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PUB�ic woRKs <br />PERMIT <br />PUE3LIC 1YORK5 D[PARTMENT <br />32C0 CeAar S�rea� <br />[vere�t. WA 98201 <br />,4z5����OSTING. r��R..2.�...zoo� <br />ow��rrarunrnt r,£.NDF.LI. Sr•�-.TT f.gV � <br />AND ADDRFS`s � <br />-� -�� i!�4TH FL iE <br />E1'E7��': "; � 1, :.. <br />PIIONC .j�r.'_ �, '1lir� <br />Il1%PAfiGILID� . .. <br />ni sr,r�irnnN or .�-.: ji,. nSE - L z,- - <br />rnui�utiiuwonv ' - <br />PEFMIT CONDITIONS <br />I Date <br />Publ�c Waks Perm�t a <br />Budainq Permq M <br />Plamm�g Relerencr a <br />Pu6hc Works Fee 5 <br />Gua�anlee $ <br />APPI ICANT N�MF <br />AND ADDflESS _ ��'i� i <br />r>r�oNr <br />PNOJFCT ADDRFSS <br />fiL."E;, ':,E?; Li': _ <br />:�•a ... . <br />1. All r.alls lor ir�speclion shall be maAe 24 hours in advance - phone (425� 257-8d10 <br />2. All work shall be perlormed m accordance wlth Ihis permit and current City of Everett Design and Canstrucuan <br />Standards and SpecdicaUons. <br />3. Call Loca�ion Underground Service 48 hrs. bolore you diq TOLI FREE NUMBER 1•800•424•5555 <br />�i. N�: �iic•. tr.v�i, c�:�:ke, �.i �f�=i:�i::: .. �.- tta.�'v�•i ,�n•: � �;1•.,3•.�. <br />. i�0 �:�Uli(�llli! Ifi3C@C1d15 LO t� StLdCi:�3�� C�❑ 91��.�••�'i�i:": e�i•.I :. .. t:i�r::: - L.i r:.•�t'.j.-.i�r•�� <br />.,i�i o��en fc�r �:��,i.=�tnan tcavel. �••'`' � � •-� �.�. '�, <br />. Connect �1de sewer pc.� City Standacd M's i.(��1, ,°�Q,--�� �5�7, s,� ...� . <br />a-r n, � , -. i , ,i r.; ., + ` � <br />c9 <br />. '-nn_�. e.�f .�. i�.vn � .i � the �ain:y— , •.� � r��� J�i ��`h�`� �, <br />. ;nsr �., _-� �-.r: r . ��.• � � , . .:.�1'�tt 3�}an•:Idt;.i� f� t smail �pc�•:.ls <br />cn <br />o ;=;.'. <br />� o ;,,, , <br />.'' � <br />� <br />• F" M N <br />••��N~ }...,y� enMpN�--�u~ • • <br />� l��i.l�4 �13ViG�t-� <br />'.;�n.=.= _:�;� ., .. ,�1 <br />� <br />4R ��� r�r , <br />i '��i�*c-hy J _ J� l' <br />�11or Conxburt�on Dal � J ... <br />/!J� � <br />�� ' —�_ � ___._ <br />- ; INSP _GTION <br />qpp�o�rAasf.n��.VvJnU Da�e <br />�-�� �� <br />ACKNOWLEDGEMENT OF C<�NDITIONS <br />� <br />Y / <br />O <br />� <br />Z <br />� <br />V / <br />O <br />a <br />The undersigned ownecapplicant ne�eby adrees Io ald and <br />save harmless the City ol Everett I�om any and all claims lor <br />Aamages. wsls, e�pensas. or causes ol action Ihat may anse <br />because ot installahon and mainlenanca ol Ihe impiovement m <br />other nghbol�way use hereto apV��ed for antl lurlher agrces to <br />remove same upon nohca Irom the Gry antl lu replace pub6c <br />proparly dama�ed thernby <br />_���:�,�r<<���- _�,/�1�=� <br />S�g�dtu�o 0� App�¢ant Ddla <br />W�n+ti nulrinNqF l� I±v 71US PFNM11 MUST PE S1ANIf 11 WI111IN tFo f]AY5 0� �nfE P[RMIi IS ISSU[D FND THEFEFFiEP 1510 BE DIL16ENTLY PUFSUED <br />•� ��� UA1PI F f ION 7 HIS Pf HAIR MAY BF. CANC[LLCD PV TUE CITV UPON ANv STOPPAG[ OF WORK ON 1NIC PROJECT OVER 90 DAVS �URATION <br />