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� � . <br /> Date ' 2-16-94 �`� O 7/ <br /> vypl¢Wo�h�Parmp• <br /> Appucauon For emo o.o� • 43541 <br /> PUBLIC WORKS PERMI P�b�KWo�.F.. -- <br /> ,o�.�... s <br /> lsu�oo�.Fse PuE { <br /> Print or Type Only e.�.��.o�. s <a"Z'— <br /> � 8S38S3 <br /> ' �� � � TO POSTING 5—L <br /> Roger Wilmon 2505 Cleveland Ave Everett �20 252-6852 <br /> Ownar Melling Address �Ci � Zip Phone <br /> Goode Const dba NW Garage 11217 60th St �v� 98258 334-9262 <br /> . Applicant Meiling Address Cily 2ip Phona <br /> Describe Proposed Work new garage <br /> Project Atldieas(il known) 2505 Cleveland Ave � <br /> Attech lour(4)Copies ol plens for proposed work- Draw to acale and nola the lollowing es appliteble: � <br /> • Pro � <br /> perty Linea • Canterline of alreel � <br /> • Outline end dimenaions ol all existlnp antl • Indicele North <br /> p�opoaed slructures on Ihe lot • Show eny proposed giatling changes <br /> � Exiatinp end propoaed utllitles • Show meesuramenta <br /> DO NUT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS O <br /> 1.All Calls lor Inepection ehell be mede 24 hre.In advance•phuna 2b9�8810. <br /> 2.All work ehall be peAormed In accordence wlth thle permit end cument Clly of Everett Dealpn end Conetruction ' <br /> Slandards end Specificatlonn. <br /> 3.Call Locatlon Underpround Service 48 hre,before you dlp.TOLL FREE NUMBER 1•800-4Z,•35b6. <br /> � i�C��aLf D�" �Clvca�t S�p�,J'����3�� fc� i��ee�` � <br /> 7 C [�ni�oi^n-� �plavti6ii�9 Cac�e O <br /> I DC� � <br /> �.�°�n 1 o i` �� � <br /> �,,�� �,�i ���� �,�� �I. � a <br /> .I1 ^ ��s �II� ��� S y� <br /> pp� � Nd O ACKNCWLEDGEMENTOFCONDITIONS <br /> ��� <br /> The undersigned awner/applicen�hereby epreee to hold and Bave harm• <br /> lear tha COy of Evarell Irom eny end all claims for damagea, coats. <br /> e.penaea, or cauaea of action that may erlee baceuee of inatelletion <br /> � � ��� l��/�K end meintenance of Ihe improvemant or other right�of-wey usa hereto <br /> v applied for end lurther e rees to ramove same u on notice Irom Ihe <br /> Approvad or Con �ructlon e�e Cily and to place public Oroparly demeped thereby. <br /> � 7� � �� /- <br /> FIN ION Dat ��/�/ �— Z� q 4 <br /> Approved as Constructed S�gn ure ol Applicent Deta <br /> PUBLIC WOHK3 DEPARTMENT WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN <br /> 3200CederStrael 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett,WABB201 BE DILI6ENTLY PURSUED TO COMPLETION. TF:IS PERMIT MAY BE <br /> Phone:26B•BB10 CANCELLED BY THE CITV UPON ANV STOPPAOE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DUHATION. <br />