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- <br />Date—. -- <br />qnp!icaticn Fm <br />PUBLIC WORKS PERMI� <br />Print or Type Onty <br />� � � '�'�- 2-�a3 -►�' <br />� <br />,,, �,<<�_.� <br />APP���^�� M.,�linr, A�t.in-;s <br />-'_ ' — __ —__ LP <br />Descnbe Proposed Work <br />�'�ccfi _�c�ycd �z�-� _•�A�d <br />- ��;J�� `l -- <br />6�'q Oect + --- <br />vei,o� wm.n v.r, 5 <br />,.,,,,� �..� <br />��soc:,oi r....a..� 5 <br />_��_,�...C..� S' <br />Prolect Address Id known! ------ --- - . . -� - � -- - ------_�� � ����-� � �- <br />Attach lour 14) coP�es of Plans in� p��P�sed work D:av: t:i _, „.� .i:=.i nrte ��"��o�1Orlm� nt �inplirn:'.��� <br />• Prope�ty Lines • ird��:;�,!.. "�c.rth <br />� �llih�f ,lOd (11T1'f15i0�5 01 .11l Cxi�;in(i :inil � c,i�..v: ;�n\' :'.rt•pOSnd iirtiq�m.� T^��e �e�', <br />proGosed sirucWres on IM1e �oi � yh�,r, rn�•asu�Pr,��enis <br />• Er�Sling a�d P�Opased util�ivas <br />DU <br />LINE <br />PERMIT CONDITIONS <br />1. All calls lor inspeclion shall be made 24 hrs. in advance phone 259•8810. <br />2. All work sliall be peA�rmed in accordance with �his permi� and current City ot Everelt Design and Gonsiruction <br />Standards and Spe�ifica'ions. <br />3. Call l.ocation Underyround Service 48 hrs. belore you dig. TOLL FREE NUMBEA 1-500'424-555 . <br />ApproveA foi Consirurbon <br />9 <br />� � � �7�Ci �' �� GP� <br />L <br />� � ����1 a � 1 <br />� J� <br />�(n,S g S � I �-�t�' <br />'�" - +'�,�` � " <br />i ��P �� <br />FINAL INSPECTIGN <br />ApUroved as Gonstr�cted <br />�f '-- l PUBLIC WORKS DEPAfiTMENT <br />�� _� 3200 Cetlar Slreet <br />��C4ETT Lverett. WA 9820� <br />Phone'.259�8810 <br />C&In <br />D�tc <br />� <br />0 <br />,,chr�o<�,�Eo ,rr.,� �:r ��r coNoinoNs <br />.��, tli , CdYno�' Evi rcti'Irom,1a��Y1i+�nA V�l���daims torl damagetir r,osrts <br />,,��pngp� iy caule5 01 ac�i0n ihat m;fy anse because �I tn5iallalio�'� <br />.n. <br />+.���nt.=nancr n� Inr unProvemen� oi other ngh4obway use heieln <br />i i� �,�, „: �^r .in�i ��.����•'� �'1ree� to remove samr upen noiiae lrom ihN <br />C:'.-. .. "r ��•u�.��..� r.�ihh.: monrrry dnmaqed IherebY. <br />'� �- zo-�'� <br />I <br />�_ ___ ' ' Dat� <br />I Sinnt�iWn ot A[>P!�Cln! <br />��;n��,r.,�; dl'�HC.r+IZED 6Y THIS PERPAIT MUST 8C- STARTED WITHIN <br />'� t50 DAYS OP DATE PERMIT IS ISSUED AND THEREAFTE�i IS -f0 <br />� iiE UILIGENIL�' PURSUED TO COb1PLETION THIS FERMIT tdAY B[ <br />, GANCELLED BY THE CITV UPUN F.t.Y STOPPAGF OF WONK ON THIS <br />� PFp.iEGT O`JFA `.?0 DAYS DUF���ION <br />