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<br />�j jJ C�;� o( Everett Pubhc VJcrks D�.c� rtm nt
<br />'�� --- 32CG Cedar Street Buddinq Permit ,Y;
<br />��� ' Everett, VJP. 98201 ,
<br />(4i5) 257•8810 P�annma P,eference �t
<br />I �.:NlNER NAME AND ADDRESS:
<br />�''�_IRNERSTON[ HOP.iES N1^J LLC
<br />'I f�n f?OX 14424
<br />'.',tLL CREEK N/q 9Fi0°2
<br />f-HONE. a253385E88
<br />jTAX PARCELID� 00393300071�CG0
<br />DcSCRIP110N OF PROPOSED WORK:
<br />��'1 FOR 4 NE�V CCNGO U�Ji�iS
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<br />DOCO: �_:_'�
<br />Public Works Fee $: $ 2 3��. ,,
<br />Other 5:
<br />�PPLICANT NAt��IE AND ADORE� ;:
<br />PH04[:
<br />SITEApDRESS� �00? 71TH PL S'!
<br />��l1�7 � — I��C� r7�iJh 51 .S'I�V
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<br />� n441T CONDITIONS
<br />t?ii c211s fcr mspechen shall be made 2a hours m advanr
<br />�II v;ork shali be G���rrned �n ac[ordance wdh the perr d
<br />:nd S� ecd�cabons
<br />' Cail Lccat�on Undergrcund Serv�ce 4? hrs before you d� ; TOLL FREE NUPIIBER 811
<br />: 4'er2cerC�,ec nld� tlat_d P;12/ZO'3
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<br />' FJl�Y'L IIJSPEC110IJ Date
<br />��r�,roved as Conslnicled
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<br />��:�e hannless th= Cdy ol Everell hom any and all Ua�ms b-r
<br />dar„oges, costs, expenses. or causes of action thal m�y .,r� ��
<br />because ol�nclaqahon and mainlenan[e of the imprc� ^��� t
<br />or ofher�r�ght-ol-wayuse hereto apphed for and turttic .-�.�:�. �.-
<br />to remove same u{�on nohce from the Gly and ta re��.. �
<br />pubhc property damaged Iherehy.
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