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T'?�f Zqk <br /> � � PUBLIC WORKS PERMIT �1e 3-24-97 '� <br /> PUBLIC WORK3 DEPARTMENT Public Nbrks Pertntt t L{.,!i—� <br /> 32(q Cedar Street <br /> Everatt.WA 98201 259-8810 Bulltlirp PermH M_ 54602 <br /> TYPE GR PRINT ONLY ;� ppStING r--- Publb Nbrka Fee S � <br /> Steve Crawford 23519 Ht Foreet Blvd Monroe 98272 788-5656 <br /> Ownar Malllnp Addresa CMy Zip Phone <br /> O�mer <br /> Applicant Malling Address City Zlp Phone � <br /> Describe Proposed Work _ new house ■ � ■ <br /> W <br /> �{41� � I <br /> PRWECT ADDRE:iS(if known) V� ,►��� •" �'t <br /> Attach lour(4)coples ol plane lo�propoeed work-Draw to etale end rrole Ihe folbwlnp M applMable: p(��{ W <br /> 'Property LJnes 'Outline end dimannione ol ell e�lating end qoposed etructures on 1M bt 'Fxlatinp and p���ci de u��'-0.� O <br /> �Centerline ol etreel 'IMicale North 5how any proposed preding chenpee �'Jhow measurementa � <br /> r�eo sse.oo ' <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMITCONDITIONS: �� �'•� Z <br />� 1.All c:alls for inspectlon shall be made 24 hours in advance-phone 259-9810. ��� ��� <br /> 2.All work shall be peAormed in accordance with this pertnit and current City oi�r�Des�a� O <br /> Canstruction Standards and Specifications. �� <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUM�*1-s00-1��66. H <br /> �, l�f?ST��� Cv(�tp,�'-� �1� �►''ive�� — C�e�t�ipQia[sl47��,� � <br /> wi tios.00 O <br /> ��a -f2�.,� c'�G,�ti�,e �.,- !( .�/�w �r�ioez ��o.00 a <br />� 34SOEV f1613.00 <br /> , <br /> � V�" ��OWv►E✓ f�ro�pe �� tK.�[K���Y Nit �t✓�v��! <br /> J�i4 �,�c' ��rc Gn��,e.1� y� �/w <br /> /� –J e.w�,.,� .� s I, S 1.+l� <br /> �� � WP Lw�.Yo�n.1 G��.�..+ � (�� 0,,. S�� I I'�1 <br /> �CP �s �.I.�y � �eS o,�d �e ` <br /> (� to�respo�..dpK�e � <br /> � 'di Gor� � � hlew. <br /> ACKNOWLEDOEMENTOFCONDrt10NS <br /> ��. The undersipned owner/sppllcant Mreby aproas to hold and mva harmless <br /> � G�� the Gry of Everetl hom any and all elalms for damayea,coets,expenses,a <br /> App fa st`ru�qn . � a:e �auaea o1 eelbn that may ariaa becauae of Installetbn and melntenance of <br /> y the Imp�ovement a mhx rl�t-of•way uae hereto applbd la and fixthnr aNees <br /> G /�_ to�emove aeme upon rwNce hom the Clty end to roplacs publb ,�drty <br /> d iMieby. <br /> FINAL INSPECTION Date �f <br /> ApprovH ae Conelrueted y,�+ <br /> O <br /> natun of Applkant Deta <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARfED WITHIN 180 DAYS OF DAiE PERMR IS ISSUED D THEREAFIfR IS TO BE DIWENTLY PURSUED TO <br /> COMPLETION.h11S PERMIT MAY BE CANCELLED BY THE CRY UPON ANY BTOPPAOE OF WORK ON THI9 PRQIECT OVER BO QAY8 WMTION. <br />` <br />