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Pus�ic �roRKs
<br />PERMIT
<br />PUPLIC WORKS D[PAfiTti1ENT
<br />9200Cad��rSlruei ^��1
<br />[vcrML WA 98201 *�IpV '1 ii ( � `
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<br />�ND Af1f1Hi 55 �
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<br />PERMIT (,ONDI�IONS
<br />Dale
<br />Pubhc Works Permii p
<br />U�tltling Permi� M
<br />Plannmg Reference p
<br />Public Works Fee $
<br />Guarantee $
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<br />1. All calls lor ��spec�ion shall be made 24 hours in advance � phone (425) 257�8810
<br />2. All work shall be porlormr,d m accordance witn ihis p�rmit and curreM Ci�y ol Everefl Design and Construcbon
<br />Standards and Specihca6ons.
<br />3, Call Location Underground Service 48 hrs. be�ore you dig, TOLL FREE NU!NBEH 1•800-424-5555
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<br />.��.;� o�,en C;.� ��Fdesrcian tc�av<1.
<br />. Adiust va*,er met�:� bux 1" aGove sidFwalY, gcade.
<br />. C,:air�.-• '1;f: :e•�.:t �x .:S}' Stani3ni r'- �n�, rn_, !-�>d.
<br />, . � ��.�n.:�• i� ji. .i •.�ir:r,-.��,?, , •i�.. ��'n.,.... . � . �: ':icle?I l��r this lot.
<br />,� . ,c�3n�i3rdrs fr,r sroall pdc�...
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<br />INSPFC f ION
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<br />ACKNOWLEDGEMENT OF CONDITIONS
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<br />ihe und��signed ownerappl�cant herehy ngroes to hold and
<br />save harmless Ihe City ol Evoiett Irom any and all Gaims for
<br />damagea cosis. e.penses. or causes ol aclion Ihat may anse
<br />because o� installabon and maintenance ol Ihe imp�ovem�anl or
<br />olher npht obway use hereto applied br and lurlhei agrecs to
<br />�emove samo upon no6ce Iroe ihe City and lo repiace pubhc
<br />proporl damaged ihereby
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<br />$�gnature al Appl¢am Data
<br />�•;n�in AIIIRORITI D BY T1115 PCRh71T MUST PF gIDRlf f1lYI7�UN �NO DAVS O° D�TP PFRMIT IS ISSUEC� AND THEREAFTER IS TO flE OIUGFNTLV Pl1R5UED
<br />. i �•1.n�i! 1ipN llu� Pf la.ti� r�nv la ltnN�'1 I I! 1� PY n�l rin' uPCN nNv Si(�PPAOC Or WORK ON TNIS PROJECi OVER 90 DI+VS DIIRATION
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