II'.L�1 lii•:�S�IL�.. ��c�L � _ . � _'.. <br />�L\, 1 �'CciL `�t:ltlii5L.I5 iOL ..ILail �.�-�L_ <br />Remove een;;ion contiol m�r,.;u��:; u��on cninplecic:n nf f:he projert princ tn final <br />i,rov�l ,_,f t};e r�urmit. <br />� � <br />n, ,:r ' '-. <br />� ` - <br />i � c:�,s `�� <br />V I <br />�� � �� � ���9�i�s <br />APP�d tl lOr Canslmciion ��� <br />' ��..�� � i�� -`��� <br />/ <br />/-FTYvAL INSPECTION � <br />� F'c,�. S <br />ApP�oveC as Con;imcletl p��e '` ' <br />ACKNOWLEDGEMENT OF CUNDITIONS <br />The undersigned ownedapplicant hereby agrees to hold ,nd <br />save harmless Ihe City ol EvemU Irom any antl all clair,s lor <br />dama9es, cosls, expenses, or causes of action Ihat may arise <br />because ol installation and mainlenance of Ihe improvement or <br />olher right�ol�way usc hcreto applied lor and lunher agrees to <br />remove same upon nolice Irom the Ciry and lo replace public <br />property damaged �hnJeby. <br />/�? ' 7 <br />, � lo <br />ignature o Applicam Dal� <br />VJORK AUTHORIZED �V THIS PEFiM1T MUST BE STARTED WIiHIN 100 DAYS OF DATE PERht1T I�S ISSUED ANO THEREAFTER IS TO BE OILIGENTLY PURSUED <br />TO COAIPLETION. THIS PCRMIT tdAY BE CANCELLED 3Y THE CITV UPON ANY STOPPAGE OF VlORK ON THIS PROJECT OVER 9p DAYS DURATION. <br />H <br />� <br />� <br />