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� <br /> � � ' - <br /> � � p ,�i 9— �'�w`� r <br /> � H Date. ��c�U� ��„i�. w�..�.�,.... . <br /> � ��,,,����:,��, ,, � ,, �,,� ,,,.,,. . 3�i%aa5 d�s <br /> ro � � PUBLIC WORKS PERMIT ' °` ,° .,",,; <br /> <<,�.,���,. s -- -- <br /> N M . ....ew�i !w i���m S_ <br /> � � � - ��__ <br /> r�,... �•n,�� S�' Q--�, <br /> Print or Type Only <br /> �� A � <br /> H _(d�� Ili n ., , ,c ��s zz�;q -5�K�L�---_��Q1a /�- �tdaG� oZS9- �l�l�i -- <br /> N O��,nei Matlmy AAdrose CdY 7�P Phone <br /> N <br /> � " S�.�nia--.Lru/a.�_!�„t�--a�3_.F.��f✓e�P7l14i�riiG�/drI/ .5�.�p�----F✓i��� 9dm3 35�.�Sq� <br /> �{ � APP��can� t.l:uhn9AtlUm:S CdY / Lp Phone <br /> O N <br /> Descn�c Proposcd Work ��lA-p-�Lx-_.___... —__ - --- <br /> ---��----- - - W <br /> �, � � �^ /-,.�/ ,[ ; � <br /> Prolecl AdAress lil Nnownl �S_/_.�.s�riUJYl�(F1--,T------ --- — <br /> Allach IOw 141 coP�Cs ol Plans br PropoSed worh� �i�w lo tc:dr.antl nntc tho lollowmy as aPUhtabl�. � <br /> • Propeny Lines • CeMerlme ol sireet /A ' <br /> • Ouli�ne and d:mensions ol all eustmc�anA • InA�cate North V� <br /> monosea suudures on u,e ioi • Show any pwpo5ed giatliny r.nanc�rs I <br /> �-� � , • LMRIm4 and propOsnd atJd�eS • Show mea5uremenlS � I <br /> \ <br /> i ��� DO NO7 WRITF BLLOW iH15 LWE O <br />�� ' J ' PERMITCONDITIONS <br /> 1 t.All cells lor inspeclion shall he made 24 hrs in advance�phone 2$9•8810 � <br /> �� 2.All work Shall be pedormed in eccoMance with this permit nnd currenl Cil� ol Everett DeSign and Constructlon <br /> � �_' Slandard5 end Speci�ica�ion5. <br /> I 3.Cell Lucallon Un�erground Service�B hrs.betore yaii Aiy.TOLL FREE NUMBER�•800•424•$555. � <br /> I �� O <br /> � <br /> �'_I V� <br /> - <br /> , <br /> �_,_, <br /> O <br /> � <br /> , <br /> �'�/_1 — PCKNOWLCDGCMCNI OF CONDITIONS <br /> ! lhc und��si]nrd owner/npplicanl hrrebY:�9rees lo holtl and save haim� <br /> less the Cdy ol Eveiell hom any and all claims lor Aamnges, cos�s. <br /> / � �Knenses. or causes ot achun Ihat may anse �ecause o� inslolla�ion <br /> L, � L /' and mainlennnce ol Ihe+ improvemenl or olhe� nghPobway use he�elo <br /> ��.��!-�7C+C/'L- 7"��"��_ ;pphetl loi and Iwlhei a9rr.es In remove same upon notice Irom thc <br /> APProvetl lo�Con5lruc n / Date CitY:����1 lo replacr Pi�blir.propeiry damayed Ihereby. <br /> � �t• /� �/(�-�'a ����� ��� � �} � t- <br /> FINAL INSPECTION 0��� —LY— i � '�'=�--��Y/���--- <br /> App�oved ns Construcled Si9nalur ol Apnli anl ���" <br /> rvrielt PUBLICWORKSO[PARTMENT ti'ORK UTH�LD �V THIS P[RMIT MUST BE SiAPTtD WITFIIN <br /> Q 3200CcAnrStrcel �A� DAYS OF DATE P[fIM1T IS ISSUED AND THEFEAFi[R IS TO <br /> Everetl,WA9F201 B[ DiL�G[NiLV PURSUED TO COMPLETION. THIS PERMIT MAV B[ <br /> CANCGLLEU�V THE CITY UPON ANY STOPPAG[Of WOF7H ON THIS <br /> ' Phone 259�Bf310 PRpJ[CT OVCfi 90 DAVS DUHAiION <br />