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j3�+K � !a - 7� Y - ��.yd <br /> PUBUC 1N�C��IC�P��iM1T DefB— L �s y� _ <br /> � ' <br /> PUBLIC WORK:DEPAHTMENT�• Public Workn Pertnfl N _ <br /> 3200 Cedar Strea1 �!� <br /> TO rOSTING �k 1 8 �vetetl,WA9B201 25B-8B10: BuIldingPermltN <br /> `.,J <br /> TYPE OR PRiNT ONLY . � U �.� ;� :, ,,, Publk worka Fee S � -- <br /> ;',' `c '.-' i-- r � ., .� <br /> ��k2�R�����``��Pr. �:f S�f����'�U � .•�.�6.tt.. ��[: <br /> .�„ ; <br /> Owner MallinpAddreas ' ., Clty Zip Phone <br /> � `u <br /> �'� � <br /> i <br /> �.... ;,., c. t_� . <br /> ApPlicant MWllnp/�dresq'.. r; :;T. '..� City 7Jp Phone <br /> ti.: � . �i �� :a f.. <br /> Describe Proposed Work ���'T ��� ��fl lA!`���"'� � <br /> 's� � <br /> � Z — � <br /> PROJECT ADDRESS(if known) C7 . U ovr arY� H . � <br /> � <br /> Atlach lour(4)copies ol plana for piopo»d work-Drew to acele end note the following H epplicable: � <br /> 'Property Unea 'Outlirs end dlmeneiona ol dl ezisting end propoaed etrudures on the lot 'Exiriing end proposed utllNlea <br /> 'Centerline o1 etreet �Indicate North 'Show any propoeed pradinp changea 'Show meaeurementn � <br /> DO NOT WHITE BELOW THIS LINE <br /> '�f�RMIT CONDITIONS: Z <br /> �4''All ca'�s for Inspection shell be made 24 hours In advance-phone 259-8810. Q <br /> 2.All work ahall be peAormed In eccordance with this permit end current City of Everett Design end <br /> Construct��n�tandards and Speclflcationa. <br /> 3.Call Locatiun Underground Service 48 hrs. bef�re you dig. TOLL FREE NUMBER 1-800-421-6666. H <br /> �. �°-�,- a�� ��- /� N <br /> ,5 �l,�r " � `,�„i SfoC 3 •�{ 2 ��c�r�;v�6� S'//r/�^�i 0 <br /> /,, �2) � 4� s-v���r �'� f7`� ,s�Z �l � �� �� a <br /> � <br /> 7. �Z� s��� s.uM•,� sf��s � C�� s�-d . Gcjr� �02��� <br /> �. Su r�/�!�►'�' �'r�� i�.,, d �sa-�.,,e_ /n5/�►l��ivw e F <br /> cr�'!G't w�y <br /> / <br /> ACKNOWLEDC3ENENT OF CANDfTiONS <br /> —r= The undarslqnW ownedapplicent hereby aprees to MM end eave hertnlese <br /> . �6 the Ciry ol EvercM hom any end ell clalme for damepes,wata,axpenan,w <br /> App br Co uct ate �usas of actlon thet mey erlae becauee ol InsteNetbn end malntenanca of <br /> tM Improwment aMhx ApM-of-wey uae hxMo applied fa and IuAher eprea� <br /> to upon notke hom fhe CMy and to replece publie propeAy <br /> ^' dameped here . <br /> FI INSPECTIO Date <br /> ApProved as Consiructed / �? �� <br /> b <br /> Slpnature of icant Deta <br /> WORK AUTHOHIZED BY THIS PERMIT MUST BF STAHTED WfTHIN 180 DAYS OF DATE PERM�f SSUW AND THERFIIFTER IS TO BE DILIf3ENTLY PUR9UED TO <br /> CAMPLEf10N.THIS PERMIT MAY BE CANCELLL'U BY 7HE CITV UPON ANY STOPPAOE OFWOR!(ON THIS PflQIECT OVER BO DAYS OURATION• <br />