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y '�"t <br />Q�N <br />H�� <br />� � 'O <br />yy� <br />�� <br />� <br />Q�� <br />H <br />�►�y <br />g�� <br />� <br />�O� <br />Date�'Z1-90 " <br />r�'�i <br />PU ��LI C <br />C? <br />Print or Type Only� <br />m <br />Applica�ion For <br />WORKS PERMIT <br />UCJ O O �i <br />�� t] O L'� r� <br />u�, o<i o <br />fd � U .P �'1 <br />�O A W � <br />O C� f.� G� U <br />p r� o r. m <br />, <br />° °. . ai :; <br />N M <br />.� W <br />.r4- . <br />v�n��r.woo-.ne.mn. _i0/30Z / <br />m��o oso�. �_ 90 2� 915 <br />L- -- <br />v„nim wo�x• re• S <br />Tou�iee <br />Lnueoo� feeFe�n S <br />B�i�n�e��e S Z,�) � <br />uwum p+ C3 (9 C� ]' /e' _i-� Y Fu <br />,. Oc� JLS u1 �.� tiwS�. N ld <br />owner s� �' �? ��_ �r' ; , n ,i $ .0 �� � .. � -- -- — _ <br />Meiling Address City Zip Fhone <br />ppplicent <br />DeacrlAeProposedWork ..y�! _� fe i�Y "� ;`�""�--' �i d 33 <br />Prolect ACdrecs lil knownl <br />222 <br />R7 vr7 <br />Attech lour 14) copies ol plens lor proposeA wmk • Diaw'o scule end <br />• Property llnea <br />• Outline xnd dimerslons o� all eaisling and <br />proposed slru:tures on the lot <br />• Eale11n0 a�d p�oposod utililles <br />mte tho IOV�wing as apPliceble. <br />• Cenlerline ol sireet <br />• 'ndicalc North <br />• Show any proposed gredmg chen9es <br />• Show measwemen�s <br />PERMIT CONDITIONS <br />�. All calls lor inapec�io� sheil be n� atle 24 hrs. �n edvance - phone 259•88i0 <br />!. Ail work shell be peAormod in acco�danc9 with Ihls permit end current City ol Everet� Design and Consiruction <br />Stendarda and Specllicetions. <br />3. Cell Locetlon Underground Servlce 48 hrc. belme you oiq. TOLL FREE NUMBER 1•800�424•5555. <br />4.ANY CNANGB IN THS DRIVEWAY CUT MUST EE APPROVSD <br />BY THB POHLIC WORKS INSPFCTt)R. <br />5.CONNSCT DOWNSPf,UTB TO PCBLIC DRAINAGfi RYSTfiM. <br />B.KSBP CITY STRRST& CLSAN AT ALL TIMSS. <br />7.ANY DAMA�6 T� THTs CURB AND SIDh'WALK WILT. PF. RF.PAIRfiD <br />TO THR SAT1SFAc:T10N OR THF. PUALIC WOE':S LSPT. <br />j�A11�Y.,1'�� ��rQ9.._ _ � —Z'�—�i(� _ <br />ApD�oveG for �Odslruction� Date <br />����.�"- �,7._`� f - ,/ - <br />FINAL INSPECTION D:ite <br />Appmva as ConStrucled <br />rverett PUBLIC WORKS OL PARTMENT <br />� 3200CCAnrSlrccl <br />Ewrell. WA 98201 <br />P�o�e'259�fl9�0 <br />ACKNOWLEDGEMENiOFCON0ITIONS <br />W <br />H <br />� <br />N <br />� <br />O <br />� <br />N <br />O <br />a <br />1 ho under5igned owneVnppliCant herCby ng�eee lo hold and Save harm- <br />less Ihe Cdy ol Everetl !rom any nnd all claims br tlamnges, costs. <br />otipenses. or causes ol aclion that may anse beceuse o� inslnllalion <br />anA mainlenance ol Ihe improvemenl or other ngh��ol�way use he�elo <br />applwtl lor �nd furfher a4rees lo remove same upon noUce I�om ihe <br />Cdy antl lo rcp�acu Pu�'lic properly damaycd �heraby <br />.�µ ��_ �, <br />Signature o� ApP��can� a1e <br />WORK AUTHORI7ED B� THIS PERMIT MUST 8E STARTED WITHIN <br />1P0 DAVS OF nATE PE�iMIT IS ISSUED ANfi THEREAFTER IS TO <br />BE DILIGENTLV PURSUED TO COMPLE1lON THIS PERMIT MAY BE <br />CANCELLED 6V TME CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJ[C1 ^.VER 90 DAVS DUPAiION <br />� <br />