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�Dale 10-7-92 �—�Y—�I� weu�wo,�.v..mn._��. <br /> APO���ation For Buy Dao�• �p�4p <br /> "PUBUC WORKS PERMIT °�°;ow«:F.• , <br /> i...eoo�re.v.N f <br /> Print or Type Only <br /> TO POSTING 5�-5-yr ^.'."`.°°. :�— <br /> �—� <br /> pao, Georqe 713 SE Everett Mall Way NC Evemtt 982C8 353-650G <br /> Owncr MallingAdtlress Cily 2ip P�one <br /> CYonin Homes " " " <br /> AOO�icant Mailin9 AddreSx Cily 2ip Phono , <br /> DescriCe Proposed Work New SFR <br /> Lnt 2 of SP 12U2-5-88f� W <br /> PiDIcclAtldie55�ilhnOwn) 9��_1 � 1" l'� � <br /> Aitac�lour(4)copias ol plans lar pmposetl work�Oraw lo swle nnd note I�e lollowing ns eppl¢abie: �� <br /> • Proporrv I.ines •Contetlino pl stree� 'A <br /> •Oulline.mtl tlimensions ol all caisting end •Indicale Nort� V� <br /> P'oposetl tinmlures on I�e lo� •S�aw any propoSeC gratlin9 changes <br /> •EMisling arA pmposetl uliliiies •S�ow mea5uremeMs � <br /> �-- DO NOT WRITE BELOW iM15 LINE <br /> PEfiMIT COIJDITIONS O <br /> t.All calls lor Inspection shall be maCa 24 nrs.In advance-pnone 259•6810. � <br /> 2.All work s�all ba pedormeJ In ectordanca wi�h Ihis pe�mit antl cunenl Ciry p'Evorett Dosign arW Constmcllon <br /> Slnndards enU Speclbcations. <br /> 3.CaIILocalionUnderyround5ervice48hrsDebreycua�d�T��LFREEi:UMBERI•800-424•555L'. � <br /> O <br /> �. S�'C'I �< � <br /> J',VA�i n_��. � <br /> '^�_997 <br /> " 4^, � <br /> �`. a <br /> '���� ACKNOWLEDGEMENTOFCONDITIONS <br /> G� <br /> The unEersi9ne4 owne VnppliwN�emby Pgmes lo holC entl s.lve harm� <br /> � I.•ss iho Gty ol Everett hom pny nnd all clnims lor tlamnges, costs. <br /> / n ////��� y� eaponges or causes ol action IPat may arise bewuso of inSlollalion <br /> /I //. / ��p' /��/C!ry� and mninlenance ol Ihe improvemenl or ol�ar ng�t'n4way use howto <br /> � L��ww / � �" apPlied lor nnd lurt�er agrees lo mmovo samo upon nohco Irom I�e <br /> Ap �ovud lor Conslmclian Dete City and lo replace public property�ama8etl I�ereby. <br /> �.�a�4c.✓"� 7- zB.Si <br /> FlNAL INSPECiION Dulo �a ���L�� �'l�ja/Q'�— <br /> �OP��vetl as fonslmctetl S�gnai I Appli ani � Dato <br /> ��� ' PUBLICN'ORNSDEPARTMENT �Y�RN iMOR12E� BV THIS PERMIT MUST BE STARTED WITNIN <br /> I`%l IBO 0 YS OF DATE PERlAIT IS ISSUED AND TMEt7EAFTER IS TO <br /> 3�GOCa�cr Stieel BE DILIGENiLY PURSUED TO COMPLETION.TNIS PERh11T MAV BE <br /> '����� EvrmltYlAoyyp� CANCELLEDBYTHEGTYUPONANVSTOPPACaEOF\YpqNONTHIS <br /> Phone:25]�QBIO PROJECT OVER 90 DAVS DURATION. <br />