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u <br /> Dete��� -� wex�wen.w�u. 302 / <br /> Applicetlon For eiao o•n.•�2��'�' <br /> PU�LIC WORKS PERMIT 9���G9n4 <br /> auexc w— onu aN � <br /> ¢ Tol�l Fe� � <br /> r� Lau�ppl FN Ptl0 e <br /> � 9�I�M!Du1 / � /S <br /> Print or Type Onl� � <br /> � <br /> 7%� n�. �i � � J /�J OF-7 �'e e !</Q_9g/2S�-ZZ07 .�Y2-S87B <br /> Ownar a � F u- � =MeIIInpAdd�ans CItY ZIP Phone <br /> .N. r� f��i o�.. � <br /> � U <br /> Orvner� � <br /> Appllcent Mallinp Addreae CItY ZIP Phone <br /> Deacribe Propoeed Work r/l-t1al� �o..�a o e SvtY�m 4i�o� Oa�.fii�o 107� <br /> s ^T <br /> f0�^yL�-BJ�B Off'c� Bi�i�O�i%�o. �Inclb�LS A�-a �qsf <br /> � /c t n o - dcY� <<i Ca.� s B ondC � and . . r. o.. <br /> t " _ �cl��Sf C�1� Gt/CY(vn0� C � � <br /> Prolecl Addrese 111 knownl `�O�' ll/. CRSi�O �t°� � <br /> Allach lour(4)coplee ol plena lor propoaed work•Orew to ecale and no7e the lollo.vinp aa appllcable: � <br /> • Property Linee • Cenlerllne of atreel � <br /> � Outline end dimanelone of all exletlnp end • Indlcele North <br /> propoeed etructuree on Ihe lot • Show any proposed predinp chanpea <br /> • EMletinp and propoaed utllities • Show meeeuremente � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All celle lor inepectlon ahall ba made 24 hre.in advance-phone 25¢8810. � <br /> 2.All work ehell be peAormed In eccordence with Ihls parmit end cunent City ol Everetl Dealpn and Conatructlon <br /> Standerde end Speclflcatiane. <br /> 3.Call Lxetlon Underqround 3ervlce 48 hrs.belore you dip.TOLL FqEE NUMSER 1•80P424bb56. � <br /> �/ `(l� �� �. CI.'fnc�li'2��i.�t4 ctt��'7v7.�N [lc� �C7w O <br /> ,�c ,<, ,/ � i- <br /> Ci��J n� �[.�r2t-c.( P.L�out� GJotvfz C� O�v �8-��-9� <br /> / P .lrn/ �i.o Q/Llc.. 4/2f_ .LS /!O h1 n<n�/ .�ics�ia.[UR��C�Y <br /> ✓e !c%J�f�(:,,.�d.. � '� <br /> .ls•stiLl�<1�iN 7�o�eci. <br /> � � i <br /> 6. PG.,�:. � ..�°l� d�.�M..;,, s� ,,�, a�/'�u��,+.� �d�b-,� <br /> _ ��.��ti �.��.A�R.�`�� ,�t_����.� _ o <br /> /i� �'�e..e�la.,vla. � �n 'G, ;�,.�,.G-h��• /t/g.Ltc�.. ./7ie�.L.c� <br /> ,.� <br /> ; y � � �,� 2 ��.�_ �.,�.�;����,�.� a � I <br /> «���«��.�k.��:�'r .��-�� �� -��� �.,��:.�. ��� <br /> /� ��1 .� �C 2 �,.�4! „�, �,,.-.�.�r�N c�iXv.,f,.N I <br /> a . � / at�*� �i�`Sf.°� � -�Y-9/ <br /> d ��, ��,� � ," � �,�,,f�l��2�tN T����� � WLEDGEMEN OFCONDITIONS <br /> y �� <br /> ��. �n,w.�.,,,.L, �t� .�� f �'`�'(1 The undersigned owner/applicent hnieby eqreee to hold and save herm• <br /> /.. leae the City of Everetl Irom eny and ell claima lor damepee, coet�, <br /> � ���• - � eapenaea or esusee ol actlon that may ariee because of Inelallatlon <br /> _/ - �. and maintenenca ol:he Improvement or other rlphhal•way uee heroto <br /> "' � applletl loi end fuAher epreee lo remove 6eme upon notice irom ihe <br /> Appruv r Coh51r on � � ate City end lo replace public property demaped Ihereby. <br /> � /r , ^ <br /> ! � p� � L�L':����ir"`.y � h.� !J/�� <br /> F NAL INS 10 . Date <br /> Approved ea Cunetructed Si�i ol Applicant Date <br /> � PUBLIC WORK3 DEPAHTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> 3200Cedar9treel 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFIER IS TO <br /> Everett,WA BB201 BE DILI�ENTLY PUfiSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Phons:26B•8B10 CANCELLED BV THE CITY UPON ANY STOPPAOE OF WOHK ON THIS <br /> I1 PROJECT OVER 80 DA�S DURATION. <br />