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' 8�-y ' <br /> �:� <br /> p� Puol¢Wmk�Vermll• -._ ��� <br /> Date�o2�a Y � _ <br /> eiao oeo� • 8G <br /> qpplicetlon For <br /> Poehcwo,M.fes `--� , <br /> PUBUC WORKS PERMIT T��.���a <br /> Lao APOI fae P��O f p i <br /> B���nca Oue � J� . <br /> Print or Type Only I <br /> ,(�c�l . �22 !J � Q%v vc� 7.�e. ��r s82oi zs-�-�a�,, ' <br /> AI�n CitY Zip Phone .. <br /> Owner Mailin0 Address . <br /> , , s . �,b.�1�� ��, s��5 �4�'8 <br /> T „L ��, � /SIG L `iIY ZIP Phona <br /> AppllcaN Melling Addresa <br /> Desc�lbe ProPoaed Wark � � <br /> �O.Ur'�""y <br /> �Gl��,t _' -' 7v <br /> W <br /> -- a�s�s� - �E� ,�� .s3-,�- — � <br /> Pro�act Addresa(II known) � r <br /> Altech lour(4)copfes ol plene lor proposad work-Draw to eca�e end note 1ha following es appticable: � � <br /> • Centerline ol streel <br /> • P�opertY��^eS • Indlcete Norlh <br /> • Oulline end dimenaiona ol all e�istlnB end � Show eny proposed grading chenges � <br /> proposad siructures on the lot � Show meeaurements <br /> • Exlsting end propoaed ulililiee <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CUNDITIONS � <br /> 1. All cells lor inapection shell be made 24 hre. in advance- Phone 259•881 5. <br /> 2. All work ehell be perlormed In accordenca with Ihls permit and wrrent Cily ol Everett Design end Construction � 'I <br /> Standerda end Specilicationa. <br /> 3. Cell Locetion Underground Service 4B hre.beioie you dig.TOLL FREE NUMBER 1•800•424•55 • <br /> T f�'� CDi''sY,evCiFa �F,E' f��i�,r'D<E1� A���y' O <br /> � ���r �A,� �9�v ¢ s,bti�,o � y/�z�8H • <br /> C�J/[c D.�vi4F 7z"°t'�,'�i9�'�`f' „iJ9�9 r"� '�«Ej'�� � <br /> .5= f�Ps�G iC.9.c,'� 7t �,t'nvlOt �E2/-C�'iJ�9N«- N <br /> L-C'.���NT�i ���c" ACLE�� T/'7�'Oi�E/7,1�:t/TiT. � SiDEW9LK O <br /> ,c'E/�LAcIFmEn/T �viT�li,r/ � c✓n,c'tin/l� .�l�yt fIFiF,e <br /> /�fr2�>liT /S /SSc"EU OK' fl STof� C.�JO�F'�f O.fOEL' � a <br /> fti�iL! dF i��fJ[ED l�.�/ T/F jo L�. <br /> ACKNOWLEDCaEMENT OF CONDITIONS <br /> 7he undersigned ownerlapplicenl heroby egrxes to hold and seve harm• <br /> / e penses, or ce s srof ecton thet mwyle Ise beceu aeol Irnstallataon <br /> —.�_ 7 �- � �,G. end meinlenance of Ihe imProvement oi other r19hPo4weY use hereto <br /> ���^ epplied lor end lurther egreas lo remove sema upon no�ice Irom Ihe <br /> � Aete Cily end lo replece Public property demeged theraby. <br /> Approved lor Crnstr ctian � <br /> � ./ 11��"]-/f -�— ��i� .� L //�()/I� <br /> Date bale <br /> Fj INSPECT�ON Sign�tuie of APPlicent <br /> Approved es Constructed yyORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITNIN <br /> pVPfe�� PUBLIC WORKS DEPARTMENT 1P0 DAYS OF DATE PERMIT IS ISSUED AND THENEAFTER IS TO <br /> � 3200 Ceder Sireel BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BG <br /> Evere��,WA 98201 CANCEl.LEO�Y THE CITY UPON ANY STOPPAGE OF WORK ON TNIS <br /> Phone: 259�8815 PROJEGT OVER 90 DAVS DURATION. <br />