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� <br /> � <br /> Ij({'''���1 D01C.._L�f'�U I C�v� f.F„� r�.w�.wnn.n��,m�� y I �`�� <br /> W�'9 wnn O.m •�CJ-I—.__'-'.-�J� . . <br /> oa � Apphc.tl�v�Fo� f� <br /> PUBLIC WORKS PERMIT �'�^°�w°,�•'�° <br /> ,�„��.� s . � <br /> ��� ,.,,.�� �.,.�..�� s --= -- -- , <br /> r,�� .r�,,. S <br /> O Prinl or Type Only <br /> R�� ��, . ` c.' " - ��, ��. . <br /> ��� �� ___l._L_�1-�--���=- -- - ��,`�! �__`'1�1L1_ _ <br /> tlwnm hl:uhny AcJ,,,•� C�Iy l�p PhOnC <br /> �A _- <br /> ------ ---___ __ . . _ __ _ . <br /> � APPbcanl I.1n�hnpArldn,•.•; C.dv I�P Phone <br /> � 11�-���)� /� I <br /> i <br /> Desr.ribe Proposed Work �11�J.1.L.71l�-/=1�--� <br /> �p N --- — - - I <br /> G�p -- ___—____ .._ <br /> .. ,�� Pialecl AtlAress UI Xnownl � � I�`-' ' ������ � <br /> A�lach lom IAI�opies ol plens lor prOpoSetl work� praw Io ua1F anA nole Ihc lollowmg os appbrnhlr � <br /> • Properly Lines • Cenlerhne ol shcc� /A <br /> • Ouqme and dimensmns ol ali enstmg anA • Indicnle Norlh y� <br /> pwposetl strucNres on the lot • Show any proposeJ 9rntliny chanqrs <br /> • Evisting and proposed ulild�es • Show measuremenis � <br /> . DO NOT WRI7F BELOW THIS LINE O <br /> �- , PEFMIi CONDITIONS � <br /> C�b 1 All cPlls lor in5paclion 6hall be mede 24 hrs in nAvence�phone Y59•BEIO � III <br /> 2.All work shall 6e pedormed in acco��ience wilh this D�.rmil and curreN Ciry of Everett Design end Conslruction <br /> Standnrds end Specilicetions. � <br /> 1 , 3 Call Loca�ron Underground Service 48 hrs belorr.you dig TOLL FREE NUMBER 1•800•424•5555. � I <br /> �- ► x�- � ; , . <br /> � ►:>�.�. . ,, , O <br /> ; � ; , . , <br /> � `'�� � , <br /> ��-i O <br /> a <br /> �-- <br /> ��' nCKNOWLFCGCMENT OP CONDITIONS <br /> i <br /> l lm undru.ryn���1 nwnei/npPlir,anl he•iebY�qreas lo hnlA and•..avP h;um <br /> --�--- � � ��� - � --� � � I�SS (h�' CdY O� �VCfCiI �f011i any nnd :111 CI.lilii5 IGI Adl118QC5. CO5�5 <br /> BM{)C�SCS O� C.lU5C5 O� 8CI1011 Ihll ffl0y d115C hRC0U5E OI If�5I011C110� <br /> I __. — —_ — -. .._. . . - - xnA md�nlenance ol Ihe intpiovemnnt o� other nyhPol�wsY use herelo <br /> �� �DPIicA lor and �urthci aqrees lo remove same upon nobce Irom IM1�� <br /> ApproveA lor Const�uClion ��•�I�� Cdy a��d lo repl,ice public p�operty Aamuged�hereby <br /> FINAL INSPECTION --�-��—'��D:d�� —_-- ---- —.----- -- <br /> Approved as Gonstructed Si9nutwe ol AnP6C�n1 ����" <br /> WORK AUTIIOt712LD BV THIS PEFMIT MUST B[ STARTEO W�THIk <br /> rvrmll PUBLICWORKSDEPARTMENT If30 DAVS OF DATE P[RMIT IS ISSUED AND TM[REAF7E(i IS ?O <br /> � J200 Cednr Sirex� OE DILIGCNTIY PUfiSUED 10 COMPIETION. THIS PERMIT MAY FC <br /> Lverell,WA 9PY01 CANCf.I ED Clv 1HF CITV UPON ANV STOPPAGC Of WORH ON THIS <br /> POone :59-PP�O PI�(1J! l.t OVf R 90 f1AVS DIIR4TION <br /> I <br />