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8 � .� <br /> � PUBUC WORKS PERM!T' � °rt° '/'S/'� <br /> � PUBLIC WORKS DEPAFTMENT � = PubNc Waka PerrMl M <br /> 3200 Ceder Stieet Ul � <br /> Eveiet! WA 98201 259-8810 Q U ����„� -- <br /> TO POSTII�G yAy � 4 �- o <br /> TYPE OR PRIrIT ONLY a � � � M P�Ib W�s Fes S ��'� <br /> c� o � <br /> in �a � <br /> �nc� M .. Fi 53o E„er�,�.. I.✓sy .. - �,� ��s'� 9Bu . <br /> pwne� � Mailinp Addroes �Y ¢ � �p <br /> I o� <br /> ��'1' P <br /> �o�.+s.v �S �O �ai�viu,+ l{x � �,.St1}� uJ�4 `'tF�io2 7sr� 32�1- `tS3a _ <br /> n�n�,t �nrw�adress ', � na Pnons <br /> O �z O <br /> DescfibB PropOSBd Wot1C Zcwo�i Co.. .•.��.. S.: � • � Mc.'K � <br /> cl� � 11 SO o yd'' � <br /> � <br /> � <br /> PROJECT ADDRESS(f known) S�a � ����'�' ws" � <br /> Anacn four(a)coples or plans ror propoaed work-Draw to scale and rwte ihe folbwing H appllcable: O <br /> •Property Llnes 'OutNne and dimansions ot ell ezMNp end proposed structures on tho bt 'Fsistlrq end proposxl uG�R�es <br /> �Centerline of street •Indlcate North 'Show airy popuaed 9���9��^9� �OM'���� - <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 work shall be performed in accordance wRh this permit and current City of Everett Design and <br /> Construction StandarcJs and Spec�cations. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5666• � <br /> 4. �ceP cr� S�-r¢e{'S C�¢Qh a'�' a« -f/n�S � <br /> � <br /> 5. 5� yds rnax . � <br /> (�, a.►�y Qo���fia n a L WD►-(C Y�eyU�r¢S Qna�rr Per�+�,�� <br /> 0 <br /> 7 Exca�qf:on Arc� shaLL be 4s �ar,Eed <br /> on atfoc%ec� `naQ. <br /> B f�i�o��� aNf/' c.-osroh coHfiroG 4.s' o:�cfed <br /> � �iC Ctt�j/ /�LCiG CvoriEs' InS�2C7`bI; <br /> ncicrww�oc�neNr oF corromoNs <br /> �i��ilGtl+� �� /�J�/99 The undersipned owne,/applkanl herebY agreas to hold and save fwmless <br /> ihe CiIY of Eve�ett from any and all claims tor demapea�cosM�expenses,a <br /> Approv or Construction pe� ��°f actbn that mey arbe because of inetsl�ation end me�^t�m�ce m <br /> the improvement o:other rightoi-way we herato a�btl for and turther e9rees <br /> � �CCC/ ""� `�^ / to rertave seme upon notice fiom the CIIY end to replxe PubliC p�op�ty <br /> , <br /> /Z-9 ��� <br /> FINAL INSPECTION Date I <br /> ApprovedasConstructed ��—AiJ (�s/.�.' <br /> �e ( <br /> Slgnatureo(Applicen� - � <br /> WORK AUTHORIZEC BY THIS PERMR MUST BE STAKTED WfTHIN 180 DAYS OF DATE PERMR IS ISSUED AND 7HEREAFfER IS TO BE DILKiENiLN PImSUm TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF YVORK ON THIS PR0.IECT OVER PJ DAYS WRATION. <br />