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PHONE: <br />PUB�.�G 11VORKS <br />P�i�iV11T <br />PUBLIC WONKS DEPARTMFNT <br />3200 Cedar Slreet <br />Ever�ll, WA98201 <br />(425) 257-8810 <br />�`:>C!�,'� -iI i�C. 7tJ'J . L i.(- <br />' _ _" r it! ti`S' :.� <br />_.+ . -..�!� <br />TAX PARCEL I.D.N <br />OESCRIPTION OF . <br />PROPOSEDWORK: i'iT�,i'.7?� '. ���ilfl-IC`vie,?. <br />PERMIT CONDITIONS <br />PHONF: <br />PROJECT <br />Date <br />�. : <br />PublicWorksPannllN ="����'�=-'-"'` <br />Building Permil 1! <br />Planning Re�crenca X <br />Public Works Fee 5 , . , _ :� �; , . <br />Guarantee S <br />1. All calis (or inspec�ion shal� be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and currenl City of Everett Design and Construclion <br />Standards and Speci(ications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMEF.R 7-800-424-5555 <br />-i . ; ... . �'_',^.�.a. i._D ':'I.?.,�j;� i . <br />i. <br />�l`�, <br />/ <br />/ j % ` % . <br />'� ��1�,__�� S =d% <br />ppwf d lor Constr�o—n�— �a�e <br />FINAL INSPECTION <br />AGProved as Constmcled Date <br />,_ ,-- � ,_ <br />����xa� <br />,-� �. �� �; <br />��T,cc � <br />� <br />'�^ <br />V/ <br />m <br />� <br />� <br />Z <br />O <br />Vl <br />O <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless ihe Ciry of Everett from any and all claims lor <br />damages, costs, expenses, or causes of action that may arise <br />because of irstallation and mainienance ot Ihe improvemeM or <br />other right-ol� Nay use hereto applie.d lor and lurther agrees to <br />remove same upon notice from the City and to replaca public <br />prop�tlam�ged.ih re y. <br />i �' �_ <br />.%� / � <br />��'.`�a{,c�e(�`.' ^� j—^ . .. G'-- . ,, �..-� l ' � <br />�-91yf51u�o olApplicanl � Dale <br />TIO COMPLET�ION TH SVPER ATEMAY BE ANCES ED BY�THE CIN�UPON AN�STOPPAGE OF WGRK ON HNS PROREC OVER 0 DAYSI�URAT ONPURSUED <br />DATABAR.INC. <br />EPWP1��06) <br />