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S�PA ;,, 9�/067 <br />n���� Fo� <br />� PUBLIC WORKS P�RMIT <br />PUBLJC WORKS DEPAR'TMENtl' <br />3200 Cedar Straet j,i <br />Everett, WA 98201 259-BB10 <br />ii <br />TYPEORPRIt�N�pOSTING � � 6 ZOOO <br />,,,� .r.e., _ �:� <br />r :c <br />J�.r�a ���.. �•�, Qo�. %6'�-3':' ,�q,,l�;,11, <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />Address + <br />�i�c� _ . . . . , <br />��:-L�-3 ° �g k' � <br />PuElic Works Pertnk M <br />! LI ��/� -7 <br />B4Apin9 �� M COC/�/'¢ <br />i.:_ : Public Works Fee S ��C� e3 <br />� -•o r-i :.-i <br />�'��;4 `4Yi�� �tiZs�ys3-9�o� <br />� �; 2ip - Phone <br />_ .�. <br />�s � � , ciry, ; � ;-cip mone <br />' . , .�i� . . .. . . . � � r. <br />k- �nk-. ��� � �afZN li�_ <br />20 3 �0 2-n� Au-� <br />Ariach four (4) copies o} plans tor proposed work • Draw to scale and note the following H epplicabte: <br />•Property LJnes �Outiine and dimansions of ali existing and pmposed structures on the lot •Existing and proposed utilities <br />'CenteAine of street •Indicate North 'Show any proposed grading chenges 5how rtreasuremenis <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FFIEE NUMBER 1-800-421-6566. <br />�� � �,�,�� p/�s ����� i z-ZZ- 98 <br />� <br />O <br />� <br />N <br />O <br />a <br />ACKNOWLED6EMENTOFCONDITONS <br />-- �-� The undersigned owner/appBcant heraby egrees to hoM end seve hartnless <br />e Ciry of Everett trom any and all claims for dertiapes, costs, ezpenses, or <br />Appro for Co ctio� te causes of action that may arise because of fnstelletlo� mW mafntenance o( <br />,/ the improvement a other righbof-way we I�eto appNed tor and }uAher aprees <br />��)// to ramove same upon noNce from the City and to replace pudk property <br />[%�� i 7 .tz—sS d ,^�Y. <br />FINAL INSPECTION Date <br />Approved as Constructed <br />� jJ �� <br />of licant Date <br />AUl H9RIZFD 6Y THIS PERMIT MUST BE STAHTED WITHIN 180 DAYS OF DATE PER IS ISSUED AND THEREAFfER IS TO 8E DILIOENiLY PURSUED TO <br />ON.'i ri13 PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 80 MYS DURATION. <br />