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PUB�ic woRKs
<br />PERMIT
<br />PURI.IC WOP (S f�l_PAF77A1CN1
<br />3£00 CeAar Spw!1
<br />I:verclt. WA 98201
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<br />Date
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<br />PubhcWorksPermila_1�Slt-��, .
<br />Bwi:lmg Permq N
<br />Plannmg Relerence k
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<br />PubhC Works Fee $
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<br />PERMIT CONUIi IONS
<br />1 All CBIIS br in5per.lion shal� hr nrido : J hnurs in �i ivancn phone 14251 2Ci7�8H10
<br />2 All work Sh�ll be p�ufoimm� in ,+�coidnnce wdh Ilnt pr,rmd antl cuirenl City ol 1=verett Design and Consiruebon
<br />Standards and Specdir,ations.
<br />3 Call Locafion Undr.rground Service 48 hrs. belore you dic�. TOLL FREE NUMBER 1-800-424-5555
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<br />, The _:�ntc,ctui must meFt with thF Ful�lic YocY.s Inspect� .��< �, �- t.aal�'
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<br />. install eiosion r..onteol n�nsuees pei City of Eveiett �n•:�r �4 P'1� �al �ac�. iT�
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<br />ACKNOWLEDGEMENT OF CONDITIONS
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<br />ihr, undersigned owner applicant heieby agrees to hoitl antl
<br />save harmless Ihe CiP� ol Everntt Irom any and all daims lor
<br />Uamaqes. costs, e.pen,es. or causes ol action Ihat m;ry anse
<br />because ol mstanation and mamtenance ol Ihe impmvement or
<br />otl�er npht-o6way use hereto applied lor nnd lurihei a�rees �o
<br />remove same pon notice I�om U�e City and to repiace publ�c
<br />properl dama haeby.
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<br />„ � �� ,.��i���r�11I:I f1 Rv 711IP P( HId111AU5� flf SiM1CD W11HiN tHO P�YS Uf DNf PERMI! IS I$SIIfO �ND iN! R! A1'TFR iA i0 (3F Dq IGFNTI� P11RtiUCp
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