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Pu��ic woRKs
<br />PERMIT
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<br />'�pliU Crtl.0 :;Ir�.,.;
<br />1 e��u,li. WA 9820�
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<br />Puh6r WorkS Permit N : �y -. �
<br />Rwining Permi� M , _ ;
<br />Plm�,ning Reference a
<br />Pu66c Works FPe j -
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<br />I'f HMIi CONDIIIONS
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<br />I'I+�:II CJ AUDPL55
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<br />i All c�lls lor inspeclion shali be made 24 hours m advanr.e � phone 14251 25T�8810
<br />.I All work shall be performed in aCcordanco wllh this pernut ,md cunent C�ty ol Everett Des�<r� �in�l c����R�i<uoi�
<br />Standards and Specdica;ians.
<br />�l Call Loca�ion Underg�aunA Service 48 hrs belor� you d�n TOLL FREE NUMBEP 1•800-424-5555
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<br />AGKNUWLEUGEMENT OF CONDITIONS
<br />The undEarsigned ownei apphcan� hNreby agrees to hoitl .��id
<br />save harmless Ihe City ol Evx�eti Irom any antl all clvn b�
<br />damage5. costs. e.penses. or causes o� aclion Oial m ry�.r��,��
<br />br.eau5e o� mstallation and mainlenance o� Ihe improve n�����-,i o-
<br />other nght�o6way use hereto apphad lor and lurlher agm���, ic
<br />remove samo upon noUce Irom Ihe City and b replace puU��,.
<br />proper�y damaged Ihereby
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<br />Si n, r ApphCOn� D.11tl
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