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1 <br /> � �katbn Fa / <br /> PUBLIC WORKS PERMIT °•�e�����,��,,, � <br /> PUBLIC WORKS DEPARTMENT Publk Works Pertnit M _ '7 // ��_� <br /> 3200 Cedar Street � — <br /> Everatt,WA98201 259-BB70 <br /> Building Permit N <br /> TYPE OR PRINT ONLY Publk Worke Fee S_(/��� EEE ,Q�Z <br /> � C 4'r`�yZ 8330 �1``'�'�'/�zr,e�"G��+ q�zoY srs-ozs3 <br /> owner nnamne ndare� ciry zia r�wne <br /> Applicpnt Malling Address CItY ZIP Phone <br /> Describe Proposed Work -t��� �� (�� ��1���2, � <br /> � <br /> M 97314 � <br /> PROJECT ADDRESS pf known) ��� C��✓I OD�. �r T01AL 20.00 � <br /> Attach four(4)copies ol plane tor proposed work-Drew to ecale and note the folbwinp 11 applkable: A OM2391 . � � <br /> �Proparty Llnes �OWilne and dlmensbns of ell exlating and proposed alructures on the bt 'Falsting and propoxA utllltlea O <br /> 'Centerllna ol aheet qndkete North �Show any proposed grading changes �$IIOW IM89UfBfI1Mi8 <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: � <br /> 1.All calls for Inspection shall be made 24 hours In advance- phone 259-8810. <br /> 2.All work shall be performed in accordance with this pertnit and current City of Everett Design and O <br /> Construction Standards and Specificat(ons. <br /> 3. Call Locction Underground Servlce 49 hrs. before you dig. TOLL FREE NUMBEq 1-800-424-6666, � <br /> � .(�oorc��nuf� �r►,ov��l ofc�uzrzi�� l -(or dr��cw��, k,�,{y� � <br /> Bol� �rZson 25? -8&oiF . O , <br /> 5. }�rav�dc eros;on co�n-l-rol as d�rcct� �� c;� ��l�ck.brks a <br /> i n s �ccb�' �n clud�rc�- s� I f fcvic��� , h,�dras��v� � co� 1,e� c,r� <br /> 2KZ5 w,� s�tiw-or o-{�I�,,r �rr,ceadv+�es as dirr�tec�, <br /> (� , Kee� c;{� s�u�s G I�n E� a�1 i-,'►�ee- <br /> 7 � �l I n�us� bc Pro�.r1� cornPac� �o s�pPo�� veh;�le �f��t. <br /> ?,,N� �';nn�stte.S w'��,ti mth a�l wea�t,• dr;vir�� sv�`fct� <br /> �Sac sec+rcv� 3�4 af c;� stzrv,orat.�c rnanvetl. <br /> 8, Fldjvst ��� sewer mah hole �;� �fo qrAdc ;f aF�'ee{ai b� �'r I1. <br /> ACKNOWLEDpEMENT OF CONDIT10N5 <br />� �j� The underelpned ownar/applicant hereby apreee to hoW end mve harmbes <br /> i'/ / 7 the CNy ol Everett Irom any and all clalme/or damagea,coata,expenaes,or <br /> Ap ved lor ConsWcllpn e ceueea ot actlon thet may arise because of Inetalletbn and malntenants ol <br /> /J� thelmp�ove nto hl• - eywehsratoapplledlaandhiMbrapresa <br /> A1 0/��— 8-.?b-S8 ro remo , on CHy and to replace pudb proprty <br /> FINACINSPECTION pe�e — <br /> Approved as Conslructed <br /> Sipnatu�a of Apdkant /�� I <br /> Dete <br /> WOHK AUTHORIZED BY hIIS PERMIT MUST BE STARTED WIiHIN 180 DAYS OF DATE PERMR IS ISSUED AND 7HEREAFTEq Ig TO BE DILIpEMTLY NURSUED TO <br /> COMPLETION.THIS PENMIT MAY BE CANCELLED BY iHE CIiV UPON ANY STOPM(iE OF WppK pp�7H�g pqp,lECi OVEp BO MYg pUppT10N, <br />