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, , ,� ,;. <br /> , , <br /> .: <br /> � ,. � � <br /> ' f , , � �=s <br /> ;t � <br /> ' .:K..�� _ 13.r'3�2f3t3� � : � � <br /> . . P�BLIC ���KS Date P�Q5�11-��6 °� - c.. .: <br /> Public Works Permit# � <br /> �ERM1T ; . ,., ,� <br /> ��_ <br /> Building Permit# � <br /> PUBLIG WORKS DEPARTMENT >Planning Reference# <br /> �'�;tµ�3200 Cedar Street ���.�� <br /> � � Everett,:;WA�8�01 Public Works Fee$ � �"��"�� '�� <br /> (425)257 8��0' <br /> - Guarantee$ <br /> ` OWNER NAME APPLICANT NAME <br /> AND ADDRESS: �,70� �I]1�'r�'��'a �y'� AND ADDRESS: . <br /> "EL3'�.F'L"!.` 1i��`' 9�.2i��. <br /> PHONE: ���������� PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: <br /> G�"}�JS'TTclIC�.` gE . '�1 <br /> DESCRIPTION OF <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS �.; � � _ <br /> ' � �� , , � ��`''�f� <br /> 1. All calls for inspection shall be made�4�ours in advance - phon��(425) 257-8810 <br /> 2. All work shall be pertormed in accordance with t> s per it and current City of Everett Design and Construction <br /> Standards and Specifications. �--�' �� fl�/��f {'� ;`.1 '�'� ° <br /> 3. Call Location Underground Service 48 hrs.before yo�dig:��OLL�REE NUMBER 1-800-424-5555 <br /> `; ,4. ��' t�� �a�.�r �v�� �}�s ��r a��� �.3���s�:��`��f�a��a�r��.���r��. �a€����� �.h� �'�r�,� �us�. � W <br /> r�a�v� a�t tf�� r�Frrt+��l� ��€�a���. � ° , <br /> . . 5. TI3� f�nc� �hall not �xW� C' an l��i��s� � . <br /> f 1 ,� s� . , ���'� , �.;�� ��� V♦ <br /> � t t' � } .� :��' <br /> �'" r r.-= � <br /> .._ � ..� <br /> �� �,� f �. fr `�' ��� ��� � w ,�� <br /> . '�.�''` ► � I � .... � _ ':� �' <br /> � � . • <br /> } ,a.. f ` _..�., " � �;;} '��� ._ '� <br /> .. r--��� � ,. <br /> a � `' <br /> � .. . � �� O. <br />. . .. r . � t 7 �'y ' � ... � r� �"" . . <br /> � �.y�f <br />. . . . . . . . . ..� . 4 . � . ... � . , �� � _ „ � <br /> .. .. - . . � _ � � . . . . . . �� �. . " <br /> . .. � . "�'��-.�+��"'! . <br /> a <br /> , <br /> � r <br /> �.. � <br /> . . . . � . . . . . 'ar .'"„ � �" <br /> `�..y' ��-s `a � <br /> . ... T ,. <br /> . � . -... . ,. , . _ . . a G.`��"0' . O . <br /> � �. � . . � �� � � . .. . .. � . . .._ . . . � . .� � � �� . .. �� .. �. . , ��-" . � �b <br />.. . . .. . . . . . . . .�". <br /> ACKNOWLEDGEMENT OF"CONDITIONS <br /> � The undersigned owner/applicant hereby agrees to hold and <br /> � � save harmless the City of Everett from any and all claims for , <br /> proved for construction ate damages,costs,expenses,or causes of action that may arise <br /> because_of installation and maintenance of the improvernent or <br /> other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the��y and to replace public <br /> FINAL INSPECTION prope ty ar��Q e�ier�l�y. ;� �` <br /> Approved as Constructed Date ,��/�f��. �/' � �� `! _ <br /> T 4� i <br /> Signature ofApplicaiit/ f' Date ' <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />- TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY WPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> . . � . . . ' � ' ��A� � <br /> . . . . . . ... ���a._,.:�. <br />