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� <br />� <br />TYPE OR PRINT ONLY <br />C�..""'7 <br />Applicant <br />Describe Proposec <br />PUBLICC�KS PERMIT °� <br />�,���,� <br />��� <br />EwMt� WA YBZ01 25&8810 <br />Plan Ch�ek Nos B 60314 <br />I�ppllcat.Det�s 09/23 98 <br />Job 7►d�.==1p�CKER ROBERT� <br />T�nants <br />Yropos�d U�o: i11�I.1CW11Y TD SFR <br />D�sc. oi Work: <br />�pygJtgp WALRWAY FROM GAW�6E TO <br />��.�. <br />B�idip Pwndl A _ <br />PubBc Wotla FM t — <br />S8P71 <br />nP Plar» <br />SFR � p�pr» '� <br />OFFICS SET JOB SET�_ <br />1►PPRVD !OR PERMITi D71TB_/_I� BY <br />PROJECI' ADDRESS (if knovm) <br />Attseh four (4) eopiea ol plane for propoasd work - Draw to seW and nots ths tdbwiny M appAcabU: <br />•�openy unes �a,rn� a„d dim«,� m.� e��e � wea� a�� m u,. ac �,n.mw � w�a� uauuss <br />'Centerline of Mreet 'Indluta NoAh 'Show enY ProPasd ,�red�np � �°M' ��H�'' <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 perfortned in accordance with this permk and curtent City of Everett Design and <br />Construction Standards and Speciflcatfons. <br />3. Call Location Underground Fervice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6866• <br />Approved for ConsWction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />+U�,UG WORKS �CAMIi <br />hOT�UIREl� <br />t Y ._� <br />� AT'c - --" � — 5 —.—_ <br />� <br />O <br />V/ <br />O <br />a <br />ACKNOWLED(9EMENT OF CONORIONS <br />The underaigned owneNeppllcant hereby apress to hold end seve Iwrt�Ns� <br />the Cily o1 Everetl fiom erry end dl cldma 1or dame9aa� �°s1s� eXps^°y� °r <br />causes of aetlon thet mey a�las bscaux o1 InstallatbntaandMMerpna <br />the Imptovemsnt wothxripht-of-waY uae huato aPP�� <br />to ronwve'sama upon notice fiom tM CHy a�d to ieWece p+de propvly <br />darneged therebY• <br />Sipnelure of AppNc�nt �� <br />COMPLETION. iH SDP AMfT' MA�BE CAN ELLED 8�7}iE CRYIUPON DANY STOPPAGE OF WORK ON 7HIS P� OVER 90 DAYS JURAi1�Y ��� � <br />