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.. ._ �, <br /> .. ,� <br /> �c� Date— � � v�,m,.wo,..r..mn. -- -_ <br /> 6° A��a�.o� . 9D/_�.lo��--- <br /> � APPlir,alinn (or -- -- <br /> PUBLIC WORKS PERMIT �uM1ecWort�fee s <br /> �� ,o,.,..� <br /> «++�nv� �ee�n�a S <br /> �� Print or Type Only A�.�•���o��. S <br /> R� `�'TOLD D�F.*I�PMETf�� <br /> �p � �.lo►zTHWGST ��12TN�C'S �05� NC A'rH STSYo I`�t(o5 BL�h�UE y�00�-4332 <br /> N �� pw�p� Mailing AAdress Ctly Zip Phone <br /> �� MNtI Se�2v�c�s I� 19-9pLE����L_��AMbND -rt8o5Z 4�82-3�34 <br /> �H Applicenl Malling AAdress C�ly Lp Phone <br /> H �,,�v . � <br /> ��y Desr.ribePropaSedWark TEn1Al�� i'S��v�MENI ��F�GE _ <br /> `.�GO —_ _ <br /> 0� <br /> �� - - W <br /> • � Pio�ecl Addressl�l known) 2� � � W' �iAs� N� �D, � <br /> Altach low(4�copies ol plans lor proposed work� Draw to sr,ale antl note the lollowinp as apPhcahie � <br /> • Pioperly Lmes • GFnlerhne of street ♦� <br /> • O�Iline and din��ansions ol�II eris�in9�nA • Indicate Norih V� <br /> proposed SVuclures on�he lot • Show any proposed grnAing chanc�es <br /> • EKisting and proposeA ulilifir.s • Show mensurements � <br /> . DO NOT WRITE BELOW THIS LWE O <br /> J � PERMITCONDITIONS <br /> I C�� 1.All calls lor inspeclion shall be made 24 hrs in advance�phone 259•8810. � <br /> 2.All work ehall be partormed in uCcordence wilh this permit qnd cwrent Cily ol Everet�De:ign and Construdion <br /> � Slendards end Specifications. <br /> 3.Cell Location Undorground Service 48 hrs.be�ore 1'ou Aig.TOLL FNEE NUMBER 1•800•424•5555. � <br /> j `_', <br /> � � � p <br /> � /!/Cl ���S�e C.�l� / �G2.->w�� �c�-c,L�E' �.zt' /1.'�.t�c.u4 <br /> � _ L� G�/ 77�b' L <br /> I +"�� � �i�it.�. �� zz� �-iu d�cr�:�.�., -� �C/f.�•��,7,E;�_ r <br /> � �d+'I.C/-LCl��!-H P� r'c!1 S��Gi'tY n-�t iSGCt-' /_�)�-r � t� /w <br /> VI/ <br /> ! O <br /> I��j �" ' '��,,�-�'- � <br /> /� ?i� - 5c <br /> ; ��1_� <br /> nckNow�Eoc;�r.+�Ni ur cuNnnior�s <br /> i <br /> , ihr unAeisyneit ownrnaPPLc:�nt h�•�eby.�grrrs lo I•�nIA ond save hann <br /> ���� — -- Icss Ilic Cily ol Evcret� Imm any anA n0 daims to� d�moyi�s, ws��. <br /> eepunses. or causes ol achon Uial may nnse brr.ause ol insl�llihon <br /> ond mmnlenance ol Ihn unprovament or other nghl-ol�way uee htvrlo <br /> applird lor and lui�hri agiees lo remove sante upon nol�ce Irom Ihr <br /> AI:Proved lor Conslmction �ate GIY����I to�ePlace puhlic pmP�'rry dnma9eA Orereby. <br /> fINA1. INSPFCTION D�to —. <br /> Approved a5 Consirucled Si9nnture ol Applicanl Dale i <br /> ��veu•11 PUBIIC WORKSDEPARTMENT WORK AUTHURIZED BV THIS PERMIT MUST BF. STARTE� WITIIIN i <br /> 0 3200CednrStreel 180 DAVS OF DAT[ FERMIT IS ISSUED AN�) iHER[AFTER IS TO , <br /> Evrrell.WA90201 D[ DILIGCNiIV PURSU[D 70 COMPL[TION iHIS PERMIT MAV E�! <br /> Phnnc 259 P[110 CANCR t f U BV THF CITV UPC1N ANV iIOPPAH� nF WORK(1N 11P6 <br /> PRl),II(.7 (1Vf H 90�MVS DUHAIIf Ild <br /> I <br />