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/^� / <br /> �.l APWicatanFor . ^/ ,/��_ ' .'— <br /> PUBLIC WORKS PERMIT °�1e- w'-'' <br /> PUBLIC WORKS DEP.'1HTMENT I�ublk Works Permlt N 7 � 7� <br /> 3200 Cedar Slreet �� ----—�— � <br /> Everatt,WA 9B201 259-8810 I <br /> Building PertnO N <br /> /� NG APR 1 6 1998 - - — i <br /> IYPE OR PRINT ONLY �O P'/STI . Public Works Fee S 3S� �� <br /> ��� N � eo. , P o. QaX 3�� .�-.��-�� w9.����--���6-�-« � <br /> Owne� � Mniling Address Gt� Zip phone <br /> SA-M � <br /> Applicant Malling Address Ciry Zip Phone <br /> DescribeProposndWcrk . �NST/J�L(,,, U,vD �xc��N,j� �rrc,,r,�rj- 7'"D � <br /> ��_�0�J� r@-sr ��cic.� --.-- � <br /> � <br /> PROJECT ADDRESS(ii known) �043, �itJ. �%f�'s/n/O ��___ _ _ � <br /> Attach lour(4)copies ol plans for pmposed work-Drew lo scale and nole Ihe following If epplicable: � <br /> 'Property Linea 'Outlina and dimrn>lons ol all existing and proposed structures on the lot •Exisling nria proposed utilitie�: O <br /> 'Canterline�I slreot �InAir,ate North 5how any proposed pratling changes 5how measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � I <br /> 1.All calls tor inspection shall ba made 24 hours in advance -phone 259•8810. � <br /> 2. All work shall be peAormed in accordance with this permit and current City ot Everett Design and O <br /> Construction Standards and Specitications. � <br /> 3. Call I.ocation Underground Service 48 hrs. befo�e you dig. TOLL FREE NUMBER 1-800-424.5555. � I <br /> Y/ I <br /> 9 �o� r �e� Z1oN_F �� y�v,00ti_FD ' <br /> �'�.-'Ar5/ Q97�".D 8_22- 97 �pPY �t�i/,acltad) O ' <br /> �� D � � � �n `i ' <br /> U F� L�� <br /> I�Pt SE, 0 � 1991 <br /> L�. t✓1f �,.� <br /> � <br /> ���� � ........................... ........ <br /> � CITV OF EVEAETT <br /> a �i S,� Bulldlr•-, Dlvici:r, <br /> QA <br /> ACKNOWLEDGEMENT OF CONDfT10NS <br /> Tha untlersigned owner/epplicanl hereby egrees to Mld end save harmless <br /> � �2 9 7 the Clty ol Eve/etl hom eny and all clalms for damages,wsts,expenses,a I <br /> Approv d lor tructl e causes of ectlon IAet may arise bxeuse of installatbn and malntenance ol <br /> j the improvernent a other right•ol-way use hereto epplied fa andluither egrees <br /> lo ramove same upon notice hom the City end to raplace public property � <br /> 3_ .j� aa�neaed�nBreny. <br /> FINAL [C N Dale � <br /> ApPmved as Constructed c'e���/ ��1'!!�/�„l ' �/Z�/a I <br /> Signature ol Applican De e 7� <br /> WORK AUTHURITED BY THIS PERMIT MUST�E STAHfEO WfTHIN iB0 DAVS OF DATE PERMR IS ISSUEO AND THEREAFTEp IS TO BE DILI6ENILY PURSUED TO <br /> COMPLETION.THfS PEHMIT MAY BE CANCELLED BY THE CfTV UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER BO DAYS DURATION. <br />