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• � � 4 <br />� <br />�� �..: ��', �� � � <br />� <br />� <br />PUBLIC WORI<S DEPART�AIENT <br />3200 Cedar Stree� <br />Evcrcll. WA 98201 <br />(42$) 2J7-8810 <br />CNN[ fi IJA <br />ANDPDUR I7C:� f�ICV:•�r <br />10��5 iilCliOCt �`3" <br />SNOHC�hfISH aF. <br />PHONE, 4�5�Sy7__: <br />n <br />�R��F: <br />D�le. ' : �j � r. <br />Public Works Permq x ,,,�,-, � _;,,_,,; <br />Building Permii # <br />Planning Relerencc +t <br />Public Works Fee S _ <br />y- �''i�,;i: <br />Guarantee S <br />APPLICANT NAPdF <br />AND ADDRESS� <br />��t����E •��1�. �,f �j3�1�(8�'/j�tW <br />PROJECTA�DRE55: <br />I)ESCl7iPTIONO ��1..�, <br />PGOPC513DYlOfr!1 _ ' ""' " .._.__ �_1?.:Cii7�9C�.�-ilC� <br />PERMIT CONDITIONS <br />t. All calls lor inspectlon sh�all be made 24 hou�s in �idvance - phcne (a25) 257-&810 <br />2. All woik shall be perfonned in accordance wlth thi; permii and current City of Everet( D�sign and Cons�rucGon <br />Standards and Specifications. <br />3. Call Location Underground Se vice 48 hrs. before yau dig. TOLL FREE NUMBER t-800-424-5555 <br />�. ..- �-. , _. __ �: :,- _ . , _., <br />_ _ _. .. _,�. ___:�, _.. <br />Approvetl as Canstmcted <br />Z � 3 �6Cv <br />oaro <br />T�lLy z�o9 <br />ACKNOWLEDGEMENT UF CCNDITIONS <br />The undersigned ownenapplicant hereby agrees to hold ano <br />save harmless ihe Ci�y of Everelt Irom any and all claims for <br />damages, costs, ez enses, or causes ol action that may anso <br />because of installa on an maintenance of ihe improvement or <br />othei ric�hbof-way se her to applied lor and fur�her a9rees �o <br />remove same upo no c fwm the City and to replac� publ�c <br />proper;y damage h e y. � <br />1/ ^ � ��, <br />SignaWrea pplic i, � ate <br />'7: I r� :1UIIIOI9IZFD 8Y�lHIS PERLIIT G1USi �C STARTCD �JIIH �J tt30 D�YS Of D,\IP PEfil:llT IS ISSUE[1 qND1k [HE - LR IS i0 AE DILIGGN71.v PURSUED <br />IP .;, 1PI CTIOid 7HIS PEf7A11T tdAv BF CANGELL[U 13Y THE CI i'; UPCH ANV STGPPn.CG OF V�O(iK ON iHIS P OJEC OVER 3o DAYS DURnTION. <br />W <br />I-- <br />(!� <br />00 <br />O <br />� <br />Z <br />� <br />H <br />� <br />d <br />� <br />