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oece6.z-9 z ' �„„�W,„,.,��,„. 2 ao � <br /> Appliutlun Fo� eao o.M.• <br /> PUBLIC WORKS PERMIT ^�^�W��.F� <br /> ra.i r.. • <br /> TO POSTING�B � s � �....��f..�.a • <br /> Print or Type Only °'""`.o". � 2�f� <br /> � aoE,N6 �o. . � a. 8� �o� �./s d�-9� .s�an-� wA. 2c6_3J'l� <br /> Ownar Ma111nB Addreee City Zip Phone <br /> -�''6, <br /> Applieanl Mailing Atldreas City 21p Phona <br /> Describe Proposed Work � +� � OZ <br /> ��AU� _�v�� _.L�. _ ��a, � . �AS � oF �y~G�.r .Qc P <br /> _� <br /> W <br /> Pro�ett Addreea(il known) �(J — � <br /> � � <br /> Atlech lour�4)coplea ol plene lor p�opoeed work• DraN to scele end nole ihe lollowlop e6 applicable: � <br /> • PropeAy Linen • Centerline ol elreat � <br /> � Outline end dimeneione ol all exiatinp end A Indlcate North <br /> propoeed structures on ihe lot � ;how eny proponed pradlnp chenpee <br /> • Exletinp and propoeed utllitlea • Snpw measuremente � <br /> DO NO FITE BEL W HIS Llh� O <br /> / <br /> �� T. PERMITCON6ITIONB <br /> t.All calle lor Inapectlon ahall be mede 24 hn.In advence•phone Z6�010. � <br /> 2.All work ehall be peAormed In nccordance with Ihie pe�mlt end curront Clty ol Everott Deelpn and Conetrudlon <br /> StandaMs and 3peci�lcetlone. <br /> 3.Cell Locetlon Underpround Servlce 48 hro.beforo you dlp.TOLL FIIEE NUM�E111•s00�424�bSb6. � <br /> �7.� QS �ar✓ On !�l4n 4�ProveJ uh G �7-92 ,� fh� O <br /> £�'ve,-e�` �SC.� avo.�r DeP�- C'o,g.ott,�.s�o� <br /> .J /eJ'M�� �r '�'/i�S .t�eCrf nh �//�t' vuCS h0'f �o h S�i rUY�Y � <br /> q�Prp✓w � O� �ht Tix�i� qr�a Or �q � <br /> /� ,9 1 4/"/Oro✓a ! Of /^un ol� <br /> Tr'ono �/i!+ �/C�in�/ l�re4 7a �•S �O�G . n � �j � � <br /> ✓ ' 1 <br /> ' a <br /> !� .;IJN 181992 <br /> .........•��dETT'.. <br /> ACKNOWLEDGEM�FI���Tpl `p� <br /> Thgundersignedowne�/apPlicanlheret��o oldandaavehe�m• <br /> les� ihe Clty ol Eva�ett Irom any and all clalme for damape& cast0. <br /> e�peneea, or caueea c�t aclion thal may ar�ee beceuse ol Inetallation <br /> ����� G�7/�? end malntenance ol the Improvement or other rlph4ol•wey use Iroroto <br /> epplled Ic�� end IuAher �preea lo remove eame upon notice from�h� <br /> Approved Constructlon e�e City and lo �eplecs public property damaped Ihereby. <br /> FINAL ON .� l:' 'p� � U y "Z� ` / Z <br /> Approved as Conatructed Sign ie ol Applicant Dale <br /> PUBLICWORKSDEPARTMENT WORK AUTHORIIED BY THIS PERMIT MUST AE BTARTEO WITHIN <br /> 3200Cedar3treel '�1l0 DAYS OF pATE PERMIT IS ISSUED AND TMEREAFTER IS TO <br /> Everet4 WA 9B20t r6 01 TLY PURSUED TO COMPLETION.THIS PERMIT MAV BE <br /> „�fhone:259�8810 � BV THE GITY UPON ANY'STOPPAOE OF WOHK ON TMI3 <br /> � � R;60 DAVS DURATION. <br />