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��� <br />a <br />y N <br />H <br />�H� <br />��� <br />y <br />:p <br />OMd <br />0 <br />c�� <br />�y�H <br />N <br />g�w <br />�O� <br />��� <br />Date� <br />Applicelion For <br />PUBL.IC WORKS PERMIT <br />Print or Type Oni, <br />� -iz-7�-4 <br />TO POSTING__'�'i�,,��:____ <br />�AA� �� <br />Applicant Mailing Addre�is <br />Da9cdbe Proposed Work <br />Zzo A+g <br />Project Address ;d known) <br />AltaCh louf (4) Copios ol plans fOr prOposc,l wor4 - <br />• Properly Llnos <br />v Oulline end d�mensions ol al exislinp <br />p�oposed siruclures on ihe lot <br />• Exlsling and proposed u�Jities <br />/I <br />r��ni�rwen.rmmn. t� Z'�V / <br />B�na Den� � f L <br />voei¢ Worq [ee = <br />iote�r.n <br />leuRnn� fee P�in 6 <br />o.�,��� m. 6 Z O' i <br />33c f-o�17 <br />Snu , L� A 4u� vc — <br />zip r'nono <br />Zip Phone <br />s <br />D�aw to scnle and nme Ihe following as appGceble�. <br />• Gentedme ol sireet <br />• Indicele Narlh <br />• Show any proposeA gradinp changes <br />• Show meesuremenls <br />PERMITCONDITIONS <br />1. All calls lor inspection shall be m:�tle 24 hrs. In ndvance • phone 259•8810. <br />2. All work shall be padormed in eccordanca with thie permit end current Clty of Everett Dr.sign and Conslruction <br />Stentlerds and Specllicatlon5. <br />3. Call Lxation Underground Service 48 hrs. bnlore you dig. TOLL FREE NUMBER 1•800-424•5555. <br />� <br />AL1, ARRAS F.STAAI�TtiHF.i� A:; NATTVI? GRi)WTH PR�1TRi"TTON ARF.A RHALL <br />RRMATN TN THF.7R NAT�IItAi �;TATI?. WFiTCH MRANS Nn �',UTTiNG OR <br />CLF.ARTNG �F VRGF:9'ATTON ��R 'fRF.F.S AY DF.VF.LOYF.R, AIIIT�DF.RS OR <br />HOMR UWNrFti TN 'fN i F� AkFA. F.XCF.P^' FOR nF.AD, DYTNG ��F HA7,ARD- <br />(lflfi' 'fRF.F;;. Ati APPTi(�VftT� Al' 'PHN: PLl�NNiNG 11F.PARTPiF.NT. <br />�h G _ <br />'�c,e.�.�SZ ` �.aR (v - � I - 9 � <br />Approvod lo� Consl�uclion �� ���e <br />�( � � �:�i ,— ,'i',;' i.'_,�� <br />- I �,-�� _"_._"__' —_ <br />viNn� insrer,noN ���� <br />Approved as Conslrucled <br />�PUBLICWORKSDEPARTMENi <br />9200 Cedar Slreat <br />[vmet�. WA 9R201 <br />Phonc 259-N�iO <br />ACKNOWLFDG[MENT OF CONDITIONS <br />W <br />� <br />�w <br />_ I <br />� <br />� <br />� <br />� <br />O <br />a <br />The undr.mi{�nrA owner/aUPlicant herrby agrees lo hold and snve harm- <br />less the Cily ol Er:rell Irom nny and nll claims �nr tlamap�s. coslr. <br />A�pe.nses. o� r.n�s':s al nction Ihat miy misa hecausn ol instnllatmn <br />anA mainlenanr.e <I Ihe imp�overnnl or ot �er n�d�bo�'waY usc hereto <br />applietl loi nnd lur�hCr nyrec5 lo .�• nov�± samr upon noticr ho�r Ihr <br />City a^A �o replace pt�hc ProP�r�Y ;������ �.+N�1 Ihereby <br />� V�nl! ��.L�1S_LZJ�= <br />. i9nNinc 1 ApUhcanl _�_-".-- .__ __..._— Da�c <br />WGRK AU7HORIZEO BV IS PErMIT MU`�T UE STAfiTCD WITHIIJ <br />1l30 DAVS O�' DATE PERMi7 IS ISSUED AND THEREAFTEF IS TO <br />8[ DIL IGCNTLV PURSUED TO COA'PLETI Jp. THIS PERMIT MAY B[ <br />CANC[LLfD f3Y iH[ CITV UrON 4NY STOPPAGE OF WORK ON iH15 <br />PROJ(�C1 OV! R 70 DAVS DUI7ATION <br />�� <br />