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Applicatlon For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8870 <br />TYPE OR PRINT ONLY <br />�/ s / .y` <br />� . !�n/P F.SrIY%Ar2,t� . r'/7/'� afd�0 <br />Owner Mailing Addres� <br />� 3/ _�p�7 / <br />oa,e <br />Public Works Permit p // 1(7 3 <br />BuilAing Pertnit k <br />O� <br />Public Works Fee $ _ �S — <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />Attach lour (4) copies of plans for proposed wo�k - Drew to scale and note ihe following if <br />•Property Lines 'Outline and dimensions o1 all ezisting and proposed siructures on the lot •Existing and proposed utilities <br />•Centeriine of street •Indicate North •Show any proposed grading changes •Show measuremenis <br />PERMIT CONDITIONS: <br />1. All calls for inspection shail be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current Ciry of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />/• �avu-y rrrcn�mcv.�•,. �i Z��CLals �Q �as%�,5.ct c�yc�- <br />�^ oF Gru.s��d i3�s� <r�at�r%aL , <br />S. d� �r �,:. �oor�:os, oF' �aj�dsc4�.•-��. l�n <br />�r0 4 C�'c�� 4y To � c.'. /rr /(� •y:r f- of =CtJ2'�„�8,-15-97 997UMi <br />�� � <br />OTNEI� 35.00 <br />TOTtd. 35.00 <br />GHEF.` 35.00 <br />A O�f1511. <br />COMPLEiION. THIS PEfiMIT MAY 8E CANCELLED BY THE CITY UPCN ANY STOPPAGE OF WORK ON THIS PROJECT OVEF 30 DAYS DURAT�JIJ. <br />