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� <br /> � <br /> �_. <br /> , -- <br /> �� <br /> � <br /> ��� � . ' <br /> � � ? i -�.,�.. ,��a=�= �"- —_.•.�...; . _.. . . i <br /> ►���+ .,.-�-.--;,•-�•----,'�I .:,_--' . , ,. . _ ... ,..,.. -. . . <br /> (((��� ' r 9/ y79 <br /> � � C1 <br /> ��� > Pub��c Wor�e Mrmll� <br /> Date�Z.1Q=91 91/35 t 10 <br /> eino Dco� � <br /> pppli�tion Fo� <br /> ��� PUBLIG WO�iKS PERMIT '"°"`"'°�.'°° s _ ' <br /> � Tme��ee <br /> M ¢¢ la�e nuai ��e Pn�e f <br /> � O 7`OD <br /> � BeianceDee =.7..L� <br /> �� � PrinCor Ty�+e Only � � � poz-3zz-S�o- ,noo-//-B3/ <br /> ��� ' � � <br /> N � <br /> � Radiolo Aesoc. 9 Colb Ave Everett 98201 258-34Phone <br /> M Owner illn ddrp,ys Ciry Zip <br /> ��� � � � <br /> � — � 259-913�i <br /> npy Chaaplon I�p Fhone <br /> �'�' App�iGaM Maihng Address �'�Y <br />, YIt pazkin <br /> Describe ProposeC Work _ <br /> W � <br /> ,o" � � <br />� Project Aderes.lil known) 7a91' Colb Ave. � — <br />� <br /> � <br /> Attach four(4)copies oi PIan6 br PraPosed work- Draw to scale and note Ihe lollowing as app ica e: � <br /> i • Propehy Lines • Centedine ol street � <br /> • Outtine antl dimensions of a!I existinB and • Indicate North � <br />' proposed structures on Ihe lol • Show any proposed gratling changes <br /> • Show meesuremenis � i <br />' • Existir.B and proposed utilities I <br /> ^ �1 DQ NOT WRITE BELOW TH!S LiNE O I <br /> 1 <br /> ���i � PERMITCONDITIONS � <br /> � ` ',.All calls for inspection shell be meAe 24 hrs.in advance•phone 259•881 O. � i <br /> � 2.All work ehell be pedormed in ecwrdence with th�s permit and current City ol Everetl Design and Construction �I <br /> 1 ��� Standardaend5pecllicatione. � . <br /> 3.Cell L�c.�tion Underground Service 4B hrs.bel�re you dig.TOLL FREE NUMBER 1-800'424•5555. <br /> I <br /> �j,� ft�c Cva��E fo f.e o%nc Per plar, q�j��o��s 6S� O <br />� .�� C� ��� Pu6l:c [uo�Es �e�1: an /?-Z.�-9/ (Se�� afiFec6n�/, <br /> � /� n f�io v� � O� �//� <br /> � S �� �r.s<��rx C�j�f /�✓'vic'�✓ >or P V♦ <br /> 1 `1 1 7 �'C �dinniny C.t.N�C , O <br /> �i' I J <br /> - <br /> � a <br />� ��� ��� -�-� �� i <br />� � ACKNOWLEDGEMENT OF CONDITIONS I <br /> __ i The undersigned owner/applicanl he�e6y agrees to hold and save harm� I <br /> less the Cily ol Everett Irom any and all claims tor damages. cosis I <br /> i expenses, or causes M action lhal may arise because of installation <br /> __ /Jc,�J� /�_Z�,9/ and mainte�ance ol Ihe impmvement or other righ4of�way use hurelo I <br /> 2�7 applieU lor and luhher a�rees to remove same upon notice Irom the <br />� �� qpproved IN Construction ���e City antl to replace publio property damaged therebq. <br /> �� �� � 7 <br /> ` A�'��1�;�}r� �" (�'" �� <br />� FINAL INSPEGTtON Date Dale I <br /> $ignaWre o Applicant <br /> I ADProved as Constructed WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN , <br /> I �'� PUBUCWORKSDEPARTMENT 180 DAVS OF �ATE PERMIT IS ISSl1E� AND THEREAFTER IS TO I . <br /> � 3200 Getler Sireet 6E DILIGEN7LV PURSUED TO GOMPLETION.THIS PLRMIT MAV BE <br /> I � Everelt,WA 98201 CANCELLED BY 7HE CITV UPON ANV STOPPAGE OF WORK ON THIS � <br /> IPhone:259�BB10 PROJECT OVER 90 DAVS DURATION.— -- -- <br /> ' _ __ .. _ _..__. __ .. <br />