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orue . <br /> � PUBLIC WORKS � publicWorksPo�mita � � <br /> PERMIT ' <br /> BwlJing Pcrni�N <br /> PUlll_IC WORKS DEPARTMEIr i plannmg Relerence a <br /> J200 Ceda�SUecl i n ZQa7 <br /> [vercll.WA9B2�1 cC r 2 � � <br /> E 1•7251 257-881 `�L Public Works Fee 5 <br /> TO P�STING................................ i ���,����o� <br /> � - - — <br /> IOWNI.P NAIdE 1 4PPLICAN7 NAM[ i <br /> ANUAf)OfiESS .' [.i'�?,�� f,?,-Ff� � �N[)AI]�RESS <br /> ;�•r�7 56Tfi F.:c �: <br /> � "'��NWi�ql ��•. <br /> � I'�IONFf . _ � � PHONL <br /> ;� A9. 7E. <br /> IlA>.PARCGUD/ — ' ---�'�� PROECTAGORCSS—" '— -- ��� � <br /> , .� ." 1h(I:Ii . _ . _. __ _. � ._.! ;.�. <br /> ..—__— . ..________ .. _ _ _ --_—' _ _—___—.. <br /> � UESGRIPTIONOF �,� � , .�. . ..�����' I <br /> I PROPOSf.D WORK � <br /> � <br /> � <br /> P[RMIT COIJDITIONS ' � � <br /> 1. All calls lor inspeclion shall Ln madc 24 hours m advancc. <br /> ? All wn�k shall be perfonned m accordance wdh this permA and current City ol Everett Design and Construcuon <br /> Slandaids nnd Sper.ilir,aUons. � <br /> :t Call Localion Unde�ground Service 48 hrs.belore you dig TOLL FREE NUMBER 1-800-024•5555 <br /> � <br /> � <br /> . �� i. ��l �:. i "� 'il�� �.�ni'�.� �.�{ .n�. � <br /> �^Cii)O f`f �A111J'1�'Br7Rq V m <br /> �:omp]e t Q�3. /y <br /> .���or.r sLln nn�n�• pnr �:ify " V <br /> .+ ��ontr&••t���i �u:n m.+t.t �iCb . . . , ' <br /> ��•qe rnnttng �,ri„r to 1+e�7inninq cf the pro�.�:t . <br /> stn;l oc��sicm � � . � . , , . � :r , , , .�_ . .. , , , Z <br /> di[t. mcd. ec O <br /> 'in huil�!ina m.�t � <br /> �ren foe �vdm-r : � � <br /> cJ r�„ � <br /> � <<,; (l�/ �;,. � <br /> FB � a <br /> ,, , c��.�, � s`�°0% O <br /> , �� i <br /> i,r,, ,!� �, <br /> �,,,,i��� �� <br /> ACKNOWLEDGEMENT OF CONOITIONS <br /> . The undersiynod ownar'applicnnl ho�etr�agrees to holtl and <br /> � - � f � /, �—. save harmless Ihv Cdy o�Everetl Irom any and all claims�or <br /> /. - ,:�_'��:.�5_Y1�-- � ��' � � dlAl8fjC5.CO515.P.%PPfI5C5.O�f..lUSP`uf ac6on Oial may ense <br /> ApuideA br Conslr�'uction ��n� � � because ol installalion xnd mamlenance of the improvement or <br /> olhei righl-o��way use heretn npphed Im and IuAher agrees to <br /> . . . remove same upon nohce irom Ine Cily end lo repince pubLc <br /> FINAL IHSPECTION L � � propeliy tltlmagud Ihereby <br /> Appmwd ns Cunsbuvind Date • <br /> i' <br /> . _ Signelme M A�IKqN Onle � <br /> t0 COMPLE�T�IOI.C H SVP[RMIICMAY�BE CANC[LLE�BY TlIETpTV�UPON ANV�STOf'PA�E UI�1VU iK�i N t�1',S PRO.�IFCf UVf:�90 D V9IDUR TIONP��nSUE� <br /> IJ�t�PAn INC <br /> 1 PY:1'li IN.1 <br />