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Date�Gy�� 14. 11� � U U "' D "—' PuEec WaA�Pnrmq• / � _ <br /> " � D <br /> ApDiicall n e�ea oeo� . <br /> PUBLIC WO ��� �um¢Wo����ea <br /> �a�.���� s <br /> .......................................................�.��... less'�ou' r.e a��a 5 <br /> Print or e nl CITY OF EVERETT o,,,�«o�� s—.37�— <br /> �� �O�TING _ ' ' '�f�� 8�' POrmlt Counter <br /> �,rEr�rr-°�+�rxu T�7,—�-r�o l�y .r4�e '�,�-rr- �32a3 (�1�1 � <br /> Owner Ma�nni� 4CJresS City Lp Phonc <br /> �NN� �.�. hAl�ly ��-� ��I�AII'�]—�_�������v� <br /> A phcant �d:,�li�q Address Crty Zip Pho e <br /> . Deacribe Proposed Work��,(� � 1��►� �L.�_,,,Q��y��� � b►�..�FR�1 <br /> ....--r��.� <br /> ��LT�Fl�F-��I11- „lT�'�! '�1vM1C7LL�1. G�_��K ��(�'F <br /> �S�tt- '�l1P—M���"T'l'�1+���'�311Gt1Ul`�-O'�-�� <br /> g�y �. W <br /> ' 'Fiojec�nowni?�aL����� — � <br /> . AtfBch louf(4)Gopies ol plan5�oi propo5ed wo'� � Drav.� to sr.ai��a�cf nCtr. Ihe fo�luwing a5 appliw�ie: � <br /> • P�operty Lines � Centerlinn ol streel � <br /> � • Oulline end dimensions ol all eaishng antl • Irdir.ate Nonh <br />�� '� proposed slructures on the lol • Show any croposeA gretling cnxngr.s <br /> i <br /> � • E�Istinq and proposed utilitles • Show measuremenls � <br /> DO NOT WRITE BELOW THIS LINE O <br />� MIT CONDITIONS <br /> 1.All calls tor Inapectlon ahall be made 24 hra.in edvance-phone 259•881 O. � <br />�' 2.All work ahall be pedormed In eccordance with lhia permit and current City ol Everett Deaign and Conslructlon <br /> Stenderds and Specilicatlona <br />�� 3.Call Locatlon Underground Service 48 hra.before you dig.TOLL FREE N JMBER 1•800-424•5555. � <br />�� �1, ati►.�-�lI a.r � � o� � ,e�.�- <br />� ��. P,r °�- � <br />� � ,�i� nu,� s4��l..l� .zo �e e'eru7�we7e,,� o�,. C�,ai,.�¢,�i` <br /> ��/� <br />�� S Cl��r,E fo � dc.�e �¢.� a.��orcv��PCo�s �/of�d 73/-9S V� <br />� � <br /> a <br /> ACKNOWLE�GEIdENi OF CONDITIONS <br /> Thn unde�siqned owner/applicant hereby agreea lo hold and save harm• <br /> -- �—�; iess the f.�ty ol Eve.etl Irom any and ali claims lor Camages. costs. <br />� ; erpenses. o� causes ol ection Ihat may arise becauee of instellatlon <br /> ' / /�` __=�s i and maintnnance o! the imPiovement or o�her rig�bol�way use he�eto <br /> �� ��� acn��ert �or and lurther agrees lo remove same upon no�ice Irom the <br /> Approvetl lor C nslruction Da�e ' O!y onrf m replaca p�blic propery damaged thereby. <br /> i <br /> i ' <br /> FINAL INSPEC71ClN Daie � <br /> Approved es Gonshuctod I S�gnature o1 Appi�can! Date <br /> � PUBLIC WORKS DEPARTMENT WOFK AUTHOR12ED BV THI.i PERMIT MUST BE STARTED WITHIN <br /> 3200CetlarStmet 190 DAVS OF DATE HERMIT IS ISSUED AND THEREAfTER IS TO <br /> Everetl,WA 98:01 BE DILIGENTLY PUHSUED TO COMPLETION. THIS PERMI7 MAV BE <br /> Phane:250•BB10 CANCELLED BV THE CITY UPON ANV STOPPAGE OF WORK ON TH�S <br /> PRO.IEGT OVFR 90 DAVS DURATION. <br /> �l9�31 � <br />