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DBte v�e�k won�.v..mn. 9�� <br /> Appllcetlon For ewo o.q.. <br /> PUBLIC WORKS PERMIT �°�KW°�.�� <br /> Ta.�.„ • <br /> La���ppIFMMW / <br /> PrintorTypeOnly TO POSTING �a n 5 �nm �4�Du• �o BF �or-.�%F� <br /> Ld�EP. <br /> 7/,�> d� •�4 Cn. P_D. 8nr.970� iys cv�-_ �� .�e,�i�S4'c.[cts. $'i£Y-1zo7 35�1-S67B <br /> pwne� � MaII1nB Adtlreen Clly � 21p pnone <br /> !,E'n/. z 6N9SE3 <br /> .S4m�. <br /> Applicent Melling Addreae Clty Zlp P�one <br /> DeecrlbePropoaedWo�k //7rt/�ic fon�,L inttS�CCkt.vn rlqG� W��.•nii�c <br /> pf' 7,Sf�'Sx S[v 4f fhc ir�/rrs�•cfiiron of .Ieac.�✓ Bi,�� <br /> W <br /> Pro�ect Addreae III known) —`�� ' ' 1i��o 'c/ ���[<.Fe. V S�' l�/. � <br /> Altach lour(4)copfes ol plane lor proposed work- Drew lo scele end note Iha Iollowln0 ae eppllcehle: � <br /> • Properly Llnee • Cenlerline of atreel � <br /> • Outline end dimanalone of ell exlellnp end • Indicate North <br /> propoaed elructu�es on tha lot • Show eny propoead pradinp chengen <br /> � Exlatinp and propoaed utllitlea � Show meaeuramenle � <br /> DO NOT WHITE BELOW THI3 LINE O <br /> PEFiM1T CONDITIONS <br /> t.All celle for Inepactlon ehall be mede 24 hre.In advence•phone 2b0-8810. � <br /> 2.All work ehell ba pertormed In eccordence with thie pe�mlt end cw�ent City ol Fverett Dealgn end Conatructlon <br /> Slende�de end 3pac7ficetlone. <br /> 3.Cell Locatlon Underpround Service 48 hro.belore you dip.TOLL PIIEE NUMlE111•800�424b565. � <br /> f� l��n�.� .�o �� o�r,u. �e�;,�i^..� ��O�rx�..�� �� O <br /> f�•e,�tr' Pv6�� r�x� ��„ i2-z�-yr <br /> c� -�Ul`.J � � <br /> a c� � <br /> JAN 6 - i992 O <br /> ..... ....... . . ........ ..... �� a <br /> CITV OF EVERETT �d <br /> Buildin� Dlvision �� <br /> ACKNOWLED6EMENT OF CONDITIONS <br /> The undersinnad owne�/ep0licent hereby epreee to hold end eeve herm� <br /> lens Iha City ol Everetl Irom eny and ell cleime 1or damepea coeln, <br /> � '� aMpenaea, or ceusee ol ecllon that mey arise beceuee ol inelelletion <br /> �- � �-2�92 end melntenance of the improvemenl o�other rfpht•ol-way uee heralo <br /> epplled lor entl lurlher epreea lo remove eama upon notice �rom the <br /> Approvad i`� ru ru Ilo Dele City en lo replace blic O�operty de eped thereby. <br /> / / <br /> FIN INSPEC 1 N Dete � � / ��y� <br /> Approved as Conatructad Siqn re ol Appliccnl L�to <br /> PUBLIC WORKSDEPARTMENi WORK AUTHORI2E0 8Y iNIS PERMIT MUST BE STARTED WITHIN <br /> 3200Cedar3t�ae1 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEpEAFTER I:1 TO <br /> Evaret4 M�A BB201 BE DILIQENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Phona�259�BB10 CANCFI.LED BV THE CITV UPON ANV 9TOPPAOE OF WORK ON iHIS <br /> � PROJECT OVER 90 DAVS OJRATION. <br />