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. , ,, . _ . . . . . .. <br /> . . 1. <br /> �� PUBLIC WORKS PERMIT �° RZSJ9R /� <br /> P�a��W��� ����. 9e z s <br /> • � ��� <br /> Everett,WA9820/ 259-8810 BuiWingPertnRM 59759 <br /> TYPE OR PRINT ONLY �1I l 3 2W1 ����S p/�� <br /> . t0 POSTING __-- � <br /> DWAYNE LANE 10515 EVERGREEN WY EVERETT 98204 353-3855 <br /> Ownx Mailing Address City Zip Phone <br /> CONTACT: ROSS JAMESON 252-2153 <br /> Applkant Mailing Ad�ess Cky Lp Plane <br /> p��y�propp�y� NEW SERVICE BUILDING ■ ■ ■ <br /> W <br /> � <br /> � <br /> � <br /> PRW ECT ADDRESS(f known) _ 10515 EVERGREEN WAY � <br /> Attach four(4)copies of plans tor proposed work-Draw to scale arid note the Mlbwing M appl�eble: <br /> 'Roperty Lines 'Outline and dimensbns of dl exlating and proposed sWctures on the bt `Existing and proposed utilRbs O <br /> 'Centerline oi street •Indicate NoAh 'Show any pro�osed grading changea 5how:neesurertients <br /> � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All v:�ork shall be pertormed in accordance with this pertnit and curreM City of Everett Design and <br /> Construction Standards and Spec�cations. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOiLL FREE NUMBER 1-800-424-5B66. H <br /> /, K/�/'J� C v �'OhC f�2 r ��t s�,S 4' ro 1/2 d � <br /> � on 9 �-l� 6� �e 2li�r��t�iG /�Jor,�t Oe� O <br /> �„-L_-�e �oc�Uti�ti a <br /> « ia4a49 <br /> _ �;�e u000.co <br /> or�==, a�ca.:;� <br /> � '_�'•...�] <br /> �I�^:Cr ._�i.J.t)1.: <br /> ���, ...���4i `C'0.'..[J <br /> , iNSF SSL?.,':c <br /> TC?AL �].6>.;;: <br /> .�_-.._ . !3_c"� . ,� <br /> A '.�"6'_�4 <br /> AC1cNOWLEDOEMENr oF CONDmoNs <br /> The undersipned ownx/applkant hnaly aprsas to hold and save henNsu <br /> '�-1.98 ma cny a E�en r��,y�,d.�i a.�s r«d.�s,�s..�,a <br /> Ap roved f nslructio Date — �a�����b°eew°a MMa�tlon and makHerw�ee a <br /> tha ImprovxnsiH a oUbr righ[-of-way ws heieto ppYed for and NNisap�ee <br /> ro remove aeme upon notice hom the Gty and to roplece W�P�P�Y <br /> .,(/� /L-2i-Sb a""a�ec,en�reny <br /> FINAL I SPECTION Date <br /> Approved az Conatructed _ / , <br /> uro of AppN D�q <br /> WORK AUiHORIZED BY THIS PERMfT MUST BE STARTED WIiHIN 180 DAYS OF DATE IS tSSUED D iF1ETaEA IS BE DILIpENTLY PURBUm TO <br /> COMPI.ETION.THIS PERMR MAY BE CANCELLED BY iHE CITY UPON ANY STOPPA6E OF WORK ON 7FMS PROJECT OVQi 90 DAYS OUMTION. <br />