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OWNEfiNAMf: <br />ANU r\ODREF4. <br />PNOIIF . <br />TAXPAFCELI.D.M <br />DESCRIP710N OF <br />PROPOS[D WONK� <br />PUBLIC WORKS �� �'�n <br />Pub6c Works Permil�k � <br />PERMlY i �uildrtgPermita <br />PU[3uC N✓ORKS D[PARiMENT Plann �ig Reforence e' <br />3200 CcAar SVerl <br />Everelt. WA 98201 Pubhc Works Fee 5 <br />(425�257-8810 <br />;..� ;_ <br />� � <br />P[RMI i CONDITIONS <br />Guarvntee 5 <br />APPLICANI NAME'-- — �'--�� � �—' �'� —' <br />pNDADDRE53 <br />l G f'US ��li�!C r,;;+Y 3.1 2C07 <br />.............. <br />PHONE <br />PROJELTADDRESS <br />1. All calls lor inspection shall be made 24 hours in advance. <br />2. All woik shall be pertormed ir accordance wilh Oiis permit and curren� Ciry o1 Everett Design and Consiruction <br />Standards and Specificalions, <br />3. Ca'd Lor.alion Underground Servi�.e 48 hrs. belore yau dig. TOLL FREE NUMBER 1-800-424-5555 <br />vn F.::ut t thc :1[ninag- .��+stHn Fi <br />ntc i m.�3 ure: ���-iry ��f Fvar�tr. <br />•m��ve F�r��-+���n c<��ittc.7 r.e:+-�urc�� u�.:.'1 ,'c�IDpiNtfOn nf U�e• j�t:��)�:.:� }:.;rn <br />� <br />�-:�/,�<�_ <br />vnvrdlM Cansbudion <br />�c� P�sriNr: ������� � <br />_,. <br />��-, ,, <br />�,,��I <br />� a <br />��� i� __. —���-- <br />crt�u iNsr�crioN <br />i Aprnaven m:�nnsbujlotl <br />I ... ' l'C� : FI � `'/ i`. <br />I i.• �"�: - .�'�'_- . . <br />o�io <br />i%%i <br />ACKNOWLEDGEMENT OF CUNDITIONS <br />The untlersiyneA owneNapphcanl here6y agrees lo hold antl <br />�avo harmless Ihe City ol Everelt Irom any and all claims br <br />damages. cosis. expensos, or causes oi ncUon Ihat moy anse <br />bocauso ol inslallation and maintenance ol lhe impmvement or <br />othm nghl�obway uso he�ato apphed br and lurihe� egrees to <br />-.' -' remove same upon notice Irom ihe City antl to mplace pub6c <br />" preperty damap�d� �hereby. <br />� , <br />�.�, .ti. �s.:1_;1�..r � � C� � 3 c, l oL. <br />$ignaluo�olApplKnnt DNo <br />1YORK AUiNOR17ED PY THIS PCNhlll h7UST OE $Ti�fiTEU WITHiR 180 DAYg pF OAT[ PERMIT IS ISSUED AND THEREAFiER IS 1U BE DILIGENTLY PUflSU[� <br />!O L'Oh419 F IIUtJ 1HI$ Pf`PMI7 M4Y Hf�. CANCf I t C U f1Y TII[ CIiY UPON ANV tilOPP4G[ OP WORK ON THIS PROJK'i OVEA w1 OAY� UURATION <br />❑n�n1uH vu <br />�rY:l'i. ,. <br />r <br />W <br />O <br />Z <br />O <br />H <br />� <br />O <br />a <br />