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) <br /> � H <br /> Q �� <br /> � �� <br /> � �'.�'1. <br /> �] ���!y <br /> p}S:o � � �C�"<��" � ����S�T�..7.- <br /> "i1HA7 DefB 10-01-91 r�n���w�,..v.,mn. <br /> d1 m�iu o.o� . 91/27867 <br /> Applicellon FOr <br /> ��e PUBLIC WORKS PE�'I�'TaNfi. z P���,�wa,�,... --- _ <br /> O H rm.i r�. s <br /> \! i.e�enoi vaevx�n S <br /> � �g o..,.,����„� � zc - - <br /> iyY � � � � I , . , - <br /> N Print or Type Only <br /> C'� H� <br /> gy 0'Connor 5 Oehler � � 35 - <br /> �H i 7.in Phane <br /> C) N Owner MailingAdtlrO�s ?Y , . <br /> � � . �.�_ � .. , � �� � I __ <br /> '. 1'I �� I .. <br /> Owner <br /> �y Applicanl Mniling Address City Zip Phone <br /> Descdbe Proposed Work new duPlex . <br /> - W <br /> Proiect Addmas lil known) I �-,� '�'`��✓ C��tti�Ur �r ci r t- �5 � <br /> Atlxch lour(4)copies ol plens�or proposotl work� Draw lo scale and nole the lollowing as apphcnble: � <br /> • Property Lines • Centerlina ol street 'A <br /> • Oulline end dimenslons ot ell o�isting and • Intlicale North V� <br /> proposed slrucWws on Ihe lol • Show nny proposetl qrading chxnges <br /> • ExislinB nnd proposed u�ilillas • Show mensurements /�/� <br /> '�t DO NOT WRI1E BELOW THIS LINE O <br /> '�' PERMIT CONDITIONS <br /> 1,All Cella lor In&pection shell be mede 24 hrs.in edvance-phnn3 2$9-88��. � <br /> '�' 2.All work ahell be pedo�mad In eCcordence wi�h this permit and curranl City ol Evmett Design end ConSlmcUon <br /> Standerds and Specificallons. <br /> , ' 3,Cell Loce�ion Unde�ground Service 48 hra.belora you dig.TOLL FREE NUM6ER 1•BOO•424•5555. � <br /> � <br /> � , -r�c,��r�� Nc rx�...���. , , � �, �,� ���e���k, O <br /> 11 <br /> �_i � <br /> _� <br /> _� t� <br /> - O <br /> �_� a <br /> - <br /> '�t nt ACKNOWL[DGEMENi OF CONDITIONS <br /> �I /� The undCrsigned owner/�pP�ir.ant horChy xgrees lo hold and save harm� <br /> ` y' Iess Ihe Cily ol Everetl Irom any and all claims fo� d.^.ma9es, cosls. <br /> expenses. or tauses ol nc��o� �hal may arise b�+cause ol msinllahon <br /> ����� c nnd maintenance ol �hr, improvemenl or other ii9h4o�-way use lierete <br /> � i � C-� �x °f�plieA lor pnd lur�her agrees lo remove seme upon nolicc Irom Ihe <br /> AnP�oved lor C�51�uclion �A�e Uily an In replate bli[p�mpedy damaged thereby. <br /> / I L <br /> ..., � ���_ ��_- �� � ' Y : ��, � � <br /> FlNAL INSPECTION ���� , �—_!� Detc <br /> APp�oved�s Conslructod Si9nalure ol A plicant <br /> WORK AUTHORIZLD BV THIS PERMR MUST B[ STARTED WITHIN <br /> � PU�LICWORKSOEPARTMENT 180 DAVS OF DAi[ PERMIT IS ISSUED AND THERF.AFTER IS TO <br /> 3200CedarSlr3e1 DE DILIGENTLV PUFSUED TO COAAPLETION THIS Pl.RtdlT �dAV Bfl <br /> Evorell.WA90201 CANCELLED BV THE CITV UPON ANV STOPPAGE U(WOHN ON THIS <br /> Phone�.25g�8810 PROJ[CT OVEfi 90 DAVS DURAil011. <br />