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AppkaVm For <br />OL PUBLIC WORKS PERMIT <br />PUBLIC WORKS Dff%R1TL1ENf <br />3= Cedr Btrer <br />TO POSTING'' a 4 3 ".WAm"' m"'10 <br />TYPE OR PRINT ONLY <br />PROJECT ADDRESS (if known) <br />3/4/99 <br />M <br />wbk Wake Pa. e <br />PamrN• C61763 <br />M L' 0000!4 N U U[L`J � Ob Fee S�� <br />� L� O L7 UO0 NN O0 <br />P . O CO. . . U <br />Athoh kwr (4) copim a prm for popossd work -Draw to seal. and note the foliowi g M applicable: <br />Yroprty Lkee @DrAlre and dirtenebm a al ezb"n0 end popoasd structuas on Ne lot @ExislRg and popped 1111 <br />@Centro@ a Street "cafe North @Slaw any proposed Wading ehrgaa @Slow messurnrtb <br />PERMIT CONDITIONS: <br />1. All calls for Inspection shall be made 24 hours in advance - phone 259-0810. <br />2. All work shall be periomred in accordance wNh this permit and cwnent City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call location Underground Service 49 hrs. before you dig. TOLL FREE N!l11AIER 14NO-424-SM <br />4. �� NDp{�p ✓Wi 8{� � i ic�GSr.Wr,Y <br />1s <br />%-/7 <br />Approved as Constructed <br />W <br />H <br />z <br />O <br />I <br />O <br />a <br />The undersigned omm/appleant hereby aPaas to hold and save hraMrs <br />Ne City of Everett from any and al claI for darrtapw, costa. rparraa, or <br />caus.a of actl 1 Met mey ales Isomes of IrMalYbn avid ntalrlarrrroe at <br />the"hereloappledforrMN <br />@mor <br />rd/uape <br />to e «oeerdplaalray room Nam the city and to repleoe Polo PAP/y <br />WORK AUTHORIZED BY TINS PERMIT MUST BE STARRED WIT M1100 DAYB OF ONE FEW IS 188M AND 7147"IFTM 6 TO N OR1i11111AlW PUMXD 10 <br />COMPLETION. TM PERMIT MAY BE CANCELLED BY THE CITY UPON ANY BTOPPAM OF WORK ON Tt18 PIIDJWr OM 0 OMYB DURMW - <br />