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TYPE OR PRINT ONLY <br />qpplicollon Fcr <br />PUBLIC WORKS PERMII' <br />Descnbe Proposed Work <br />PUBLIC WORKS DEPARTMENT <br />3200 Ceder Sireet <br />Everett,'NAfl8201 zss-aeioAUG � ^ 199� <br />�n POSTIN6 ---- <br />f,lty <br />Date---. 1114,97 --.— <br />Publi: Works Pormit M_._J_�D z — <br />Build�np Pernil M _ 5�939-� <br />P�eu� wo�g Fea a_ GU <br />Phone <br />—f LOT � SHORT P1AT_ <br />PROJECT ADDRESS (if kn�wn) / 1 �P��S�B�D ' <br />Attach four (d) coplee ol plans for piopoeed work - Drew to scnle end note lhe lollowlnp if applicebie: <br />•p�operty Llney �Outllne end dlmenalons ol ell ezisting and proposed structures on tho lot •Exlsting and proposed utilitles <br />�Centedine ot street •Indicale ��orth �Show any proposed g�eding chenges •Shaw measurements <br />PERMIT CONDITIONS: <br />1. All calls for Inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shell be performed In accordence with this permit and current Clty ot Everett Design ar�d <br />Construction Standerds end Specifications. <br />3. Call Locatfon Underground Service 42 hrs. before yau dig. TOLL FREE NUMBER 1-800-424-b655. <br />7 <br />,r. :!;v'� ._, r<�; � ,,.,�q.. <br />W <br />� <br />rwA <br />V/ <br />� <br />O�\ <br />♦ <br />� <br />O <br />V♦ <br />O <br />qJ0054197 � <br />ELEC � �5. JD <br />q'JD054 :98 <br />eLEC s55.00 <br />HOGOS'93a <br />EL:hi SG'a•� <br />�_'� 449.'� <br />HECH �i3O.00 <br />;?CkFG t4.`_0 <br />jq.'.r.'" �'O.']O <br />#u^. p0�'.'S.5 . <br />l,p .� 55h. ': <br />irp�pZOSG': <br />ACKNOWLED�GMENT OF�f7D�� d end save harmlass <br />/ The undersi8ned ownedapplice�lfiYBpY BO y �osts, ez nses, or <br />the City ot E�erett irom any end:R,�, C�a�mg �a dw�a99 ' � <br />causes ol aalon thal may edsQ, q@eAusa of InsiAllat�on end maintonance ot <br />pp�r Conswclion �"/`/" �/� py �oBremovees�eme�upon notgice Iro�he City endlo r�eplacenp blle propeAy <br />–� �/ " � " J / damaged Ihereby. _ <br />FIN L INSPECTION Detn ___l� �` 11 �� <br />Approved as Constructed <br />s'ana�ure ol �cant oale <br />COMPLETION.RTFIIS ERMIT M4 YBE CANCEB ED�BYTHE CI7Y'UPON AN S�TOPPAGE OF WORK OIJ THI51'ROJEC OVE7 90 DAYS �URATION.Y PU4SUGD TO <br />