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i,.�. .. <br /> � a //� • • n,n�.�:w.�narnm��. /c1�c/� 7 I <br /> Date— —�J -----��---- <br /> ���e�onn� • <br /> Appbcabun Fnr _ <br /> PUBLIC WORKS PtRMIT ' ,'"w^,""' -s-- . <br /> ,�.,�,.. <br /> ��vM1�on� fer P�n S-- . <br /> � � �. <br /> e,i,�...o�. 6 <br /> Print or Type Only <br /> �O x <br /> N <br /> 9 H w �r � Q,'Q'f <br /> � � �_. ./�Y/ ,,t �Y :,���i` "o.' i�U�,l�l'� L-�E��� l <br /> �H —0 n�7 Madm9A�fAress Gdy iP Phonc <br /> '°� �� _�i_7�1�_�����-�71-' =�"t�-��Ll��-ZIiY/_�ix1._���1 GE'-�'�'7l'�r -�i/�E71 <br /> AOP�cAnt hla�lmq Addr�ss Cdy Lp Phone � <br /> � �� ..ry..�eif-6 <br /> O H Drscril�r Prol�osc�A WorkHl/L�4� —��r'!�/Y�•1�/�ilY1.._ 7IN—�l-V'����' TIT7[A/�� <br /> � �g ��1� �►'�r.�t�'��a��--�7�T_�NIL_Cr.Yv1E��'.��R �,f�l--- <br /> "` " `'EdL—NQ15�_�MPfX'T-�r7__t}1.�.��ll� <br />, � w��a__..�._zo-�-L � <br />' � '� �r�p ��:5 ---L�� — <br /> ~ ���ff CT'.Q�T_ -_' 7PC�- "I__f-'hCIFIC. Fy � ' H <br />� g y p.i Pro�ecl AAdress 1��Mnownl -3fL� �� -"-" - <br /> C] �U1 � <br /> � A�lach lou�iA�copies M p�ans lur proposed work� Dr�w in sraln antl nole��n��ollowmq as npVlicabli� � <br /> • Prcperly;. nes • CNnlr.dme nl streel <br /> � yO y • putlme and Aimensions of all existmq antl • Indiwte NortO <br /> propo5ed slruclure5 on Ihe lol • Show any proposed prndm;�changes <br /> • Eaislmy nnd proposed ulildies • Show measurements M <br /> W <br /> DO NOT WRITE AELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> li 1.All calls lor Inspaction shall be matlo 24 hrs.in ndva�ce�phone 259•881 O <br /> �, _ 7.All work shall ba pedormetl in ectordance wilh Ihis permit end current Cily ol Everetl Dasiyn and ConsVuction <br /> � Slnndards end Specilicntions. <br /> ���'� � 3 Cnll Locnlion Unde�ground Service 48 hrs.bebre you dig TOLL FREE NUMBER�•BOO'42O•rJJS5. � <br /> �' O <br /> ' — <br /> � <br /> i ; � <br /> � � <br /> � <br /> ' �1 I a <br /> �-I i <br /> AC��NGWLFDGCMENT OF CONDITIONS <br /> The unAeisiqne0 ow�ornpplicant hPreby agiees to holtl anA save hFlrnr <br /> _ = ._ --} -- Irss 1hr Gty ol Everell Iwm nny and al1 claims �or tlamp{�es. costs <br /> �JL\�N ` eapenses or causes o� ar.tion ihat may arise becausr ol mslallation <br /> �� � qnd innintenanre ol Ihe impiovemenl or olher nyhPo��way use� herrto <br /> ;�- .a- � applied lor and lurthei ntJfeAs to remoVe 5nme Upon ��ol�ri' ��o�n Ihr <br /> � Da�e <br /> `�� Approv r ConslryW un Gtv.����f In��pl; e pubhc property Uamayed Ihereby <br /> ��r�•- - i� �_ _�s���ar�~ -- =����=�,� <br /> Dx�o _ � � <br /> fINA� INSP ,TIUN �����" <br /> Aunrr�,vi.d:c,f.un5irutintl S�Vnaturr ol APPl�can <br /> FWORK AU7HOR12E0 BY THIS PERMIT MUST BE STAG7TED WIIHiN <br /> � PUBLICWORKSDEPARTMENT �y0 DAVS OF OATE PEHMI7 IS ISSUED AND THEAEAFTEP IS 10 I <br /> � 3200Cedxr Streat BE OIIJGENiLY PUNSUFD 70 COMPLfTION 7HIS PERMIT MAV Of <br /> [veretL WA 98701 CANCELLE�PV TN[C�TV UPON ANV STOPPAGE OF WORK ON THIS <br /> P�nnne ?59�HN10 f'ROJCCi(�"FP'�n pqVS DUqAIION <br />