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�r� <br />r� �J <br />.O `�' x <br />C H <br />>H� <br />rri 9 3 <br />y Z r-, <br />�y"� <br />O x0 <br />'sJ H =7 <br />N H <br />� O G7 <br />�3 C7 <br />O � <br />� [��5 O <br />�M n <br />ZH�?� F= C�i <br />r "z <br />�. �: <br />� " H <br />C� �1 y <br />� � C <br />� 3 v� <br />H O V.� <br />z/zsi9z Q i? -2� �4 <br />Date <br />Applicalion For <br />PUBLlC WORKS PE�MIT <br />T� ���TIPJG <_�ia �3� <br />Print or Type t�nly <br />HGARTHWOOD HOMES <br />c,�r•,s <br />__ AFP",-ln' <br />ro aex z355 <br />Mai{ina Atltl�t <br />�esc:ibe i'� dposed Work NEIJ SFR <br />Projecl Address (if known) <br />Mailing Address <br />LYNNWOOD WA 98036 <br />/?)�/�—/ l <br />a�ei.c wo�ke ce�ma + =[ �3 <br />eieg ucoi.+ 9Z�3574b _ <br />cuencworxsvee y, <br />ro,a� F�e - <br />Less Foo�. Fex Fa�U S _ <br />eamnw oue S �� ' � — <br />771-1943 <br />Z p Phone <br />7_iF Phonn, <br />Altach four (4) copies of plans ler proposed work � Dra:+ to scalc and note Ihe lollovnng as applic:tble', <br />Y ProGerty �_ines • Cented��.ne of street <br />• Outline antl dimensions ol all exishng antl o Indica;e Norlh <br />p;oposvd siructures on ihe lot s Show any p�op�se] 9ratlin<� clian9e�s <br />s Gwsbn9 and F�oposetl utilities • Sho�: •��casuremenis <br />E�[L <br />PERMIT CdNDITICNS <br />�"" "a+ t. Au ealis Ior insnec�ion shau t:�� rnr�de 24 hrs. in advanee - pnr ��e 259•8810. <br />�., � 2. All work sh�tll Ue pedormed in uccordance v.'ith ihls permit er,d wrrem Qty o� Evoi�.It Des�gn �nd Conslruciion <br />S�andards anA SpeciliCa�ions. <br />3. Call Location Underground Service 48 hrs. before you di�. TOIL FREE NUMBER 1•B00•424-5555. <br />4. THE WF.Ti,AND /iNi� 'i �tl YUFFFR f�hiiP }�r 'I'� � I � i l l[i 11-1 TH};7F, <br />NATIIRAL STATF6. I���� i LEARTN� ��h � iil I'1�1� �f LI:� I 7'F.TION U1; <br />CNAN(.iN�; �lb i�F•r1T17.�,1� �AT9FFI,: [dl�,�. PI( ' ��I9i11'FI� IN T11L��i? ARA:A�- <br />� M=�sL. M�h2-C�-42 <br />AnProved f .Cons�ruction �°�� <br />— ����� i % �_"T� <br />Fl AL I SPEGTIO�� �� � Da e <br />Appmved as Constructed <br />PUBLIC WORKS DEPAHTMENT <br />3200 Cetlar Stree� <br />Evereti, WA 98201 <br />Nhona 259�0910 <br />ACKNOWLEDGEA1ENT OF CONDIiI:!�' <br />e <br />The undersiqned ownedapplicant here0y agrees In hnld nnd �°.��:e nu��m <br />less Ihr. City ol Everett from any and all claims tor d;:•'�.�o �. �.�.I-. <br />expr.ns�as, or causes of attion Ihat may ai�se berauu: d�rs :�i'.i'�<'� <br />and mainlenance of Ihe improvement or other ri9ht�of-way uee ro'�iel�� <br />applied �or and luriher ac�rees lo remove same upon iwtice tron' 'I,r: <br />Cily anA to replac p blic prof-erty damaged �hrrehy. <br />� �.�, -_ - <br />Siynnture ol Appli an; ����'� <br />WORH AUTHORIZED BY THIS PERMIT MUST BE STNRTED �Vlllli?J <br />120 DAYS OF DATE PERMIT IF ISSUEO AND TviENEAFTFR IS i0 <br />BE UILIGENTLY PUH�UED TO COk^PLLTION. TIIIS PFFSIII ��.:�.v UP. <br />GANCELLED OV TH[ CITV UPON AW': SiOPP�GL OF l^'���P�; UY 1 HIS <br />I'ROJECT OVIER'.�0 DAVS DURATION <br />� <br />