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Date �- �_�� P�o�,�.wo�ksPa�m,� � 7rc - 7 <br /> Application For eiog oeo� + ,. � <br /> yr; PU�LIC WORKS P�-RMIT �•���'�Wo�ksFee -- <br /> T[�. iolnlFee `S <br /> L•J C� / p� C] <br /> ,p•�x TO �n�T�����• `-✓^is'�{�__ ' -� r p o �i o �essaooi.FeePa�o 5 __._ <br /> C ~ Prin� or Type Only �' °1 `�� " "' '� � a,�a��eo�� 5�_ <br /> 9 H C/� `r` v iri c� ,7 0 � <br /> .T .-i M t'] W CJ O <br /> r �Y W W N Ifl <br /> � �� NE�Er� �a � .� <br /> G �—� <br /> `� y� ��ll' �a��_� � �� -�� ��;'fIJ� C- Q�.l'E`� �'u ,J�,� ?,—�C�. ��-�;�'� <br /> '�7 H'� Owntv I ,�l�n..7,�Cn � o r� x a �, .. h����c ' <br /> OOUtLbI � L: <br /> �. o J W J L�' 3: <br /> [nH am � a_ m :_, <br /> G7 O C�+] —. _ _ —. —`� ___._- _ : _ ____ ._—.----. <br /> H C7 FPPIicr�N 1,1oil�.nn Prrtln.,:�;�, Ci�Y .-u PhCm. <br /> , � �g � � �.l�7�Y�1 �`�-1�-� <br /> �„ p Describe Proposed Work � _ <br /> 9 H� <br /> r H H — <br /> �n 1 � 1 <br /> g "`� 3?�,I i��I�i'k�' — �a <br /> � �� Prciecl Atltlress lil knownl _ _ � <br /> y y(/� Allach four In)�ppi?5 of plans br proposed work� Oraw to scale anA note;he�ollowin9 as applicai�'.� �� <br /> y �N o Propeny Lines • Centedine ol slreet � <br /> e Outhne and dimensions ol all eaistlny anq • Intlicalr. North <br /> p�oposed siruclures on ihe lot 1 Show any propoSEA y:,�: "�. .., � ,. ., <br /> O Erisimq :�rA proposetl ulililies • SYow measuremP.nis � <br /> � DO NOT VlRITE BELOW THIS LINE <br /> PERMIT CONDITIONS O <br /> ��. 1,All Calls br inspeclion shall be made 24 hrs m advance-phone 259•8810. <br /> �1 2.All work shall be perlo•med in accordance with thi;permi�and current C�ly al Everelt Oesign and Construction �• <br /> Standards antl Specilicatlona. <br /> 3.Call Location Underground Service 4B hrs.belore you dig.70LL FREE NUMB[R 1-800•4245555. ! <br /> ! <br /> �� �� f�c1�L.l G�f � AI_.L._ r�� <br /> ,e„ .a,. �• f'�C h�C.7.Y�T> .a.."'CUT��— UF ZO� \�1 T�"1�f � <br /> �2�vE v.�Y t--'A�i NC � N "P2p NT Y/'�D S�'�� p,vV'f�� <br /> � _� � �1VST f��t"�OY6 �XISTIJ� "PR.t�l�v.a( O^1 Sr�vT�TL.tii � <br /> r'��'i�aV o� �oT ,�r•�c� �F�� w iTt! FU�-�. r'-E�H�i V+ <br /> � � ' G LJK-S�G-N"TTL-�YL d': ��i T7E�N�`.C. f�."lL. 5-�ta�ti U ih'Zi J �At�� /� <br /> S�'-3AS+-:Orel � t�-1F-_.. � . � .i �;:__�<��� � -,- ..c.� - (--_ .� IU' ��-� /V� <br /> ( F ���I G'� i 1 . IJr <br /> � �•�p ;,c�cr�ocn_i_�x;��.ier!r or coNonioNs <br /> I I�r undr:siqn:d n::nonnPplicani h;icby;��peos to hold:ind savc hamr <br /> — lesc Ihe Cdy of Eveiell trom any ,�nd ali clauns lor damages, cosls. <br /> �� expenses, or cauces of action Iha� may arise Uecause ol �nstallalion <br /> � - � _ (1 � L�� /_ _ q 4 ,� ;inA main�enance of :he irnprovemenl or other righl-obway use hcielo <br /> CS.U_X� ��S' 1 aoplied br and furiher egrees la remove same upon notice Irom Ihn <br /> �nnroved for Cons uc�ion // Dale City and to replace public,proyerty tlama9ed thereby. <br /> / -`/+��/ � /� , . <br /> i / <br /> ,-��.��—`-----��=.,1 �-� y �� y ; <br /> FINAL I SPE TION Date 'J iy _-_. -- <br /> APpmved as Consiructed SiynalyrG ol Ap il canl � �i���, <br /> evrrett PUBLICWORKS�EPARTMtiJI �'✓ORK AUTHORIZED DY THIS PERMIT MUSi BE ARTED WITHIId <br /> � 3200CedaiSireet 180 CAYS OF DATL PERMIT IS ISSUED AND T EREAPTER IS lC <br /> Everett WA 98201 BE DILIGENTLV PURSUEU TO COMPLETION. THIS PERM1VT MAV 8[ <br /> PI'.nne 259�GiS10 CANCELL[D BY THE CIiY UPCN ANY STOPP�GE OP WORK ON TIIIS <br /> f'RUJEC7 UVf R�i0 (lAti'S DUR�1T10��1 <br /> � <br />