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<br />PUB�.ic woRKs
<br />PERMIT
<br />PU(31 IC WORKS DCPARIMENT
<br />3700 Crtlar Slreel
<br />LVnri'll. WA 9820�
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<br />Dale
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<br />Plinning Relerence a
<br />Public Works Fee 5
<br />Guarintee 3
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<br />1 All calls lor inspecUon sliall b�� madc� 24 hours in advance - phone (425) 25?�8870
<br />�' �II work shall be perlormed in accordance wilh Ihis permi� and current City ol Everett Design and Cons�ruchon
<br />Standards and SpeciGcations.
<br />3 Cnll l.ocaUon UndergrounA Service 48 hrs before you dig TOLL FREE NUMBEH 1-800•424-5555
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<br />ACKNOWLEDGEMENT OF CONDITIONS
<br />Th�� undersigned owner applicant he�eby agrees lo hold and
<br />save harmless Ihe City ol Everetl Irom any and all claims br
<br />tlam�qes, costs. e.pens[�s. or causrs ol act�on �hat mdy anse
<br />6o-rcau: o� mshllalion and m�inien�n�e ol Ihe improvement or
<br />olhrr ngh��ol�way use hereto apphed lor and turlher agrees to
<br />remove same u{wn nptice 6orn �he Cily and to repl�ce public
<br />properry damaged Ihe�eby
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<br />;iqnaiure ol Apphc.lnt Daie
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