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Date?L,��S <br />/ <br />App!�r.aGon For <br />PUBLiC WORKS <br />Print or Type Only <br />7D0 <br />q�un,; <br />PERMIT <br />� <br />N,o�,� v,a�., P..m,, . 9S 39G —_ <br />6�n9 Dco� + <br />FetL�[ 1Ya��5 Fre 5 <br />TOITI FpC <br />L¢ss 4001. Fqp pn�.] S <br />eMBnCCour 5 Z��— <br />,rz -.3z z 40�3 �s 3 / <br />���— --��"<O� � � ��'�.��� <br />�-�'y � Dn Phnnr, <br />� ,,/,c t r4 <br />_f � ( J <br />�����—.�1 � __70 0}�'�'u �l� _ �1-� F �Y_ / 9 �' �a 3-- S ' � -� <br />PPh[ant Ff�,�li,-,.:.��itl�.��; f _. ?iP Phan�: <br />� r <br />DescribePronos�dlNork � O(�(_/f__`_ _t_�/� _� <br />•�. �j •_ _Y3 I��—� <br />/ -- � <br />Prolec� Addreas (d known! �Q�� _��2�... _�.i�i�Q__---[�Q�G�fI_ -��� _. _ _ <br />Attaeh lOur 14) eoPivS of PIanS tni Pm��oseJ wo�� � Diac. t:, ��:.���...�ni �ir!c P,�. �c'lo:wny ati aPPl�no:�.h. <br />• PropertY Lines <br />• Oul'ine and dimensions o� all exnhng and <br />proposed slructure5 on Ihe lot <br />• Exist�ng and proposed utiltlies <br />O Cer���rlinr n� Sire�•� <br />• I^rAr:;3�..I•Jnrih <br />� c��nv: any t�.rc;)Osnd yr:��bnu r.^:in�)r•y <br />• Shnw m��y_;i�r�ment5 <br />OW iHIS LINE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be m2tle 24 hrs. in advanr.e - phone 259•8810. <br />2. All work shall be perlormed in accordance wilh this permfl and current Cily of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555. <br />� ��%J C_c,L[, ..]-c-L.::Lr C-�-e �i�. R� �L�� ���.u�L <br />� ✓ <br />, <br />FINAL INSPECTIGN �� <br />Approvad as Conshucted <br />�Ar��� PUBLIC WOHKS DEPARTMENT <br />3200 Cedar Sireet <br />Everel', WA 98201 <br />Phone:259�8810 <br />nc��r�oc;�Eu�c.�t_rar o�cor�oirioNs <br />�� <br />� <br />� <br />O <br />�w <br />� / <br />O <br />a <br />-I "•. �u.hr.i�r�n�d ov+ner!al;Plicen� heiobY a9rees to hold and sace hn�m- <br />�---- -, n��,s the Ci1y o� EvE�ret� fiom any and all claims lor dam,�ges. r�,sts <br />, c,oenses. or causes of 2ction Ihal may anse because of mstallatron <br />, and !neinlen3nCB n� ihC Improventenl Or o�hCr nghb0�'way U5P h�air�o <br />S-- i acp��ed tor and lu��her agrees to remove same upon not�ce trom the <br />�t' � (' !y .�nd tn replace puUlic pronerty dama ed ihereUy. <br />/ <br />� � �, _� � '��— 2 — 7�5 <br />e I ` � <br />I„ a'w� �I ApPi�can! Date <br />'.�OP.K dUillpRiZFD E�Y THIS PERMIT MUST BE STARTED WITIiIN <br />� ty0 OHVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />I� 3E DILIGENTLY PURSUED TO COFdPLETION. THIS PERMIT IdAV BF <br />� C.4!JCELLEU BY THE GTY UPON ANY STpPP�GE OF WORK ON THIS <br />i PqU.�BGT OVER 90 DAYS DURATION <br />