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; -,+ <br /> .- "'�1 <br /> DetB 7/30/84 roeu�won��4��i3 $y •T 3 ` <br /> BIJp Depl • — <br /> Applicetion Fot <br /> PUBLIC WORKS PERIVIIT °°°'�°W°�.`.. �, �� , <br /> Tot�i Fse s <br /> Lo��C01 Fw PUU / <br /> B�I�nc�Du� f ��. O� <br /> Prl�t or Type Only 7��y3 <br /> Bob Sandera 2101 Cleveland Everett 98201 259-6514 � <br /> Owne� MallinQ Addreas City Zip Phone ' <br /> Permabilt 3416 E�rerett Avenue Everett 98201 258-4171 <br /> Appllcant MellinOAdd�ess City Zip Phone i <br /> Conatruct Garage <br /> Deec�lbe P�opoead Work <br /> . �� { <br /> Pro�acl Addraee Iil known) Z101 Cleveland �� <br /> Attach four(4)cople6 0l Dlane lor proposed work� Draw to scele and note the following as epplicable�. � <br /> • Proparty Llnee • Centerline ol street <br /> • Outllne end dlmanelone ol ell exlating and • Indicete North <br /> propoeed nlructures on Ihe lol A S1, w eny proposed greding chenpas <br /> I • Exletlnp and propoaed utllitles • Show measwementa � <br /> I <br /> I DO NOT WRITE BELOW THIS LINE O <br /> PEFMIT CONDITIONS <br /> 1. All calle Inr inepection ehell be mede 24 hra. in advenca• phone 259-881 5. � <br /> 2. All work ehall be performed In eccordence wilh Ihis permit end cunent City ol Everett Design end Conetruction <br /> Stenderds end Spaclllcatlona <br /> 3. Cell Locetion Undarg�ound Service 4B hra. balore you dlg.TOLL FREE NUMBER 1•800•424•$555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersignetl owner/applicant hereby Barae6 to hold end eeve herm• <br /> lass the City ol Everr.tl Irom eny end all clafms lor demepas, costs, <br /> � / e■pensea, or ceuses ol ecUon Ihet may eriae beceuse ol Inslellalion <br /> l--� ,� /y,� ,� � a Y end meir,tenance of the improvement or olher rlghl•ol-way use herelo <br /> � /u apPlied lor antl luriher egrees to remove aeme upon notico Irom the <br /> Ap�ed lor Construcfion //� Date City end lo replece public property demeped Ihareby. <br /> ��'1i�4"" — / i� � �'�/ �/ -� C.' <br /> FINAL INSPECTION Date ���i �—�� IT'��'7� Dete <br /> App�oved ae Conahuctad Si nelura of Ap nt <br /> WORK AUTHO IZED BV THIS PERMIT MUST BE STA�TED WITHIN <br /> everett PUBLIC WORKS DEPARTMENT 180 DAYS OF DATE PEFMIT IS ISSUED AND THEREAFTER IS TO <br /> � 3200 Cadar Slieet BE DILIGENTLV PURSUED TO COMPLETION. THIS P[RMIT MAV BE <br /> Everett,WA 98201 CANCELLED BV THE GTY UPON ANV STOPPAGE OF WORK ON TH!S <br /> Phone: 25B-B815 PROJECT OVER 50 DAVS DURATION. <br /> . � <br />