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<br />PE'�iMIT �
<br />PUBLIC WORKS DEPARTMENT
<br />azoc Cadn� 91rea1
<br />Evmctl, WA 98201
<br />(4251257-8610 � y���i •.iii
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<br />OWNERNAME
<br />ANDA�DRESS I,FY: l:���F.F.�-�
<br />�n9?3 ;E 19o1H ST
<br />�#EN[r�M trA. ogn�.
<br />PHONE: ��1bL�9151�)
<br />TA% PARCEL I.D I
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<br />�ESCRIP710N OF
<br />PROPOSEOWORK. 1�FV Iu7Ic'
<br />PEFMIT CONDITIONS
<br />`YhF.T
<br />PMONE
<br />PR0.IECTAODRESS�.
<br />Dele ?,�?/.i�„c
<br />PuMic Works Permil N PYOB03 �" i
<br />Builtling Permil N
<br />Plannlnq Relerence M
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<br />PuMic Wolks Pee E < r. ,,
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<br />1. All calls for inspectlon shEll be made 24 hours In advance.
<br />2. All work shal; be porlormed In accordance with Ihis permil and current City of Everett Design nnd Construction
<br />Slandards and Specilications.
<br />3. Call Loca�lon Underground Sarvice 4B hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555
<br />. i�:...:.r..�.,.. . �y,..,,��.� ii:�i..," t.: ia�:;;l!.,,.:'. �.�.n:� rh: •:�,n�l�� '.i•.b� ,�) ��ta �:ini rlltF��'•. �
<br />� th�- :�.�r.r, :.5:. ,.,.c,. r,�,., , .ndr.�� �:nm�, ������F��i�.-,i� �r�. •_h�:. �,.i�n•l�ti,�,� �traul eparw !!y I..:
<br />, �_israLla � '�'��,..
<br />� r.'nnnect rxffo� d!nm��K�uta r� thF dceint�ge 'Yetew provided for this�-iat. � ��-
<br />*he contr.actor uuat n�aeC vlth the F'ublir. W.rke Inep.w^toc to die�yq;�QtenY�la1
<br />.:naye routinu F'C1JC to t�e�7inn�nq the rr0)ect. �� ,:;-_j
<br />.. inntall etneSnn co�tcol eNanuren p?t� Clty ��f Evete�t Standardn f��r �n�)1 �t�rcel`
<br />111t pxr.wv�tNA M�teria] fr.wi fn�indation, sidevalk .qnA drive++aye �hn]] t�� h�til�i� tr
<br />�eproveA, �ceitted �it.e. rr. waaring of neteiial ic alloved nn thie bnit,�inq l:�t.
<br />N�� d�rt, nud, rc..-ks .�r det�ci� tu t�e lracked onto roedvay.
<br />. Favr �i[1VP4AY frn�e thc fr�mt pru�arty linA �ut tn the eYrnet paving.
<br />� Cnntnr* thP M��CiL'R'�� wqt�r �iatnc* fnr cannectfnn provinion:x �rt tbie �
<br />�� 1�11nq'� aatar anA D@b+?I' 9�!CV�C90. � �
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<br />,. i rrF':.1� w.•r.c� •tig.PF�T'�'N" r-�LL i LrFF 1,7N�M�N PT 4<� -��-'^ �4C4 ;'�Q'•�ia Ld
<br />TO POSTING ' °��� �i2
<br />ACKNOWLEDGEMENT OF CONDITIONS
<br />/ The undersignad owner/applicant hereby agree9 lo hold enA
<br />.���_; � �,y�b� seve hermless Ihe Cily ol Everett Imm any and ell cleims lo�
<br />i"1' � 4* ?i— / T tlamegas, cosls, expensas, or ceuses ol ecllon Ihal may edse
<br />� rovetl lor Conalruclbn le
<br />because ol Inslalletion end malntenence ol the improve�nent o�
<br />i� � - �'' other rghbol-wey use herelo epplied lor end lutlher egraea lo
<br />. _�� f.� � . � _ �._;�_ _ _. + - - � - � - remove seme upon notice Irom Ihe City end to �eplace publb
<br />FM1At MSPECt10N properly demeQe�l lhereby.
<br />App�oveAeeCons�mcletl Dete f '
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<br />WORK AUTNOFIZFD BV TMIS PEFlMIT MUST BE SiAF`TED WITHIN 1B0 UAYS OF DATE PERMI7151SSUE� AND iHEREAFTER IS TO BE DILIQENTLY PUR9UE0
<br />TO COMPLETION THIS PERMIT MAY BE CnNCELLEU BV THE CI7V UPON ANV STOPPAOE OF WOHN ON TNIS PRQIECT OVER 90 DAVS DUR�TION.
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