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PUBLIC WORKS �B1e " .:�tr2oo? <br /> 7 Pub6c Works Permll M r^'!7 i.� -(�1;: <br /> PER M 1 T Bullding Permit M <br /> PUOLIC WORKS DEPARTMENT Plenning Rele�ence N <br /> 3200 Codnr Siroet <br /> Everelt,WA 98201 Public Works Fee S � 1.?, � - " <br /> (425)257�8810 - • <br /> Guerentee S <br /> nWNEP NAME APPUCANiNAME � <br /> nNDADDRESS . F?-��('Ip'�L;' Fi�fV� '.�. �ANDAD�RESS�. <br /> !'°."�d q'Pri �i'1' PIE i�.i l . <br /> , -��':- S"2`.'E195 ' . ._ . � <br /> � <br /> P110NE�. .:( ��i:IB41�1$�� _—_ PHONE�. _ I <br /> � <br /> TAxPARCELION PRQ1F.CiADDRESS�. �IIO � <br /> —_--_—_'___. _ —_��.�_—._._—r ._ <br /> [lESCRiPT10N OF <br /> YROPOSED WORK�. r.'�''�� '' '•. .. . <br /> I <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspeclion shall be mede 24 hours In odvance. <br /> 2 All work shall be perlormed In ncwrdance wilh Ihis permit and cunenl City ol E�eret�Design end ConslrucUon <br /> Slandards and Spocilicntions. <br /> 3. Cnll Location Underground Service 48 hrs. bolore yuu dig.TOLL FREE NUhIBEH 1-800-424-5555 �` <br /> r <br /> '�A <br /> V/ <br /> W <br /> � . -, �: � ' = O <br /> � �� �:� <br /> , � � ' <br />� J�- ��, �« � F� � ��,��� — ���fn � <br /> , �y r , Z <br /> ( r•i <br /> � � � �lU � ��(' � (� t,�ti1�� �PJ� �I �.,� � <br /> ;_;-a�,� � <br /> .�,� .r- ;� <br /> - �/�2/�2l�il `y, ����; <br /> -�- � (/� <br /> -;t t;t�r.._ �X � � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The urdersigned owner'applicant horeby ngrees lo hold nnd <br /> � � - ; � •,� � save harmless tha City ol Everell Irom eny end ell cleims lor <br /> � ,"� `�"T�"`•�-�-- � "�"� tlemFlgos,cosis,eKpBnses,m causes ol eclion�hel mAy erise <br /> Approvetl lor Conelrucnon Dato becnusa ol Inslellation nnd mainlenance ol tho Improvemenl or <br /> othar righl�of�wey use hereto epplied lor and lurlher agreas to <br /> remove sema upon notice Irom Ihe Ciry end lo replece pub6c <br /> FiNnl INSPF.cTION � � property tlamagad�he�eby. <br /> AppravcAesConslructed Oel¢ ,.�"� .'�� - i� , � <br /> ,_ .� ,. : � .,�� . . <br /> i . �r.-.��'�� / Sii� ,`- �I ;t ( ri _1 <br /> fl. __- __.___— .—__ —_'__--_—— — S�g�nture ol Appl�cenl Onta�/ � • <br /> WORK AUTHORII�fI[fV TMIS PERMIT MUST BE STARTEO WIiF11N 1BO I�AyS OI DATE PF.RAIIi IS ISSUED AND iNEHEAFTER IS TO OF.UILIGENTLV PURSUED <br /> TO COhIPLEiION �HiS PPAA7IT MAV PE CANCELLECI ffV THE CITY UPON ANV S70PPAGE OF WORK ON TNIS PROJECi OVER 90 DA`:S DURATION <br />