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� � N ,� . (y p <br /> �' � �iDA�C _'�L��� r„��� D�.�� �...� �� /�b�19� 1 <br /> p nuP�u.,ti„n r m <br /> PUBLIC WORKS PERMIT '��""'„�°���:`°'� � - <br /> '�° � "��° ��,.<�,� �..�•.,, s -- __._ <br /> �,.,.,,, ���,,,. s---- <br /> -- — __ <br /> � � Print or Type Only <br /> n • <br /> " ����1�_'_�l,��sc—��1 PVIi P 9e'cc.s v <br /> � I 5.�1�.r��_. <br /> � N �l�1 P � / ��� / 1 �P/ t P��one <br /> M pwnei MT��iny AAAreSs CtlY 7ip <br /> N H <br /> � � � .��_La,��Fa���--�'L77=1�(2_'"_Av._e_�4(L��Jf.a�R_1z��//��ru�---�s`l-2bG5 _ <br /> � ApplicAni <br /> Miu�inq Add�rss Giiv Zip Phon�� <br /> N J y- <br /> D��srribeProPoScAWoik ��u�1J�1--1�'�1���Z-I����/(.L — —_.—____.. <br /> _ ---- -- - ---- -- W <br /> — ,� 'G (�/�� /}'/'(_YI�sf_�_���_ I— <br /> Pr0�ec1 AAAress lil knownl �1�1 J�—i�^-'�-n'p-���"__' <br /> � <br /> A�laclt lour 141 roPies JI Plnns lor ProP�sed work� Diaw tn>r.nh�;md nol��thr lollowm9�s�pphwhie � <br /> � Property Lmes • Crnlerline nl strecl <br /> • Indicate Norlh <br /> • Outl�ne and dimensions ol all ezrttinq:mtl � Show any proposeA yraAing c�anycs <br /> p�oposetl slructures o��he lot � ShpW measurements M <br /> � . • E�isliny and propo5ed ulili!ies W <br /> �C�� DO NCl WRITC BELOW T�115 LWE O <br /> �r <br /> 1 . PERMIT CONDITIONS ^ <br /> 1.Ali wlla lor inspection shall be made 24 hrs.in ntiv2nco-phone 259•8810. <br /> �� 2.All work Shall 6e peAormeO in acco�tlance wilh�his ne�mil and current City of Everet�Design antl Construc�ion � <br /> '��� Stendards and Specilieations. � <br /> 3.Cell Location Undergrcund Service A�hrs belore"ou Ain TOLL FREE NUMBEH 1-800•424•5555. <br /> �� O <br /> � !�' � j. � <br /> � _ . .1� � . . . <br /> 'i � . <br /> 1 <br /> 1 �_i ' " �A <br /> O <br /> � , a <br /> _�_� <br /> �� � nLkNtllVl LUGfMLNI (1�CONDi1lONS <br /> � <br /> The undeis9neA ownerlapplicanl hnreUy agrr��s Io hold anA SFlce ia�m' <br /> — — Irss ihe Cdy ol Evere!tt Irem any and all Uaims lor Aama9es, costs. <br /> erpenses or ceuses o� acUnn ihnl mnY +���se b��r.ause nl mstella�ion <br /> Tnd mainlenFlnr.e ol Ihe nnprovemenl m olhe� n{IhPol-w:+Y ��sr h��rein <br /> apphed lar nnd Iwlbei n9roes lo remave seme in��.n noL<�e linm tho <br /> ApPwved lar ConsVucfion �:�te GIY����f b rePlace public prone�ty d�i°a9ed IM1er��Uy <br /> FINAL INSf ECTION Datr ---� - � p„p• <br /> SiBnalwr nl APPhcanl <br /> ApprnvPd •ns ConstructeA <br /> WOFiK AUTHORIZED BV THIL' PERMIT MUST BE STAf7T[G Wi � <br /> . e�ve•�rlt PUBIIC WORHSDEPARTMENT 180 D�YS �7F DAT[ PERMIT IS 13SUE0 AND TH[REAIIEN IS T(1 <br /> 0 J200 Cednr Sireel 8[ OILIGLNiLV PURSUED TO COMP.ETION. THIS PERMIT h1AV (3C <br /> Everetl.WA 9N201 C�NCELLLD BV iHE GTV UPON ANY STOPPAGE OF WORK ON ilUS <br /> Phone.259�P810 PROJE C I OVER 90 DAYS DURAiION <br />