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� <br />.,y;`t� <br />:,s <br />. ,,: �'�,Z ' <br />- i.= Y�► <br />PHOtJE: <br />P��LIC lNORKS <br />PERMOT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar S!reat <br />Everett, WA 98201 <br />(425) 257-881C <br />�1��� LJ�f'-C�� L-L-� <br />d.A�—F�:'t3?', . _ n � � . ., _. . <br />10325 AII;Y4RT WY <br />S21��HUNtISH 99245 <br />3cusee:�eo1 <br />TAX PARCEL I.O.# <br />nn9s�n�;nnin�r-,n% <br />OESCRIPTION OF <br />PflOPOSEDWORK: j��G. [if)T,?�;; _ EiE�j/) ?�r. <br />f'ERMIT CONGITIONS <br />APPLICANT NAME <br />ANDADDRESS: <br />PHONE: <br />PROJECTADDRESS: <br />Date <br />PubLc N:orks Permit k <br />Buik4ng Farmit # <br />P:anning Relerence # <br />... 11'����I:ii: i <br />Ywn7n?-��,,, <br />�o,��-�:�.. <br />Public Works Fec 5 v`i� ;,,;, <br />GuarameeS��i{yi/G ��C•i%•��� <br />IN'S�:CITY GAF.DEt7 T:c, E.r3{ ���.�i =- �, _- <br />?iinFT 4F LOT 36 <br />1. All calls lor inspection shall be made 24 hours in advance. <br />2 All work shall be perlormed in accordance wilh Ihis permit and current City of Everett Design and Construclion <br />Standards and Specilications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555 <br />...�:i'_ �i�_=.,.ring� _: t� peoci�iFd pcirc r�: �uhinittai fo� tise Lac!_ r�.n; �iuplax�:: c�n th:_s <br />.'('onn�-ct �ide sew2e per City Standaid N's 601, 502, 609. nn� -'� <br />. In�tall eeosion centeel mea�uces :a2 der_���lned by rtce F�Vi7'r� Wr+c1c'�"itt3�e�t�s�� ��ri::i•. <br />:;;lt fence, �tca�r bales, svales n1 erusion blarLkl�y—�.,�D���d���Cc � <br />.?L� dirt, mud, roci;, or dehci: r_n be tcacked „nG7n rr_��rd�•�1.U'r� �c`�',-�r_'`�ci _ <br />.. In�*.all 3 '14:rio T �^nnr1.?t� ._jriy::.4:3'J F�c•C l:1tV Of �1�E'L'�L $�1�3L'C� �30% — �fi@ ?�:1VE.'�•3'r <br />' �� <br />' _ . '_I}.= •c :'1C'? liC�'•jE...r p <br />. . �. '� .._,. .. .,. ih.� fe._�n� � ���n.�.i_r.� )�.n=. ,-,ut t-��the. st.r.�eet. pavzng. � - <br />::; <br />Y~ <br />i l.�i Lf E9 NR ffS <br />�.:1 � �-+ �-+ F+ !.'a !Xl fn N <br />.�h� n�N�,�.x m�s.¢i <br />riJ1G�� b vGLTOOT�rD <br />�J . . <br />-� `�� f .-a a'� 1 � O 7 L�l _'I <br />'! -"I-II <br />i�� � ���:a____----- <br />`��ii, � z��r�_L� //�s/o � <br />Apymvetl lor Canstmction atc —�-- - <br />�i�� ,�'�; � � ��y-- � �n—�t� irr_.� <br />�l /i=r - -�i/�//� `7hi✓ i� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned o�.vner/appli�anl hereoy agrees to hold and <br />save harmless the City ol Everett Iwm any and all r.laims lor <br />damages, cosis, enpnnses, or causes of ac�ion ihat may arise <br />because o( installatiun and maintenance of the improvement o� <br />other nghi-ol-way use hereto applied lor and WAher agrees �o <br />remove s2me upon no�ice imm the City and ro replace public <br />property d�maged,thereby. <br />�t'� l�:%/,.-�— _ ��/� <br />S naNreolApplicant ate <br />WORK AUTHORIZED BY TNIS PERMIT MUST BE STARTED WITHIN 780 DAVS OF DATE FERh11T IS ISSUED AND THEREAFTER �S I'; 9E DILIGEN7LY PURSUED <br />TO COMPLETION. THIS PERMI7 MAV BE CHNCELLED 8Y THE CIN UPON ANY S70PPAGE OF WORr; ON THIS PROJECT OVEP.'; DAYS DURA710N. <br />[PWP P�041 DATAOAP.IN7. <br />Z <br />O <br />� <br />O <br />� <br />