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4wrr Application/Utility Permit <br />ENGINEERINGI BLIC SERVICES 3200 CEDAR ST EVERETT WA 98201 <br />FEE ' 19AI DATE /vh%/�agj <br />PROJECT LLOCATION ;1'T i`o��i� �41 ��-�.�{- f�e�J4f Nc� (A,-, a09 <br />UTILITY ID NUMBER /744 / <br />OWNER?wfoT�y <br />ADDRESS L30-2 jaoK MRia AAE <br />CITY LJN ZIP 9Poy� <br />UTILI1 <br />SIGNA <br />CALL (425) 257-8810 IMMEDIATELY PRIOR TO STARTING WORK! <br />JOB DESCRIPTION: TWO (2) COPIES OF THE PLANS AS AMENDED, SIGNED, AND APPROVED <br />THE APPLICANT -CM I RA('TnR NFRERY AGRFIS TO HOLD AND SAYE NARNILESS TIIE CITY OF EYFRFTT FOR ANY AND ALL CLAI\1S FOR DAMAGES. COSTS. EXPENSES. OR <br />CAUSES OT ACTION TIIAT MAY ARISE BECAUSE: OF INSTALLATION AND SIAINTENANCC OF TIIE IMPROYEMICNt OR OTIICR RIGIMOF•MAY US( 11FRET0 APPLIFD FOR AND <br />FURTHER AORCCS TU REMOVE SAME UPON NOTI('P. FR031 711F CITY AND TO REPLACE PNNI IIFPIIPERTY DANMCCB TIILRCOY. PLAMMSIDN 1% UERLBY GIN LN 10 w TIIE <br />PORK ACCORDING TO 111E APPNOYED PLANS AND SPECIFICATIONS. STREET (BUSSING WILL REMAIN: BY BORING. TRENCHING WILL BE PER CURRENT CITY ORDINAS(TiS <br />AND DESIGN A CONSTRUCTION STANDARDS. <br />.............................................................................................................................................. <br />APPLICANT CO 1MENTS: <br />C.�c 7-e&,. ss <br />a1 1wttx r'_a " pvc., 74.. eow�.'Tt -th house �lw�.LLI. rp saed <br />wa prws � $a-E �&* atiSl olLy 44/e. F4.*.e raw -To � atm2aci <br />d✓aw: -1 , <br />DO NOT WRITE BELOW THIS LINE <br />CITY COMMENTS: � JR11i tt <br />N ul io.Y¢ <br />INITIAL INSPECTION DATE SIGNATURE <br />PERMIT ISSUED DATE SIGNATURE <br />CONSTRUCTION APPROVED DATE SIGNATURE - <br />CALL (425) 257-8810 IR1MEDIATELY PRIOR TO STARTING WORK! <br />MIII) LCOPY -C11Y PINECUPY- WMAt'ANI IIARIICOPY APPLICANI'IFILLUCOPYI <br />