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� � � •u4�.i;[tYl9[M�l{t^YbIH vu�• • -.-.. ..a.....� •r�. <br /> � PllBLIC WORKS PERMIT � 7-7 t7 <br /> Pusuc wa�ws oEwun►e�rrr wa�waw�,n« q7/,Z.Ig <br /> �0°°edi g'�°°` 55853 <br /> Evxet6 WA 9E201 269-8810 ���� <br /> r *f1 <br />� TYPE OR PRINT ONLY PQSTING ��� �,�„�„�,,,,F„: �.o- <br /> I�x'ian � Ktt�hbd�► clovies 394(oGra�dAu� ���'�'1�3 tSl-51z6 <br /> —Own�er MdN�qAddrses Gty ZIP phnne <br /> Applbant Mdlhq Mdrsss CKY �1P �10^° <br /> Describe Propoaed Wo�lc W <br /> � <br /> � <br /> � <br /> PROJECT ADDRESS pf known) �3 � M <br /> Atlxh lour(4)coplas ot{�ens for piopoxd work•Drew to ecab end rate ths folbwkp N appNcabN: iY <br /> �a�r,er�y u�ea `Outllns end dime�abne ot atl ex�Mirq end propoaed etnrotu�ss on tM bt 'Fx�snrw�ww��� O <br /> �CM�aAine o181�eM 9M1ka1B Npth �91wW enY WoPo�O���G�he�pes �3hOW msuuenlenU � <br /> 00 NOT WRITE BEIOW THI3 UNE � <br /> PERMIT CONDITIONS: <br /> 1.All calls(or inspection ahall be made 24 hours in advance-phone 2b9-8B10. O <br /> 2.All work shall be periortned in eccadance wfth thla permR end curtent City of Everott Dealpn a�d <br /> Constructlon Stendards and SpecMicetbns. <br /> 3.Call Lacation Underground Service 48 hrs. befae you dip. TOLL F11EE NUM�I 1-l00-4S1-6�i6. � <br /> � <br /> OB-O6-97 �:13PM AO <br /> M �853 ii <br /> BUIIDIN� 1056.25 <br /> PI.IN�ING 91.00 <br /> iECFMNICAL 80.00 <br /> SIRf:FIARGE 4.50 <br />�, DRIVEIIAY 20.00 <br />, PLAN CFfL�( 24.37 <br /> N 94T4 <br /> 1b11ER 650.00 <br /> M 31208 <br /> 6ElER 70.00 <br /> UTILITY DEv <br /> 1613.00 <br /> TM undwWPhd owi�rhPPMcaM hqw��k4�Y�p�M��81f,�flf';ai�N�(Rtx <br /> 7 ' tM CMy of Ew�elt hom rry�nd d�il� <br /> veG fa .tl 1e ewsee d r.ilon tMt m�y riw W Mbn nd m�kM�nria d <br /> �ha hpmwnwM a otlw rqMol•wy uss hwMo�PPMd lor�C hMf r q� <br /> ro�avs.�upon�wuo.hom 1M cn��.w ro npYc•puhMc pApwtv <br /> �_-- /—.17-1r� d""'°'° <br /> SP � ION Dete <br /> Approved es Conshuetad <br /> Otl� <br /> WORK AUTHORIZED BY 7HI3 PERMR MUST BE STARTED NA1MN 1!0 DAVB OF DATE PHMIf IS 193UED AND �8 TO���Y���� <br /> COMPlET10N.THI9 PERMR MAY BE CANCELLED BV THE GTY UPON ANY STOPPMiE OFVMdr(ON TN8 PROJECT �0 OAYB DlNM710N. <br />