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<br />� Date �-5-94 �,,�,,, �•�,,,..�,�,m� . —_9��29g /
<br /> I i,��i-� n.�i . __ _44822-- -
<br />/ APPGr,nhon For ---_
<br />� . PUBLIC WORKS PERMIT �'°�°,°W°,"",
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<br /> �'0 POSTING -�5 �..,,.��,� ��,.,.,, 5 � --
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<br /> Print or Type Only - — "— -----
<br /> Omni Conatruction 11122 99th Ave NE Arlington 9822��4-0Q35—_ _—
<br /> OWnni A"nru��, �1nd�rsti � � . !�p I'linni�
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<br /> Owner - ---- - -- --- --- -- --
<br />, � APPlir.ant—___.._____—_.t�—��I.,��aActdn•ss .__—._Gnr 7in Phurn.
<br /> DescnbeF�onosrdwork __._New 6-plex ___.._._-_— _..__. ._-_—_ --
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<br /> -- - -- ---- --- — --
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<br />� Prolec�Address Ut knowri� _��Z�'�- _� CQS/h0. /�� . ___ . _ ._ __. ._ . _-__—__.--___—_ �
<br /> AttaCh lour IAI roPieS ol Plans'o� pinnosc,l N���•. Il�ar �.� _. .i�,. .� � �„ ,�nr �uqo:n�ig as anC•I�o�h4, �
<br /> f • P�onerry�mes • C�,���•��ina�d sv�•��t pZ/15/95 1:57FM OOOAk9106 �
<br /> • Outline anA Aimensions ol all e+i5!iny ;�nd • P•�f��'nb� Norih
<br /> prGPosed SlruClweS on Ih[ Inl • '=�i�v. anv �'.•��:��>sorl Ur:ir,JlilOd���(�.��.�
<br /> • Eris�ing and nroposeA utilities
<br /> • Sltn, n•�,.t:':u�e�inrrL. DC�6' �
<br /> DO N07 WHllt 6CLOW IHiS LWt O
<br /> PERMIT CONDITIONS SRCM`iG Z�t�,�
<br /> 1.All calls lor inspection shall be m�de 24 hrs.in advance•phone 259•8810. �
<br /> 2,All work shall be peAormed in accordance wilh this permit and current City ol Everott Desip�adQ�nslru►�i0G95
<br /> Standards cnd Specilications. ���e�;
<br /> I 3.Call Localion Underground Service 4B hrs.be�ore you dig.TOLL FREE NUMBER 1•BOO•��555.�1z�0(� �
<br /> a000z9v�i
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<br /> 7, Ll�Di-,� /O � nOn? �.�I� Cidi� ��li�,f 4�ry,�jY:Ac508.00
<br /> .fj ��`fy e{Evc,-c.�i' f��-/,C:c �dor�r a�� 8-3i-�30ii�oo.o0 1�
<br /> ��,,� `//������ a000vazve r
<br /> CUPIES t27.50 � I
<br /> COFIES V -^c7.50 O
<br /> OTHQ f�7.50
<br /> PW/REV f58.30 �
<br /> PW/INS 5364.40
<br /> 41ATER V -12.00
<br /> WqTEF f1200.00
<br /> CHEG; 16923.65
<br /> AChtdOtVLFDGL�d[N1 il� CONDITIONS
<br /> Ihr�ir.q�.r..�.lnnd ownc�,aPPln�ant h��ii•hy aqre[t510 h01d and sa�r hainr
<br /> I� . . ._ . r.as�s
<br /> — — - ----- b�•,s Ih�. i,ilY M EvcrUil hom nny dnA ali dlims lor dam�iqen.
<br /> � � p� n-p; o cau5rs ol ii.tion Ihat m;�y anse hecausr, o� installalion
<br /> �J � �p m 1 munl�,nant'c n� Ihr mproventen� or o�her nghPobWaY usr� hrnr�n
<br /> —, yj/ __ _(j ��IJJ� i 1 In� ,�nd li rthr� dqr,p5 in IemOVP. Sdmn ppon nnlire Irnm Ihe
<br /> ApUrov or s�ruchon � ��^'' r.,, in � nl�c r c�ihi� �. ���nn���ty damageA IherCbY.
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<br /> 6�F�_- __ a -�s-�s
<br /> FINAL I � D;��� , �- --
<br /> Approved as Constwc1eA �,, `.���n.ilu�c nl An��lir.am Dal��
<br /> ' �A'i�RY. 4UiHORIZED BY iIS PFRMIT MUST BE STARTED WITHIN
<br /> /��C�/ PUBLICWORKSDEPARTMENT tN0 DAYS OF DATE PER611T IS ISSUED AND THEREAFTER IS TO
<br /> � 3200Ged�rSirect i3E D�UG[NTU' PURSUFD TO �l)MPLEiION. THIS PERMIT MAV BL
<br /> Evorett,WA�38201 I� CqyCLILtU BY THE CI1V UPON ANV STOPPAGE OF WORK ON THIS
<br /> Pnone:259-BB10 , PRO,�ECi O\'ER 90 DAYS DUFATION I
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