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. • / <br /> �8t� 1bObc Work�Pnmll• <br /> Applieatlon Fof B�ay Deo� • <br /> PUBLIC WORKS PERM!T P�°;o,��;F„ . <br /> ln��ool ia�PUU { <br /> Print or Type Only B.4^°.0�. • <br /> � <br /> T1}E BoErr+c Co .� pt�. anr ?707 A�5 dh�-12� S�tF�W�, 99%ZY 2G6-356� <br /> Owner Meilmp Addrese Cily Zip Phona <br /> S�g.n,,E �j OWN E /l. <br /> Appllcant Mellinp Atldre9s City 2ip Phone <br /> DBSCrIDa Proposad Work �-R'L6n��NT' �P 171R�GrioNit� 316N5 � �xl/�, �µc;�r $/6N5 <br /> W��.1. !�E PL�-c.sD BN TM � SH-ouc.D�n- qL T!f-s Ro�D4..aY ,Ms i,uDrc,�r�rD e� <br /> t(LS: ��r,sD G S Giv IR.�-r�an� o Ez�W« P�-Ic�Kc r�. .��NS <br /> t�,�� as ,d ���s APR,� � —,o, �99� W <br /> ProlectAddresa�llknown) 3�3 �' C�'Sl�tO �. � <br /> Altach lour 14)copies ol plans lor proposad work• Draw to scale antl note�he lollowlnp ae apVlicable: � <br /> • Property Llnes � Canterline ol alreet � <br /> • Outline end dimeneions ol ell exisling antl • Indicals Nonh <br /> proposed structures on the lot • Show eny propoaed pradinp changea <br /> • Existing end proposed utllitlae • Show meaeu�ements � I <br /> DO NOT WRITE BELOW THIS LINE <br /> PEHMIT CONDITIONS O <br /> 1.All calle far Inapectbn ehell be mede 24 hra.In advence•phone 259-8810. � <br /> 2.All work ehall be paAo�med In eccordence with thla permlt and current Clly of Everett Desipn end Conetructlon <br /> Standards end Speclllcetlone. <br /> 3.Cell Locetlon Underpround Service 4B hre.before you dip.TOLL FREE NUMlER 1•800�424-b5b5. � � <br /> ��i�� Sc�s 5 D Gu u�, �Q-�- <br /> 1���� ��1� ����l.� � ��V^� r <br /> � 11�t S�� 'P4"lPl� `�C�.L�.�L�L1� O� � <br /> Sa�z �-�s �5 f�v�ct,�'�3� �o� <br /> �l �'Dc�t.-tZ�pd-tS . � , <br /> � � � � � Oi <br /> � a <br /> � 1 G 1994 <br /> MAR <br /> ACKJ�ID.WLfOGEM�q��CONDITIONS I <br /> .. pF Ev� � <br /> The undareigneA QIr7eY/�ytR���,�1►apreee to hold anA eave harm• <br /> less the Gty of Ev6Yil4w any and all claime for damagen. cosla. � <br /> • eKpenses, or caueea ol ection thel may erlee beceuee ol inelallation <br /> �+ and meinlanente ol the improvement or olhet rlgbbof-way uee herelo <br /> �� � � eppGeA lor and lurther agrees to remove 6ame upon nolice lrom the <br /> Ap ov or Cons uction Dale <br /> City and to replace public properry demaqed thereby. <br /> ` . <br /> ,�— /n/�s/s� � /. ��� ' <br /> �.FINAL I PECTI � Dete 3��(r�9 y <br /> Approved as Con6trucled 3lgnature OI Appli nt Date I <br /> PUBLICWORKSOEPARTMENi WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN I <br /> 3200CederSl�eet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WA 90201 BE OIUGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE � <br /> Phone:259-8810 CANCEILED BY TH�CITY UPON ANV STOPPAOE OF 140RK ON THIS <br /> PROJFCT OVER 90 DAVS DURATION. <br />