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V/ <br /> Date ."t�i: <br /> PUBLIC WORKS OERMITS <br /> P,Int of Type 0nly <br /> e;�,eoez-7r Irl 3V., A36 <br /> Phone <br /> ao <br /> ti <br /> 4 iL <br /> i <br /> Appifcan! i-nq ACCI—Ss Zp Phone <br /> Desclitic- PoDICK)'Neil A'Or* <br /> ...... LU <br /> ProNet AdloeSs,if ,"10*11 <br /> Attach foul 14o copies of plans for WOPOSPO WO"'I" - D,'aw 10 fo!lo^-ri(j as apl)llr'ablt- <br /> 0 Property Lines 0 Centerline of strile! <br /> • Out!!r* and dimensbons of all eAtstinq a-a 0 indicate North <br /> proposed structures on the of 0 Snow any proposed grading changes <br /> 0 Existing and Proposed utilities 4j Show measurements <br /> DO NOT WRITE BELOW THIS LiNE C <br /> PERMIT CONDITIONS <br /> 1.AN caft for inSPOCIM100n shall be made 24 hrs. in advance-phone 25943810. M1 <br /> 2 AN work SW be Wormed in accordance with this permit and current City of Everett Design and Construction <br /> Standwds and SPecificatow0fts <br /> 3.Call location Underground Service 48 hors.Wore you dig.TOLL FREE mumBER 1'800-'424'5555• z <br /> e I k Lei( 1. <br /> CL <br /> ACV,., �EDGEMENT OF CONDITIONS <br /> x(je(signedOw, • .app;ican I hereby agrees to hold and save hall" <br /> ';it damages. costs <br /> y of from any and all claims for <br /> F�trnses, Or causesaction that may arise because of installaloof <br /> _. ;Mproveme ght-Of-*ay use hereto <br /> ",'fe'anr . nt or other ri <br /> appl-rj for and turn rsgreeS to remove same upon notice from thi <br /> D j_ property aamaged thereby <br /> Crrst,wction eanr, !r'replace r-!; <br /> FINAL iN.-,PECT,ON -,f ADpt Oat*- <br /> Approved as Constructed Ir it r HC"RfZ' 3Y THIS PERNA11T MUST BE STARTED WITH11 <br /> PUBLIC WORKS DEPARTMEN7 ' DAYS OF 'EAMIT IS ISSUED AND THERFArTER IS T1 <br /> 3200 Cedar Street BE &LvGENTL r 1[D TO COMPLETION THIS PEOMIT MAY 8 <br /> E vefe4t.WA 992UI '�,',ANCELLED 6 VJPON ANY STOPPAGE OF WORK ON THI <br /> Phone 25')-8810Pf -,ECT OVER DURATICiN <br />