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I �� <br />�� <br />i <br />�' <br />�L'(Gt�il-ai T�'�y1d�.� � ����R���/^ �. . . <br />Detelp"� <br />APP�icetlon For <br />PUBLIC VNORKS PERMIT <br />Print or Type Only <br />A -12-Zb�4 <br />TO POSTING_ � �a 9a <br />MoINnP Atltlress <br />...�,.�� <br />. ' ` . � . .'•'li��`�,�i .. <br />:worc wm.. a•,mi�� Z � � <br />e��, o.�, . <br />voma Wo�b Fse <br />Toltllse s <br />lo�. nypl Fe. ieE � '— <br />B�i�M:aU�. i �J <br />Zip F'hOne <br />---1..�G_LG� � <br />Apollcent MallinB Addreas Clty Up Phone <br />Daecrlbe Propoeed Work �1,+�� ..�_._ / � <br />Pro�ec� nddress (11 known) Z'G <br />Attech f�ur (4) coplee of plene for p�oposed work - Drew to ecele entl note Ihe Inllowinq as anpliceble�. <br />• Propetly Linen • Cenlarlinn ol afrr�el <br />• Ou111ne nnd dimenslone ol all exletlnp end • Indicate ��orth <br />propoeed Blructurea on Ihe lot • Ghow ery pro�osed gretling chengea <br />• Exlatu�0 nnd proposed utllitlae • Show mensuremnrle <br />P'cFMITCONDITIONS <br />1. All calle lor inepaclion ehell be mede 24 hre. In advence- phon� 259•8810. <br />2. All work ehall ba peAormed in eccordence with Ihle permit and currenl Cily ol Everelt DeslBn end Conetructlon <br />Btanderda end Spocilleallona <br />3. Cell Locetlon UnderprounJ Servlce 4B hra. belore you dig. TOLL FREE NUMBER 1•800�424•5555. <br />4• 1��niMU�'+'1 �loor e,levat�on 5hail bc. no le� k.h2h <br />5-TO�O ���F� c� cverc{,� �a�v�.�. <br />ALL ARF.AS FSTABLISHED AS NATIVE GROWTFI PROTECTION ARHA SHaLL <br />REMAIN IN THA7R NATORAL STATF.. WHICH MRANS NO CUTTING OR <br />CLSARING OF VRGRTATION OR TRF.ES AY DEVfiLOPBR. BUILDP,RS OR <br />HOME OWNF.RR IN 'fHIS AREA, EXCEPT FOR I�EAD. DYING OR HAZARD- <br />OUS TRRFS, AS APPROVRD HY THF. PLANNING DEPARTMENT. <br />�� <br />Pa.� M� ►CeR. C� - ��- 9 � <br />Approved br Canstru/c�tiof' � � . Dete <br />�' ' ` �/ //._ ��%_�„7 y_� <br />FI INSP[CTION / Date <br />ApP�oved na ConsVuclod <br />PUBLIC WORNS DEPARTMENT <br />9200 Ceder Slrea� <br />Eva�ett WA 98201 <br />Phone'. 25n-AP10 <br />W <br />� <br />� <br />ACKNOWLEDGF.MENT OF CONUI'i iONS <br />Th� undersigned owner/applican� herot�y agreas lo hold end save hnrm� <br />less Ihe City ol Eveiotl Irom eny end nll cleims Icr Cameges, costs. <br />eaponses, or causas ol eclion Ihat may arise bxceuse of inslnllation <br />and mainlennnce of �he improvemenl nr other righl�nl�way usa hn�eto <br />applicd lor anA lurther egrees lo iemove seme upnn notice Iwm Ihe <br />City and lo replece public prcprr�y tlameged Ihereby <br />Sipnalu ol Ap�nl Date <br />WGRK AUTHORIZ V THIS PENMIT M75T BE STARTED WITHIN <br />1B0 DAYS OF T[ PERM;T IS ISSUED ANO THERE.4FTER IS TO <br />BE DILIGENiL PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANC[LL[D BV THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br />PROJECT OVFiR 90 DAYS DURATION, <br />