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�, <br />�1.� ° <br />-�. <br />�,, , <br /> �� �a _ -_ - - . _. . ,.�:. <br /> F <br /> C LL' <br /> Cy !~n ,y • C ;,<'- `�'! <br /> � G/ ,� , �. ��,; �< , _,�3-Y�� <br /> H �� -����-/ �/ u � /"//, 1 r� Il,nIK Wc,h�Permil+ —'---_ <br /> y ri Dale �� , , //r�i. � - <br /> ' � " oinp Deo� • <br /> � y � �I�Ph hon Foi ____. <br /> � � � PUBL_IC W�KS PERMlT °°°'"`"°"."` <br /> imeiFee s <br /> � Les�Anol fee PeiE S� <br /> � x o �(f <br /> Q � O rJ o � B�ia�ce�uc S�'Z——_ <br /> F'� � O•O <br /> p� � � Print or Type Only <br /> .S Il� P <br /> .-�N N <br /> mr� .+ <br /> Q � � �^�es ��.o/l� ����' �S`�4 �v���� �i3 �-l6�01 Z S�6''l 3GG,' <br /> �i y�y Owner �i��+ ��j� � C��Y ZiP PhOne <br /> MH �, S�g � <br /> 0 <br /> y ~ �� �' ` �� phone <br /> ��� �phcanl tdaihng Address C��Y Z�P <br /> C�1 t'� / j� <br /> y�. ` '/ / ,�or>r c,v`t �0�2 TR � �-�/�� <br /> H U V� Describe P�oposetl bYo�k '� � �P k� �v . <br /> W <br /> i <br /> Prolect Address 1��knownl —��O h ��//N — � <br /> Atlach lour 14)copies of plans tor proposed work- D�aw to scalr, and note Ihe Iellowinp as applicable: � <br /> II • Property Lmes • Centerline ol street ,^ <br /> • Outline and dimensions of all ex�sling and • Indicale Norih V� <br /> I pioposetl struclures on ihe lot • Show any proposed grading changes <br /> • Existiny and proposed ut�lities • Show measuremenis M <br /> W <br />�� DO NOT WRITE BELOVJ THIS LINE � �I <br /> I PERMITCONDITIOI'S � � <br /> i ��� 1.All calls br inspection shall be made 24 hrs.in advance-phone 259•8870. <br /> t � 2,All work shall be pedormed in accordance with this permit and current Cily ol Everelt Desipn end Conslruction <br /> i . StantlardsandSpecilications. <br /> �`'. 3.Call Location Underground Service 48 hrs.betore you dig.TOLL FREE NUMBER 1�800•424•5555. � <br /> � �' y ��e.'C�a.��' lu �a�Ze�z �-v�,���-E« c✓z.c�.� < ��� <br /> J / �b/� aCt2/o� <br /> ,�� �=' S' Li��-CG� �i.o�D7�'� L"G2f+n�n� �O'L �i2l�+"',��^L. �I'�LG�� L <br /> ���l-�L-'.�=�y /��.u,f.� u � � <br /> tvtft��e e�a�c�co/ ♦/� <br /> ��/J �����.,� �t/ V� <br /> ���' �L'. Q/pf/-�-CL� �7D�biU�)�.a{'/ � V �/pCQ�-�/�T`.r"i�' �sril'T.�/ O <br /> � !d! .S '..-^SP-4�`�'✓ ��Ozrt �6t-*�=�"ihtS' f2.t/!>r.t1`�4 02L G�Sot�tinGl � <br /> tJ (/ <br /> , � �I,r <br /> ,. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The unders�gned owncUapplicant hereby agrees to hold and save harm� <br /> ' � less Ihe City ol Everett Irom any and all claims for damages, costs. <br /> � ezpenses. or causes ol aclion thal may arlse because ol installation <br /> ��fs/ and maintenance nl lhe improvement or other righPol�way use hereto <br /> � ,//�� C,�" � ��' B app�ied tor and iwiher agrees to remove same upon notice ��om Ihe <br /> Approved for Consfruclion Dale City and to replace public Oroperry damaged ihereby. <br /> ` r <br /> -/� ; � -I ` , , <br /> F.INAL INSPECTION Date � �� c <br /> Approved as ConsVUGled <br /> Signalu e ol Apphcant . Dale <br /> WORK AUTHORIZED 8V TNIS PERMIT MUST BE STARTED WITHIN <br /> everrtt PUBLICWORKSDEPARTMENT 1p0 DAYS OF DATE PERMIT IS ISSUED AND TNEREAFTER IS TO <br /> � 3200 Cedar Streel BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY B[ <br /> [vercit,WA 98201 CANCELLED DY THE CITV UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone:259�8810 PROJECT OVER 90 DAYS DURATION. <br />