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PUB�ic woRKs <br />PERMIT <br />PU�LIC WOANS DEPARTMENT <br />92aa CeAar Sirent <br />Cvernil. WA 98201 <br />�a25� 257�UBt0 <br />1 � ''USl'ING.,..r,1AR $ � <br />nwN[ n Nn�nF WF:14[�FL7, ^Cr•7�7� I'�T'�� <br />n�m nnnrvess <br />3��i7 li�-0Tfl FL SE <br />E\'EF.ETT <br />I`uONf a�5?74Q71ii• <br />mxrnncciio� -Ei�51;pc-(_ <br />uiscr�irnoHor h�;; y�'��.;r <br />rru,ro�;iuwonK ' <br />f ERMIT CONDITIONS <br />' t,�_ <br />nr�i <br />nHn <br />Wh ?%'n� <br />PHONF <br />f'. : _'. <br />Daie <br />Pu61ir Works Pennit M <br />Bwlding Permit p <br />Planning Reference k <br />Pubhc Works Pee E <br />Guarantee S <br />�DURI.SS .. _ <br />... . 4 'c'G'�'!r'y-0 <br />_.� �.�:.Ui�r <br />FwiinQ?-�"! <br />rn�t� �_ _ _ <br />,:5, � <br />1 All calls lor inspection shall be made 24 hours in advance � phone (425) 257-8810 <br />2 All work shall be performed in accordance wi�h �his permi� and curren; Cily of Everett Design and Conshudion <br />Slandards and Specilications. <br />3 Call LocaUon Undorground Sr.rvic�� 48 hrs belore you dig. TOLL FREE NUMBER 1•800-424-5555 <br />. .,. ;.a:.�i:r:_ rr.�+_ . _�:. .. .. r,�_,:b..,,1 .❑ ...d.:v�:ir, 3;r± ...._ :iF:r r. ! . , - <br />!t•.. ,[ d�t�i ta -. <br />.}iJ i�ll�', mud� I:i�l'i:� til i�PfUi:: Li t�� itE+i'i.�-!� Ofll��: Li�3C�Wnj'. <br />.. Conna-t ui�1e aewr pac C1t� Stamlard^ 6�)1, r;i)„ fiJq <br />. C'nnnect �o�,ftc�p .:Iovnspouts to the diainaqF system F�iov��J:::i i� th;� .?. <br />. F.on[t"�, iunoff munr h� �i�,��ha[,�<�1 ti, ; n,o( d�_.vnn�:•�:ut ;n(;1�� �r;,,n }'r._�•u. <br />��i r�,:.�.�•, ��•;��r t'�r ��. -..-._. T1;c. -��,�,; -s;p.,r.. . . . •r•.,..... ... ..'�' �. , <br />_,.�. ' _ ` ' . �n�.. � . -. .. . _.. . . c�. . . ��' �:: . <br />, <br />i /' <br />: �L/L2�'�� •� ����' - <br />� �v�n<nniCancnu�unn � �.ue _ _ <br />_� �� <br />� .��i'-a__�1�—=.-.-r--G.. . <br />I SPfC110N <br />Ap�nmrAa.f'.on�buc�uil D.itc <br />3 —/C. � [` �. <br />. ... ;:: <br />i "� � 1": <br />' -�-i <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/� <br />The undersigneA ownerapplicanl hereby ag�ees to hold antl <br />save harmless ihe Cdy ol Evarett Irom any and all claims for <br />damages, cosis. expenses. or causes ol action ihat may arise <br />because ot ins�alla6on and mainlenance ol Ihe improvemonl or <br />othe� nghbol-way use ha�nlo app0ed for and lurther agrec!s to <br />remo;e s� -.e upon notice Irom Ihe City antl �o ieplace public <br />proparly damaqod Ihereby / <br />�� �_ c' N . �`S L'YL`Li�� -. _.i/C]!. .'J G _ . <br />S�gnaWre o� Appbcant Dalo <br />�V�n�t ninr�oili7l I� Irv IHiti Pf�NMII MUST B[ STqRiCD W�71aN �AO IMYS Of Dr1TL PEP611T IS ISSUED AND THEREAFtEF IS TOBE DILIGENTLV PURSUFD <br />��.'. i� ndl`I f I ION tln5 I`! Hldll MAV �F CANCEII! 0 BV TI�E CI7V UPON ANV STOPPAG[ OF WOfiN ON TNIS PRQIECT OVER 90 DAVS DURATION <br />W` <br />= <br />� <br />W <br />O <br />Z <br />O <br />� <br />a <br />