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TYPE OR PRiNT ON�Y <br />PUBLIC WORKS PERMIT <br />PUBUC WORKS DEWU:iMEM <br />3200 Cedar S6est <br />Everetf. WA 98201 259-8810 <br />T� POSTIN6 N0�' ' 3 � <br />p�_ 3/3/99 <br />aud�c waw Ps�mn r�I �`J^Z <br />e„�,p p� � 61755 <br />����: Zo- <br />3fA'496-GZ3o <br />OEflLER LEO 6 JEAN 509 1ST ST #102 SNOflOMISH 98290 �it <br />Owner Malling Address City Zip Phone <br />OHNER <br />ApplicaM MdNrp Addrass Cily LP Phons �� <br />PROJECT ADDRESS (H known) <br />Atlach four (4) copies of plens fa p�oposed wak - Drew to scale arW note the fdbwirq H applkeWe: <br />•Property Unes 'Outline and dlmensions of all existkp end proposed skuctures on the bt 'Existinp and qopoaed utWfies <br />`Centerline ot atreet 'IrWkate North 'Show enY WoPo� 9�kW �ges 'Show measuremenb <br />PERMIT CONDITIONS: <br />1. Ali calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shell be pertormed in accordance with this pertnk and current City of Everett Design and <br />Construction STandards and Specifications. <br />3. Call Location Undenground Service 4Fs hrs. before you dig. TOLL FREE NUMBER 1-800-42�-5566. <br />�. j�;v� wcc�5� b� �tved -�awr e�� of �Ncw�e+� �� <br />,.�.�J /� .J�,ie / 1 3-1.8?O -`':.3:� <br />�lX� TA vYc, J%1� 1V1.Q�� ' ;: ! <br />� c:.: <br />� - � ,,.. <br />✓�. C'ti�� �ublZ bl/�o✓k3 ( ns� ��ar -EA ��_� l�a���`9n <br />E�_�; _c,�c <br />. ,�c�- .: �� <br />0'F 5 t dc $.e�x'� G� 33 �I -%40 3 : �:':: ",;;� <br />�,. <br />L��.'•�: .:�� <br />!:FiTci <br />4+ <br />SEItdFf?k <br />lYi1! G�l <br />�4R.G4C' <br />' E ;:i. <br />iGG .:: <br />i,-_ . . , . <br />..ii � " . <br />�i5:i. . <br />IJA':�... __. _ . <br />ACIQJOYVI EUO �EI�IENFOF OdND(T10NS <br />ihe w�dersiprned wnNr/�int hard��Y�apa�id to hold �nd save hennNn <br />tl�a CM�r of Evetett horn arry arM �1 d�krr !or drNp�� po�tr� aPen!a: gr <br />cauaes of actbn that maY a�x becM� 41 end mdnteiwics a� <br />the imqovertwnt a Whx ripM-of-way �ae��lrstO�laard hMhar apMt <br />to renwve aems upon nodce fiom ths Gty and ro nplas P� PbPMY <br />dama9ed thereb;�. <br />3qnet of Applkant . Dau <br />WORK AUiHORIZED BY?HIS PERMR MUST BE STAHfED WfTHIN 1B0 DAYS OF DATE PERMIi IS ISSUED AND 7HEREAFTER IS TO BE DILKiBfTLY NIRSUED TO <br />COMPLETION. THIS PERMR MAY BE CANCELLED BY THE CITY UPON ANY STOPPA(iE OF NlORK ON THIS PROJECT OVER YO DAYS DUHhT10N. <br />