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� <br /> Date. 12/30/91 ��.�,��:�•:,,,.,r..,�,n• .--i,./ C;`';__� . <br /> � <br /> mnu n.�� .91/35183 - --. ._. . _. <br /> AppliC.alion for <br /> PUBLIC WORKS PERMIT �"�"°w°„'°°----- --- <br /> ,��a��.. s <br /> � �y - � �rs��on� �n.mm� S _ <br /> � 7 C7 tr ;� � o.,iw��a o�� S -3S �?`—, <br /> H Print or Type Only 1� ��•,I I�rv --- ' <br /> A 5 ;�i•, � r'_' ..�Y��/i.ti'i/ <br /> 9Ht~ir <br /> H ��' <br /> ODII�7I Construction Inc. 11122 99th Avc NE Arlington, WA 98223 334-0935 <br /> y ~ Ma�lmy AJcresS City Zip Pnone <br /> K ('� Owner <br /> H xl <br /> O x0 <br /> � y H Uwner <br /> H z�" Applicnnl Meilinq AAdress City ZiP Phone <br /> [ Q�r� <br /> O N pescnbe Propased Work _ ��9�I}1Ct nEW f011L-DIflX — ' <br /> i <br /> � �g - --- <br /> n. o � <br /> � <br /> x y — � <br /> � Hy - �— � t <br /> yM prolec�AddressUlknownl _ �� �CStnut St. j <br /> � �y ------ — ! <br /> [� ptlach low(4)copios ol plans�or proposed work-Uraw lo swle nnd note the lollowing as apphcabic. � � <br /> I� • Property Lines • CenlzrLne ol strerl /^ �, <br /> y �y • Outllnr antl Jime sions ot ai!caistinp and • Indicnte North V� � <br /> propose.!siruclurea on Ihe lot • Show any proposed grndmy�hnnges I <br /> • Eristing and proposeJ ullulies • Show meosurements /�/� ! <br /> W � <br /> --p NpT WFRE BELOW TI�IS LINE O � <br /> . PERMIT CONl11TIONS } <br /> 1.All calls lor inspection shwll be made 24 hrs in advan��-nhone 259•8R10. � � <br /> 2.Ail work shall be perlormed�n accordance with this perml'nnd turrent!:ity oi Eveiett Design ond Construclion t <br /> Standerds nnd Specil�cotions. � <br /> '��' 3.Cull Loca�ion UnderprounA Sorvico 48 hrs.bebre you dig TOLL FREE NUMBER 1•BOO•424-5555. � { <br /> a � � <br /> _. _, s! �':r �, . �,. .�. 6: ���, .. �_ . . �,<<�.. � . , r /,.� � ' <br /> ! � ��: ��, �., �� .:/-� � � �-�'� ;��_ �;�,,�, �. .,. �� � � <br /> �` -� U) <br /> _ � <br /> �, , a <br /> `�"' ! ACKNOWLFOGEMENT OF CONDITIONS <br /> The unde�si9ned owncr/apPhcnnl hnreUy agrees lo holA and save harm- <br /> '�. � -- - les5 the Cdy ol Everett Irom any and nll claims lor damq9e5. casis <br /> � —� � . expenses. or causes ol nchun thnt may anse because al ins�nitahon <br /> �a� / and m�mtennnce ul ihe imp�ovrmenl ur other nrhpo4way use hereto <br /> ��-/ ��'/�'.�'!^rl�s:--' �/� �` npplieA lor anA Iurlher ngreas lo remove same �ipon nolice from thr <br /> �nn�oved—�o��o�s ction� ���� Cily anA lo replace pubhc proprity damaged U�ereby. <br /> i�lG . �Ll- „J -/- 1� - .,� '�'(� <br /> RNAL INSPF.CTION ���" ��---- <br /> Annroved�is Gonstrueted Si9nalwr,ul ApPlicanl Dale ' <br /> PUGLICWORKSDEPARTMENT WORK AUTHORIZ�O py 7H15 PERMIT MUST UC STARTED WITHIN �. <br /> 100 DAVS OF DAfE PERMIT IS ISSUED AND THEREAFTER IS 10 <br /> � 3200 Cedai Slrcet p[ DILIGLN7LV Pl1RSl1ED TO COMPI_[TION THIS PERMIT MAY BE <br /> [vorAtl.WA 9070I C�NCRLCC. 9V 111E CIiV UPON ANY STOPPAGE OF WORH OM TNIS <br /> PhonF 259-NNtO pqp.11 CT OVE�'90 DAVS DURATION <br />