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��� <br /> C � <br /> ��� �/� ..�,� ..,;. <br /> ; f' ���,�,. �.. . �,..�.. . <br /> H.tintl Date_. ` S���o�oZ46/ <br /> n�,,,� i„�� . <br /> ��Q AppLr.a�ion f oi <br /> 71 <br /> �' PUBLIC WORKS PERMIT '��°"`"°...'�'. <br /> , .� ,�,. : <br /> � : .. ,,, ,�, ,., � s - _—.-- <br /> �d , „., : <br /> ,,, ,. _ . __ - <br /> �M g Print or Type Only <br /> ---------- - _ — <br /> �Y � <br /> �y� ( k { t��tsc� 14r0 E ('�, ��,�d1�� F✓PiP � 9�f��a3 353- �� �l <br /> �,� , �--- <br /> p.i Ownei MaiOny AtlAress GiIY J�p Phnnr <br /> y <br /> g�� _ __ _ <br /> � �p�A1 P - --�----- -- - - -�,i --- - ---- I�nonc -- <br /> r APOlitont MxilinpAtldn.ss C',d� P <br /> y s <br /> O tva 7/� <br /> Desr.rihe P�oposed Work �Y��--��r�Q�y— <br /> - -- - - - - W . <br /> P�olecl AdAress lil knownl /4����C�„��-- ---- '----- � <br /> Altach low 1�I copin5 o�plan5�O�p�OpoSCd wmt � D�au��n scaln;�nA no�r mv Inilowm9�s ant�hcn6iN � <br /> • Piaper�y Lines • C�•nlerline nl SVee� � <br /> • Outl�ne and dimensions o� all cust�nq n��A • Ind�rale Norih <br /> proposed slruclures on Ihr lol • Show any propo5etl 9r�Ainy chanyrs <br /> • E�irdmy and proPnseA uliLhrs • Show measuremenls � <br /> j�� '� � DO NO1 WRITE BELOW iMISLWE O <br /> I <br /> �i PERMIT CONUITIONS <br /> 1 1.All talls lor inspeclion Bhall be made 24 hrs.in advance�phone 259•8810. � <br /> ! 2.All work shell be perlormed in eccordance wdh Ihis pormit end current City ol Everett Desi9n end Construction <br /> ��, Sla�tlerds and SpociliCelions. <br /> 3.Cnll Locelion Underground Snrvice 4B h�s.belorr,yo�dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> � O <br /> � � . <br /> ��� �'���, ]� �1��{'l 7.'n�� <br /> , �;�/ � , •/� �/'�/'�- � <br /> ��_� p <br /> a <br /> � !��_� <br /> �C.kNI1lVl LUriCMCNT OP CONDITIONS <br /> ��� . �hr iin�lrrvyn�•�1 oµne•� al�Ph�.anl be�ebY 09ree5 to holA anA seer�h:unr <br /> -'----------- �- � - .. � Icss Ihu GtY ol I.vrie�� bom a��y :tnA all r,laims lor Aani�fyes. rosl!: <br /> � e��{)Cl15C5. O� IIdu5C5 0� aclion ihal IO.Iy B�ISP bCLdUSP. O� ��lSi.11l0�i011 <br /> � anJ main�enance ol Ihr nnp�ovemrnt o� other nyh4obwny use heretn <br /> ,ppLed lor and lu�thm ayrees lo remove snme upon nolice Imm thr <br /> Appwved lar Construclion Date C�IY����to renlace n��hbc pron�rtY�imnged Ihweby <br /> — _'__----.__-_ <br /> FlNAL INSPECTION ��'��'' -- Dal�• <br /> ApProved as ConslrucleA S�ynalwe ol Appbr,nn! <br /> WORK AUTHORIZHD BY THIS PERMIT MUST BE STPRTED WI7HIN <br /> p����.❑ PU6LICWORKSDEPARTMENT 180 DAVS OF DATC P[RMIT I$ ISSUEO ANO iHfREA(TfH I; LO <br /> � J2o0CeAer Sheel BE D�I IGCNTLV PURSUE� 10 COMPLEiION THIS PER691 t.1AY Hf <br /> Evrrcll.WA 9R20� (;ANCCI�FD PV THF CIiV UPON ANV STOPP�GC Of WOHN:(�N iHIS <br /> Pnune :S4NH10 , 1'fi�lJl l I PA9 R `1u IIAYS CIIINAiION <br />