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PUB�ic waRKs <br />PERMIT <br />PUCI.IC WORKS Df_PARTMGNT <br />3200 CeAar S!reel <br />Evere�t. WA 98201 <br />,°zs� 25Y�?�P OS i 111G���n.�...3..1. zoor <br />vnri n rvnrat f���i��ELL Si �l ',� • <br />ANPADL]RC55 .TT �Ev 71l:' <br />3.!'7 Ui4Tfi IL SE <br />L'.'F.FFTT 7F. c,;�.�i, <br />rr�oNl y 5 �'_r:.`�,�� <br />1A% P�HC! I I p n <br />i'' 1�i' <br />Itf SfHlf°11(t�� fll . •. _ <br />ri�nrusi nwor�r. 1'L' G p,: �.tF i F.C: ---. <br />PERM!T CONDITIONS <br />APPI If,Aryi NAM[ <br />ANDA[)DqFSS ��'�ii1��,=. <br />PIIONF <br />PROJFCi <br />Date <br />Pub��c WOrkS Pormil M <br />B�tltling Pormit M <br />P.amm�g Re�erence a <br />Pubhc Works Fce 5 <br />c�„�,mec s <br />- .- :G—:r ^_ <br />._..._... :LE'n i_� . <br />5,1c-�_.��jr <br />j'-Lf�-r",nr- _. <br />r <br />� All cnlls lor mspecUon shall be made 24 hours in advance � phone (425) .'.57��810 <br />2 All work shall be pr,rformed in accordance wqh Ihis permil and curren� Ciry of Evero�t Design and Con,iruction <br />Standards and Spr^dications. <br />3 Call Loca6on Underground Sorvice 48 hrs, be�ore you dig TOLL FREE NUMBER 1-800•424•5555 <br />�. .�.t:nec'. ;i,j� ..�rvec ��...t �.1t}' 'ira;!�3e•7c . , , . <br />. �-;.no.e.-t .,,ofto, �', ','_- .. <br />F d:wnspoats tu th� cicainaqe sYyt��R� 1�' �-�—i i<i ch,> 1._, <br />�.. Inet.3.1 a_toni�,❑ rnnt[ol mean��cen �:��=[ r;t_y „[ Evai�rr_ 'itamf��i�i; f�•� .<,m;:i ..+t,_.�Ir <br />�. fi0 iill�`� R�U/!� I'iN.'l;, �_iC C�«Fif1S Lp �ip LfeiCi:FiI OfILi� Ci�F!I'y`Aj�. � <br />. Nc l��,ildim� mataci3l� r" �..< -r3.�r.��i -n nid�va;6- snd .:,jP�'3_i:5 .: IY:• ���r..} -;..,c a��.i <br />.����.. ,�-�i E�. . ...i:,.. ti=,. .. <br />, •..I , � _��i�- �.. � i... �.. �i , .,I._�..� . .1.., <br />�l <br />I / <br />I�ve o <br />A�qrtnvrA a5 ConSbuflrA <br />` :s��� ��I <br />J <br />Uatr --- <br />� <br />Ualr <br />�> -: � �'7 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undu�signetl ownenapp6cant hereby agrexs to holtl and <br />save harmless Ihe Gty ol Everelt Irom any and all claims lor <br />damages. cosls. a�penses. or causes of aclion Ihat may a�ise <br />because ol inslallaUon and maintenanca ol Ih= improvement or <br />o�her ngh4o6way use hereto app6etl lor and Iwihar agrees to <br />remove eame upon nohce Irom the Ciry and lo replace pubhc <br />proport�y/tlamaged Iheieby. <br />/�i!' �I /�-�11C1.�� //S/�r <br />$r�nNur+olAppb-�nt Da1e <br />N����h ni �� nn �HV� I� I�� Initi I`I H6n I 61u5i NI titAHl� p 1Vit11iN IAO UAvS U� DA1 E PERMIT IS IS5UED FND THEREAFi[R IS TO BE DILIGENTLV PURSUED <br />'i� i i i! �i'i I 1 ii ��� I�u�. PI R61I I ldnv !31 CANCf.I I I P Ov 1nF G1Y UPON ANV S70PPAGE OP WOFK ON iNIS PROJECT OVE(i 90 DAVS DURAiION <br />r <br />� <br />W^ <br />l� <br />Z <br />O <br />H <br />� <br />O <br />a <br />