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Pl��L.IC 1NOR1'CS <br />PERIVIIT <br />PU61.IC WORKS DEP�RT6IENT <br />3200 Ccdar Street <br />E Everetl. WA 9820� <br />(425) 257-8810 <br />n.r�.m�• �rn....r..� <br />ONJNER NAM � � � ., ��' APPI <br />ANDADDRES -�����-` T+I�Y���:T �'AY nNn <br />5 NOHiJMI :i A (?i, F��� n�' <br />9257547��� <br />PHOWL. <br />TA% PA(7CEL I.D. N <br />rnL�iF:T A}7C� C'.F:C�� <br />D[SCHIPTION OF <br />PROPCSEC WORK� <br />PERMIT CONDITIONS <br />icaNr NnME <br />nooaEss. <br />�Horae <br />PPOJECTAGOfiESS:." <br />Da�e <br />Public Works Perm�.t = <br />Building Permn : <br />Plannlnq Relerr:nce r. <br />Public Works Fec S <br />Guarantee S <br />1. All calls tor inspeci� ;� '�.+II L .�,. „. I. ..�. i a�'�: r�� phnr,� r.�":;: ,.�,n <br />2. All work shall be p�nonned in �ccordancc t+i h titis penn�t and currEnt Ctly ot Everett D���inn and Coi ;Iruct:on <br />Standards and Specifications. <br />3. Ca�l Location Underground Service 48 hrs be(ore you dig. TOLL FREE NUMBER 1-800•424-5555 <br />INSThLLi+'?Zi�T! i)F STRE�4d CIIL�n,'r.;i rti1rL� ��F.;�(i:iP.i.: �;1�i.F <br />^, j 17�'yj 1�.'� �'� ]� j-F[IIITDp�iYT:) � <br />_. . .i.. .���... ,. .. �n�_ . . .. <br />..... . _.:. .., '. ._.. '._ �. .i_' . _:)� ..11. .'_ .. .._... . �_...- <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />�A <br />� I <br />� <br />a <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless Ihe City ot Everett from any and all claims for <br />damages, costs, ezpenses, or causes of action ihai may arise <br />because of inslallation and maintenance o: the improvement or <br />other right-obw y use hereto applied for and furiher agrees to <br />remove same u on notice (rom ihe City and to r�place public <br />properry damag her by. / <br />'��-� _-��� _ <br />SignaWr� oi Ap ic I 1 D Io <br />lVOf1K AUiHOR17LD BV THIS PERMIT MU57 BE STARtED l:'17 HIN �[SO DAYS OF DnTE PFRMI7 IS ISSUED AND TI :RE�FTER �S TO BE DiLIGENTLV PURSUE7 <br />f0 COMPLC-iION-TYIIS PERh11T MAY BE CANCELLED BV THF CITV UPGN GNY S10PPAGE OF VJORK OPJ THIS P' JECi O�'EH 9D DAVS DUNATION. <br />