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PUBLIC��ORKS PERMIT °�� <br /> � W BUC WORKS DEPAR'IMENT Publb Wotks Pertnit It <br /> 3200 Cedv StraM <br /> Everett,WA 88201 259-8810 Buildlrp PertnH• <br /> TYPE OR PRINT ONLY Publk NkxW Fee S . <br /> Plan Ch�ck No: B 62193 S�p1� <br /> Applic�t.D�t�e 0�/16 99 ptwne <br /> pwne� Job Addr���s 782� 6LEN DR <br /> own�ri REESE JOYCE <br /> T�raant: <br /> Propo��d U�o: SIN6LE lNIILY RBBIDENC6 �b <br /> ��� D��c. of i�orks � <br /> AOOF OVEA EXISTIN6 DECR <br /> DgSCf1bB PfOpOS9d WOfk_. OFFICE SST JOB 8=T W <br /> 11PPROVSD FOR PENNITt DATE_/_/_ BY � <br /> � <br /> � <br /> PROJECT ADDRESS(f known) � <br /> Attech four(4)copies ol plens for p�oposed work-Drew to scele end rrote Me folbwing H epplicab�e: O <br /> �propMy�nes �Outline and dimenaions of all existlng end proposed etnictures on tM bt •F�clsHnp end proposed utOftles <br /> �CentMlne of street Mndlcate North 'Shew enY Propoged g�°d��g��9� �hoW mea°��e�e�� � <br /> DO NOT WRfTE BELOW TNIS UNE � <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 parformed in accordance wfth this permit and curtent City of Everott Design and <br /> Construction Standerds and Specifications. � <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FFiEE NUMBER 1-800-424-5655• <br /> � <br /> O <br /> , a <br /> -,�� ,� °��-- <br /> ACKNOWLED6EMENT OF CONDITIONS <br /> The undersigned ownedapplkant hereby eprees to taM and save hermless <br /> the City of Evereri hom any and all clefrm for damepes.costs,expenses,a <br /> causes ot aclio�thet may erise becausa of Installetbn end mafntenence of <br /> Approved for Construction Date t��p��ient or other rlpM-of-waY use h�eta aPP�������� <br /> eo remove same upon notice 1mm n,e cny aria to replece puak a�r <br /> • dame9ed therebY• <br /> FINAL INSPECiION Data " <br /> qpproved as Constructed <br /> . Signature of AppBcant Date <br /> COMPLETION.RTHIS PERMIT MAY BETCANCTELLED Y THE C�IUPON AANY S OPP GE OF WORh�N iHIS PR0.IECT OVERR80 DA S W RATiON.Y PURSUED TO <br />