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�� / <br /> � ��� <br /> � <br /> PUBUC W.�'.RKS PERMI� �-- _ _ s-zi-9e <br /> Pusuc woaKs oewwn,eerrr Y wwk wo�,�,,,n� 7� /7z <br /> 3zoo cad�sas�+ W r <br /> Eve�en,wn 2ee-ee�o T g��yirq Pemik N 58900 <br /> �� �OSTING DEC 0 7 � � y <br /> TYPE OR PRI L PubNc N�orke Fes S JS� <br /> r_a o 0 o r�� ro u� Bd �'IVGWot+� <br /> 2 O �7 li 7 C� .-1 N l� <br /> P P �O <br /> Andereon Truet 9113 186ti: Pl ���mot"�s 9�02Q� <br /> C4m« Malflng Addisas �Y c �P �b <br /> m <br /> P <br /> Apple Buildera Kent Boyd 360 ct�35�f¢� T � <br /> Applicant MalNng Address � _ � � � �ty Zip pho;�e <br /> c,a Oq 1 G O. �••- <br /> Describe Proposed Work neW etora e warehouee for Induetrial Electric Co � <br /> � <br /> � <br /> c°� �� �// <br /> PROJE:.T ADDRESS(f known) J 2819 Fulton St � <br /> Attach lour(4)copies of plans fa proposed work-Draw to scab and note the folbwing If eppNcable: <br /> 'PropeAy Unes 'Outline and dimensions ot all exfstMg and proposed stnictures on the bt 'Exis..ng and propoxd ut113ies O <br /> 'Centerline ot streel 'Indkate NoAh �Show eny proposed gradinq chan�es 'Show measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMITCONC, lONS: � <br /> 1.All calls for n. pection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall .�e performed in accordnnce wkh this permit and current City of Everett Design and <br /> Construction Standards and Specificatbns. <br /> 3.Call Location Undc�rground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6666. � <br /> / • J/'k Gt�I��c �D !� �hC �¢r QP�phO✓t�PL4ryf� � <br /> �a,�d G -�8-9e �coPy a ffa ��(�d, a <br /> ACKNOWLEDGEMENT OF CONDfT10NS <br /> �'—' �—�7� Tne underslgned ow�er/applkant hereby agrees to hold end seve harmleaa <br />� 6 the City of Everett from eny end ell clalms fa demages,costa,expenxs,a � <br /> roved for fuctio ate causes ot eclbn that may arise because of InstaNalio�end maintenance of ( <br /> .� the knqovement a other rlpM�of-wey use Mreto epplbd faand lurtherapeas <br /> t � '.—� _ � ;=,y-�'/l t��,�upon nonce rrom ma cny annd ro roplace v�+a�w�Y � <br /> 7 <br /> FI L INSPECTION Date �`�\ _ �� � �. <br /> Approved as Constructed ( r,ZZ9$ <br /> ��� \l <br /> Signeture ot Applicant pWe <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PEHMR IS ISSUED AND THEREAFfER IS TO BE DIL1f3EN1LY PURSUED TO I � <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON iHIS PROJECT OVER 90 DAYS DURATION. I <br />