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�� � <br /> D� � ,... <br /> q H <br /> H� � <br /> O,�� � TO POSTING A -�` �'`�-� 91�2 ` G <br /> O D8�B�91 r„ni.�wo��.r.�mnr ��� ==��__ <br /> ti AP����,��o�Fo� TO POSTI NG ;� .�a 1_ a���o��, . _ _. <br /> �� � PUBLiC WORKS PERMIT �°^;;;,�,��°° , <br /> �� g �.,,.��, �..�.,,, s _ <br /> 4�� o Print or Type Only <br /> ,,.,��,,,�,.���. : � <br /> H <br /> � H <br /> �y y � O'�nnor 6 Oehler Const. Inc. 9210 Ever reen� Na � L�v rett WA 98204 353-7700 <br /> Q�N Owncr MaJing A tl tlres d� ' � Cily ' Z�p Phone I <br /> � Kf Owner . . . �, .,,':, <br /> O � APPllcant Ns�hng Hddress� � � � .. .. CiIY � 2ip Pno���• — <br /> Oescri6eProposedWork Conetr+ . new A�IF i�L�s�[CX <br /> _ Ih�'1 Ai13 W <br /> Pralect Addresslil knownl �x Chestnut St. (SITE PLAN N3) L <br /> r <br /> AllaCh low(4)[opie5 OI plens lor propo5ed work� Draw lo SCale 0nd n0�e�he lollowing as Applicahlc � <br /> • Property Lines • Cente�hno ul slreel ,A <br /> • Oulline and dimensrt n:ol ull eMisting and • InUicate Norih V� <br /> p�oposed S�mcturee.on t�v lot • Sh�w any proposed�raAmc�chanyes � <br /> • E�isting and pro0�sed utiliY�er. ! 9iow mrasurements Y <br /> �T 7 <br /> '�1 �O NOT WFITE BEIOW THIS LINE �++ <br /> ' ' PERMIT CONOITIGNS O <br /> � 1.All calls lor inspec�ion shsll be made 24 hrs.in advence�phone 259•8810. <br /> '�1 2.All work shall be Oerlormed in eccortlance with this DP�mit nnd current City ol Everett Design and Constmction ' <br /> Stenderds end Spacilications. <br /> '_' 3.Cell Locelion Untlerground Senice 48 h�s.belore yau Aig.TOLL FREE NUMBER S•800•424•5555. � <br /> '�' � . T1L-�� \iLINC �X��vtJ��-r•��"i`, 1C ., ��>c� C �vtX, O <br /> 1_� � <br /> 1 � <br /> -� a �� <br /> �- � <br />� - <br /> ,_� � <br /> /pr ACKNOWLEDGEMENi Of CONDITIONS <br /> I 1�' �l`� The undersigneA owner/app6caM heieby agrees to hr,.d nntl snvr harnr <br /> _ _ — "— --- less the Cily ol Evesel� Irom any antl all elaims lor damayes. rasls. <br /> � e�penses. or causes of aC�iOn Ihat may nnse because ol mstallolion <br /> _������✓� �, ��1 ar,d mamlenanCe ol the improvemenl or o�her i��hLo4wey use herrlo <br /> F�� �- xpP��ed br and �urther aqrees �o �emove same upon nolice Irom In�• <br /> Approved�or Conslmction Date City anA to replace publlc property damagaA ihereby. <br />' y /. <br /> .� �:.;_�- U , > Z ,� � � // <br /> FINAL INSPECTION Date � � \��� 'r-�u-w �� __ <br /> Appmved as Consirucled SignaWre ol AnPlicant Dalo <br /> � PIIBLIC WOAKS�EPARTM[NT WORN AUTHORIZED BY THIS PERMIT MUST �E STAR7E� WItHIN <br /> 9200Ceder5lroet 190 DAVS OF DATE PCRMIT IS ISSUED ANU iH[REAFTER IS 10 <br /> E�erett.WA 9P201 BE OILIGENTLV PURSUE� TO COMPLETION THIS P[RMIT MAV �E <br /> Phone�.?59�BB10 CANC[LLEO OV THE CITV UFON ANV STOPPAG[ OF WORK ON THIS <br /> PHOJLCT OV[R 30 DAVS DURAiION <br />