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/ ,�� i <br /> �� PUBLIC WORKS PERMIT �e g -24-98 <br /> PUBUC WOflIG4 DEPARTMENT Publk:Waks Pmntt• <br /> 35Q° 9 ioo <br /> 3200 Ceder Strest � � <br /> Everetl,WA 911201 259-8810 Bulldinp PermH• <br /> TYPE OR PHINT ONLY PuWk Worke Fee f <br /> P.c,��►� c,� 2-7�3- ? b D,e �� �" �3 <br /> ovmx — Mamnp nddrass �nY �P ��^° O� <br /> ��c.J�r1 (%Z��+/u� �7�3- 7b (•?2 �7GA� �d92- �-33c�o <br /> -' ApplMant Malll Addrou CNy 7JP �� <br /> Describe Proposed Work ���+ �'� � / (� W <br /> �r�C.t_ ��L� � � �-/OO� � <br /> � <br /> � <br /> PROJECT ADDRESS(if k�own) � M <br /> Atlach four(4)coplea ol plane for propoeed work•Drew to wele end note the lolbw�ng M appllcaWe: O <br /> �Pioperty Unee 'Outlina end dlmanslone ol ell ezislinq and proposed Mrueturea on 1M bt 4xletirp and propoeed utllttiee <br /> �Centerllrro of atreel 'IndMate North 5how any propoaed predirp chanpea �Show meaeuromanta � <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for Inspection shall be made 24 hours In advence- phone 259-8810. O <br /> 2.All work shall be performed in accordence with thfs permft end current City of Everett Deslgn and <br /> Construction Standards and Speciflcatlons. <br /> 3. Call Locatlon Underground Service 48 hrs. bofore you dig. TOLL FREE NUMBER 1-800-124-6866• � <br /> I . I Ne..4t e. Conl ro� �o F'X+ �Or.0 �Gr 4.cC4cLiGd � <br /> dNaw( •�s5 04-�%-98 10:41AM O <br /> � �a�oo a <br /> OTHEF' 35.00 <br /> TfiT�ti 35,00 <br /> f,H�h' . . <br /> A OM5616 <br /> ACKN0IYLEDOEMENT OF CONDITIONS <br /> � c �i o,-�� 4 Z 4'g „����w�a,�,�w����,.,�.��o�.�e.,ro�,��, <br /> the CHy of Everett irom any and all cldme la damspss,cosh,sxpenass,w <br /> cauas�0/actbn Ihet meY eriae becaues ot Inatslletlon end mNntanenee oi <br /> provedlor ns ctbn �j lhaimprovert�entaolherrlpM-of•weyuashsietoappMsdlaandh�AMr�p�se <br /> to�ertave upon hom tha Clry and to �eplacs pihNc P�F�Y <br /> � f,` �-/U- 'f� dameped t <br /> FINA IN Tl ' ��8 <br /> ApProved as Constructed ���� <br /> Oets <br /> WORK AUTHORIZE�BY 7NIS PERMIT MUST BE STAHTED WITHIN 1 BO DAY3 OF DATE PEFiMR ISSUED THEREAFIER�8 TO BE DIU(iENTLY PlMi.4UED TO <br /> COMPLETION.'HIS PEHMIT MAY BE CANCELLEO BY THE CfTY UPON ANY STOPPAGE OF WORK ON 7HI3 PR0.IECT OVER BO DAYB WRATION. <br />