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, 7 <br /> e:-� <br /> �r� e^cia / ��. <br /> � <br /> t � <br /> Fj�f��1 <br /> ��'�0 � , . ... �,.,...�� <br /> ��� ' . � . � <br /> � ���r .,��.,����s;� _ , .. ,.�, <br /> ��� � �-3�-z°1 ``�' P,�„�.W�,�.o.,m,,. 9 zi��- <br /> N y � D3�e_�Q� I eina o.oi..—��-&=� <br /> �j� ,o Applicatlon For — _` __ <br /> ��1f (�]J PUB�IC WORKS PERMIT PuOiKWod�iae <br /> ,o„�F.� s <br /> (�]y �] � T� pnc.TlN(; . � z� �� �e���oD�FeaP��d S_— <br /> �y� Print or Type Only� �g � u�''i �' � � 8� B�bnce Oue S�� i <br /> H �.+ �p � w � v� � � � <br /> y�(A y� M N <br /> �i��a (' M�zc��_—�o�l� $BA�ir �'� � L�✓o..;� qAzr3 Z5�r-¢�tiL I <br /> 9n� / ° <br /> Own °' � Ilqi p�Qr s Gity 2ip Phone <br /> r �° � � ��'���J� � '. ;:. <br /> �, .' , ,' t ��13;�1U7 <br /> '�� _ � ��'��15�P�%L��a..a«zar/ <br /> � ApDlicent �'.v�ing Adoresa Cily Zip Phone <br /> I, � -1 , �., LCJ� � ��i � �]./l�� <br /> Descrlbe P�oposed Work �[.Q � �/V���E �"N--�--.---f�-�� �F�I <br /> I <br /> �L � ,_ - J -- . -- W , <br /> Prolect Addreas lif knownl �-3 �uS\�IC]C�. �✓�'�� —_ � I <br /> i <br /> Altnch fum 14)cop�es of plens lor pwposed worh-Oraw to scele end note the bllowing es applicable: � I <br /> • Properry Lines • Cnntodine ol streot � ;, <br /> • Oulline and dimensions ol all eKistin;��•0 • Indicate Norih � <br /> ...� propo6ed olmctwes on the lot e Show any proposed gre�ling chanpes � <br /> , • Exlating end proposod utililies • 3how measurementa wA I <br /> ���i DO NOT WRITE BE i.OW i hIIS LWE � I <br /> O ' <br /> � PERMIT CONDITIONS ', <br /> C_ , t.All calls lor inspectlon shall ba mede 24 hre In edvan�E ohcr�e 258$B10 � <br /> J 2.All xork shell bo pedormed In eccordence with this perml;e�id currant City ot Everetl Desi�n and Gcnstructicm <br /> Stentlerda and Spxclllcallons. <br /> � 3.Cell Locetlnn Underpround Service 48 hrs.belora you dig.TOLL FRL'E NUMBER 1•800•424•5555. � � <br /> i <br /> �I `� � <br /> I �� � <br /> ; ,- <br /> O <br /> __ a <br /> ��� n <br /> - - nl, ACKNOWLEDGEMENT OF CONDITIONS <br /> ��U��N The untlersigned owneqapplicant hereby aqrees lo ho�d and sace harm� <br /> less Ihe City ol Evrtret� Irom any and all claims �or damagos, cos�s. <br /> expenses, or caucts ol action that may arise because M inslalla�ion <br /> r� ,/� I/,' /� end rt:ainlenence�d Ihe improvemen� o�other riQhP�:eay use hereto <br /> [t ix Y IvI�'�L7-' lY��-�I _ applied for and rlher agree5 �o remova same upon notice Iran �he � <br /> Appmved lor Con tfyction �a�e City an . ace public pmperty da agetl Ihereby <br /> I^� � . � ; . / , <br /> /Y"� �' L <br /> FINAL INSPECTION � /g Date �� ' �'_3 �/ ' <br /> approved 25 ConstructeC Signatu pphcant Dnre <br /> �� PUBI.ICWPRKSDEPARiMENT WORK IiORIZED BY THIS PE T MUST BE STARTED WITHIN <br /> 'V� lA0 DAVS OF DATE PERA4IT IS ISSUED AND THEREAFTER IS 70 <br /> 32DOCedarSireet BE DILIGENTLV PUfiSUED TO COMPLETION.THIS PERMIT MAV BE <br /> Everei�,WA 98701 CANCELLED AV THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br /> � Phona�259-9010 PROJECT OVER 90 DAVS�UFATION. <br />