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, .._ _ _ _ _ _.. __ . _ ._ _..._. _ _. ---:-__ . <br /> � _ <br /> ,���Fa p��T�G "°v— °��i/z�� � <br /> PUBLIC WORKS �RN�T <br /> PUBIIC WORKS DEPARTMENT Publb Wa1m Peimk M <br /> 3200 Ceder Street <br /> Eveiett,WA 98201 259-8810 g�ikllnp Permk M <br /> Oo <br /> TYPE OR PRINT ONLY �N^� Publk Waka Fee S 2d3 � <br /> �Q'�� �.�i11.O�ailin9 AddrLess� � �J� CflY / TJ ��8— %��T� <br /> P��e <br /> �.c�- Pp. � '��.�- 4$ �-�s 71�-y —q�/� 7 <br /> Applicant Meiflng dress Clly 7Jp Phone <br /> /( ' �/ � <br /> Describe Pro osed Work � <br /> � <br /> � <br /> � <br /> PHOJECT ADDRESS(if knuwn) �" � � 4� �� � <br /> Attach four(4)copies of plans foi proposed work-Draw to scele and note the folbwing(f e�pplicable: � <br /> 'Property Lines 'Outline and dimensions of all existing and proposed structures on the bt •Existing and proposed utilttles O <br /> 'Centerline of street •tndicate North 'Show any proposed grading changes 'Show rt�easurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT COND�TIONS: Z <br /> 1.All calls for inspaction shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be perfortned in accordance with this permit and current City of Everett Design and <br /> Constvction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6665. � <br /> �f. /�_�v,,• �prv�.o o���• �7�-Pal //-z-9fj' O <br /> / 11-�iti-. ., _.. : '�::� /� <br /> f! 96?:;_ �i <br /> 'rIJ!RV+J ��.i.:: <br /> . ::i;�'�c '_(J.(:•�- <br /> U� _ �'�J. .:�,i <br /> �., . .-_. _�...'J'J <br /> ACKNOWLED(iEMENT OF CONDfT10NS <br /> The undersigned ownedepplbent hereby agrees to hold and aave henNe�a <br /> the Cky of Everett from any and all claims fa danapes,oosM,e.cpenees,a <br /> App d tor onstru i n causes o(actbn thet mey arlse because o}InsteNetion and rtwintd�ence of <br /> the Imp�wemenl or Wher riqM-of•way use heiato applled faand Mlrrapw <br /> to remove sert�e upon raNce from the city ana to roplece//'Y L'O <br /> ,(3 —�j'!`!` ae"'�e°n'e�'' <br /> FINAL INSPECTION Dete � � <br /> Approved as Constructed Q <br /> a <br /> netu m ApplMant <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WfTHIN 1B0 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO B[OIIKiENRY PURSU�TO <br /> CAMPLEf10N.THIS PERMR MAY BE CANC:LLEC BY THE CfiY UPON ANY STOPPACaE OF WORK ON iHIS PROJECT OVER 90 DAYS UURATION. � <br />