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.� <br /> :;Date z=Z4 y3 PuOLt Wc4f pam��• /� ` <br /> � � emy oem• �QF» <br /> Aoolicetion For <br /> • PUBL��C WORKS PERMIT °°°r,:��'.:`•° : <br /> ieu�oo�rea vua 3 <br /> en..<.o.. f 26no <br /> Print or Type Oniy <br /> G2'�7-3Z�'S'O/1�83/ <br /> George !laiee 2720 Fulton S[ E•�erett 98201 258-4436 <br /> pwner Mailing Atldress City 2ip Phone <br /> Otmer <br /> � <,pplicant MailinB Adtlress City Zip P�ona <br /> DnsC�i�OPwpO5PtlW0�k convereion [O �UDIC% <br /> I <br /> PmiectAOCressl�lknownl 2720 Ful[on St . I <br /> Ntach lour(<)copies of plans for pmFosetl work-Draw lo scale antl note Ine loltowing as applicable: � <br /> •Property Lines •Cenierhno ol slree� I <br /> •OutGne antl tlimen�o�s o�ell c+islmg and •InQicale Non� <br /> proposetl 51ruclwes on t�e lot •Snow any pmposeE qretling cnanges <br /> • Exlsling anE omposetl wilities •S�ow measwements I <br /> DO NOT WRITE BELOW TMIS�INE f <br /> PERMIi CONDITIONS <br /> 1.All cells lOr insDeC�ion s�ell Ce mOEe 24 hrs.in edvante•phona Z$9•$8�0. � <br /> 2.All work shall be peltormed in accortlanco with ihis permil and currenl City ol Everett Oasign antl ConslNclion <br /> S�anOarda end SOec��ketionx <br /> 3.Cell Locatlon Underpround Servita 4D hrs Gelore you dig.TOLL FflEE NUM9ER 1•80a4'14•5555. 1 <br /> �' �J/ p <br /> U � <br /> 5! %�/�.,C �wi/�c-� �'✓icn� L�N �1...�..t.Gcn,u..— t'y 2 � <br /> % (-(�aaG �!� � �'� O <br /> �� I <br /> O <br /> S S� .f2ccXi•✓ �.0 �o �� /Jia,,,.r�.`'�/ <br /> �F�'��� �� ��, �d,;,y �l � I <br /> �� /7.c.�.se. [.�Ja.tL2- <"/.�r;-,z',.�.���7' ;lni.f �cE'/I Lv2Z`.-..v �,�,:c;.�J, ' <br /> I <br /> ^� ACKNOWLEOG[h7ENT OF CONDITIONS <br /> ✓��� i�e unEersigned owncUxpplicant�ereUy agrees lo hold antl save� <br /> less Ihe [ity ol Evcrett Iwm any antl all claims lor tlamages. c <br /> oxpenses. or causes ol achon Ihat may arise because ol Install <br /> ��� /� 7 /z 3 2nU mOiNentnce of Ihc impmvement Ot oth¢�ri[Jhl�abw0y u5e hi <br /> C3'��� J applietl lor anC lurt�er agrees lo � move same upon notice Iron <br /> Approvetl loi Cor.iN'tion . Oate City anA to reNace publm pmper Uamagee I�ereby. <br /> �/ / 1 <br /> �,�r'i�'. ��- /o- L %3 / �j¢ ���_ <br /> FINAL INSPECTIO�' Oalc ����" <br /> qppmved es Constro^.ted S�pnalwe ol Applbnnl 0�� <br /> � PUBUCWlRK50EPARTMENT WORK AUTMORIZED �V THIS PERMIT MUST BE STARTEO WI <br /> 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER I', <br /> J200CeUer o�rep� BE DILIGENTLY PURSUEO TO LOMPLETION.THIS PERMIT MA <br /> Everell WA 90401 CANGELLED BY THE CITV UPON ANV STOPPAGE OF WORK UN <br /> P�one:45B�eB10 PPOJECT OVER 90 DAVS DUPATION. <br /> i� <br />