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�8�ea�.�{�y� � PuoUc worh�Permil• lJv � �1/ <br /> � ' -�s�_�ca� <br /> Applicalion For eiao oew . <br /> PUBLIC WORKS PERMIT P"'ioW"eFee �--__ <br /> �����oo�ree vua f�_ <br /> PfinlOfTypOOnly e.�.��eo�e i�Q�-- <br /> ,r. !O?r ��/A�� ��oi 1� �I�ngAddresl�ll{��JI�.IE Evr��7f I� /11.P' .7 �honeLs� <br /> +L4�� <br /> Applicant MailinB Addresa City Zip Phone <br /> Deecrlbe Proposed Work _ /�,��1&(� -Gl��Ie ]3y11.1! ����y �/� /a'�' � <br /> Prolacl� :es 111 known) 10533 — [�p�� �p! — � <br /> _ � <br /> Atte. (4)coples ol plane loi proposnd work• Draw to scole and noto ihe lollowinp es applicahle: � <br /> � Proparty Llnee • Centerline ol sireet � <br /> • Oullina end dlmension6 0l all oxleting anA • Indicete North <br /> propoeed struclurea o�the lot • Show any proposed greding chenges <br /> • ExlsNnp nnd propoand nNlillea • Show meesuremenls � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 7.All calle for Inapectlon eliell be mede 24 hra.In edvence•phone 259•8810. � <br /> 2.All work ehell be peRc�mnd In eccordence with Ihis permit nnd current Ciry of Eveiett Design and Cor.struction <br /> Stendarda and Speclticall•�ns <br /> 3.Call Locatlon UnJerpround Service 48 f�rs.befoie you dig.TOLL FqEE NJMBER 1•800•424•5555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEOGEMENT OF CONDITIONS <br /> � Thr.undersigno�owner/npplicanl hereby agrees tu holA and save herm• <br /> less the Giry oi Evoietl Irom any end all daims lor demeges. coste, <br /> expenses, or ceuses of action that may ariee becauae ol instaltelion <br /> f �g end meintenance ol Ihe improvemenl or other nghbol•wey uae hereto <br /> A�D�Oved for Construc ✓ afPlied lor entl luriher egrees to remove seme u0on notice Irom the <br /> Dete City and to replace pubhc Oroperty dameged thereby. <br /> i <br /> �' 3-� �, /} C� <br /> FINAI INSFF.0 ION Date �/� / C �/.1�.�n.� S^� Z�' � a <br /> � Approvad ea Conatrucled S!pnnture ol Applicent r Dete <br /> everetl PUBLIC WOHKSUEPARTMENT WORK AUTHORI2ED BV'fHIS PERMIT MUSi BE S'iARTED WITHIN <br /> 3200CedarStreet 1d0 DAYS OF pATE PERMiT IS ISSUED AND THEHEAFTER IS ?O <br /> Eve�et;WA98201 BE DIl16ENTLV PURSUED TO COMPLETION.THIS PERMIT tiIAV BE <br /> Phona:259-BH10 CANCELLED UV THE CITY UPON ti�Y STOPPA(iE OF WOFK ON THIS <br /> PROJECT pVER 90�AVS DUPATION. <br />