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�� � <br /> �� x - <br /> C N <br /> �HN <br /> H� � 10/1/91 �. i i•��n���w�,..r.,�,n. �-�{/��_ .. <br /> p�5c p� Date f\- ;i. -� 1- � 91/27864 - -- <br /> y erou o�w •— <br /> ApPlication For <br /> �xp � PiJBLIC WORKS PERMIT °°°'""°."`°° s _ <br /> rm.i r.. <br /> y i.���oo�f..rn�a S_ -- <br /> OM ��; — <br /> �n � nr,���n��� S___----. <br /> �° g Print or TYPe ��y POSTING _— � ------ -- <br /> yH <br /> t" �„i y p��nnor a Oehler 9210 Evcrgmen Way �.Everett, WA 8204 353-7700 <br /> gy Owner Mailinp Adtlrr.cs , Cily �� T.ip Phonc <br /> OC7y _ <br /> as� r Owner <br /> �J [s1 MaJmg AAd�ess �Cily 2ip Phonc <br /> 'Y,y y Applicanl <br /> HOfA <br /> DescriheProposedWork �netruCt newiFl� .l�C�PLC-f� — <br /> ��z� �+�i W <br /> Proi�c�Address�il known) �� �estnUt St. (SITE pL�N MZ� ---- — � <br /> � <br /> Altach lour(4)copies o� plens for proPosed work�Draw to scale�nd nnle Ihe lollowing as appOcable'. � <br /> • Property Lines • Centerline ol streel <br /> • Ou�line and dimensions ol ell e�isting anA � Show nny proposed giatlm9 chan9es <br /> proppsed slruclures on the lot � Show measur9men15 M <br /> • ERisling end proDoseP utiGties W <br /> '�, DO NUT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS � <br /> '�' t.All calls lor Inspection shell be mede 24 hrs.in ndvance•phone 259•881 O, <br /> 2.All work shell be pedormed m eccordence with tl�ds permil and current Cily ol Evarelt Design entl Construction <br /> '�' Stenda�ds end Specilications. � <br /> ' ' 3.Cell Lotalion UndergrounA Sorvice 4B hrs.belo�e you dig.TOLL FREE NUMBEP 1•800•424•5555. <br /> O�. L�� fC({ �i��vN';,��'T`, -Ttr • ,� hC' ,c\�Ll� <br /> I 1 <br /> 1_� � <br /> _ � <br /> 1 Q <br /> �- 0. <br /> 1�1- <br /> _�— ��� ggg ACKNOWLE�GCMENT OF CONOITiONS <br /> _' `�— — The undersigneA owneVnppl�tan:hereUy a9�ee�Ic hold and save harn* <br /> I�ss Ih� City ol Everetl Irom nny and �il claim3 lor Aamoges costs <br /> ' eapen5es. or r,au5es ol nction Ihal mny anse heCause o� i��s��llahon <br /> � —� C nnd mamlen:n�cr ol Ihe imp�ovemenl or other ng�1�N�way u'c horrtr <br /> �L_�� �� <br /> {/- ,� r✓'��(�}L. �p�liad lOr a��C lurthri agroes lo remove 5ame upon nobce hoin Ihc <br /> Approved for Co Iru[tion Dnle �'y aod In re��acr�ub�qPropertY ddmay�d Ihereby <br /> I\ 1 � �i ` % <br /> .: � i <br /> J� J�� - l� � � <br /> ���Cc_ c_ . - � � / �� . __ ___ <br /> FINAL INSPECH N ���� " �01a <br /> Appwvod as Constructed S�gnature ol A1 P�icant <br /> � WORK Al1T1iORIZ[D BV TIiIS PEr7MIT MUST BE STARTED WITHIN <br /> ,�� PUBIICWORKSDEPARTMENT 100 DAYS OF DATE PFRMIT IF ISSU[D AND THEFEAF7EH IS 10 <br /> 3200 CeAar Slreel BE DILIGENTLY PURSUED TO COMPLETION THIS PERMIT MAV Bf <br /> Evorel6 WA 98201 CANCELLED BV THE CITV UPON ANV S10PPAGE OF WOPK ON THIS <br /> Phone�.^.59�8010 PRCiJECT OVER 90 DAvS DURATION <br />