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/ <br /> p8f@ 6 27 90 I ^�dZg'S v�ni�cwoaave�mn• > _�— <br /> �–' ema oeot • 90 2497___ <br /> Hpplir,e�i0n FOr <br /> PUBLIC WORKS PERMIT Pu4t^W�!'e�(ee s — <br /> LHa�p01 fee�nrd f <br /> B�ience Oun <br /> S.�O � <br /> Print or Type Only <br /> ••+t- ^-ane 713 SE Everett Mall Way NA Everett 98208 353-6500 <br /> Owner Ma�ling Address City Zip Phonc <br /> pplicant Mailiny Address Cdy LP Phone <br /> Describe Proposed\Vork u � ip� <br /> _ �,.,A.�a _ W <br />� Pro�ecl Addreas PI knownl �t 2 – F81ivl.ew Hte ��j� �- �.A�\' G=GP.p � <br /> Altach low(4)coplea ol plans lor proposed work- Draw lo scale and note Ihe lollowing as epplicable�. � <br /> • Property Lines • Centerhne ol slreet � <br /> • Oullini and dimenaions of ell ezisting end • Indicate North <br /> propoeed stmctures on the lot • Show any proposed gra�ing chanqes <br /> • Exlatin�� end proposed ulilities • Show measuremenls <br /> � <br /> DO NOT WRITE 5ELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells lor Inspection ahell be made 24 hra.in edvence-phone 259•881 O. � <br /> 2.All work ehall be performed In accordence with thie permit and currenl City of Everelt Desfgn and ConstrucUon <br /> Stenderda end Specftications. <br /> 3.Cell Locatlon Underground Service 48 hrs.befo�e you dig.TOLI FREE NUMBER 1-800•424•5555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CpN01TIONS <br /> Thc undersigned owner/applicant hi�reby agrees to holtl and save hurm• <br /> less the Cily ot Everett Irom nny and all cleims lor damxgos, coats. <br /> expenses, or cnuses of ection ihal may erise beceuse of inslalletion <br /> �^,� �� �, 9_ � and mamten:nce of Ihe improvement or othcr ngh4ot�way use herelo <br /> ��� applled lor end lurther ag�ees to remove same upon notice Imm Ihe <br /> ApproveA lor Conelruc - A Date Ciry and to replace public property dameged theraby. <br /> / ' / <br /> ��'%�.l--l--= y -/� %% � �� ��, � ��a/ro <br /> FINAL INSPECTION Date �."�� 'Z� <br /> Approvod as Constructed SignalQFL ol Ap �cant Dale <br /> WO.�1�AUTHORILED BY THIS PERMIT MUST BE STARTED WITHIN <br /> everett PUBLIC WORKS DEPARTMENT 180 6AYS OF DAiE PERMIT IS ISSUED AN� TfiEREAFTER IS TO <br /> � 3200CedarS�reet BE DILIGFNiLY PURSUED TO COMPLETION. THIS FEHMIT MAY BL <br /> Evere��,WA 88201 CANCELLED BV THE CITY UPON ANV S1qPFHGE O�WORK ON THIS <br /> Phone�.259-BB10 PFOJEC7 OVER 90 DAVS DURA710N. <br />