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� <br />� <br />TYPE OR PRINT ONLY <br />0 <br />�PPlkarn <br />( � „�„� <br />PUBLIC WORKS PERMIT <br />Desc�ibe Proposed Work _ <br />PUBLIC WORK3 DEPARTMENT <br />3200 Cedar Strset <br />Ewren, WA 98201 (425) 257-8Bt0 <br />TO POSTING �"" E 4 20°° <br />of.� <br />PuW:. Workt Psrtnk M <br />Bullding Permit A _ <br />Public Worka Fes S _ <br />ri.n CMck Not s sssoa sePs <br />1►pplicat.Dat�� OS 19/99 <br />Job 1Wdr���t 71 3 NIORLIIND AVi <br />Own�re NiINDORF! NITCH <br />T�nantt <br />PropoNd O��t 6AR710i <br />D��c. oi Nork: <br />NRN DtTAC[QD 011N110! <br />orEics asr ,ios srr <br />11PPROV6D !OR PtRMITt D71Tt_/_/_ <br />PROJECT ADDRESS (M known) <br />:,�^7 <br />Rione <br />AnecA rour (�) copias p.rn wr propo..a wak - onw ro.cde .na noee ms Id�owkq n eppkeae: <br />• Rop�rry LMn • Outlir» and dknenelons ol dl axistlnp �nd proposed awclwss an tl» bt • FadWnp entl propoeW WYIUes <br />• c.nUiw» a.asst • x,aan rbrin • show.m w�v�d pradirw annpn • sMav m..a,rortronu <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS. <br />1. Alt calla tor inapection shall be made 24 hou�s in advance - phone (425) 257-8810 <br />2. All worlc shall bs performed in eocordance with Mis pertnN ehd wrtent City of Everett Deaipn a�d <br />Construction Standerds and SpecHkerions.. <br />3. Call Location Underyround Service 48 hn. before you dig. TOLL FREE NUMSER 7-l00�42�-5565. <br />?UQIIC WORKS �FR���� <br />•v�no �ouir�i: � <br />---• <br />�aTc. � .- - --.. <br />�l�r g � ��f �'on <br />� R�tv•,rcd <br />W <br />� <br />� <br />� <br />�j. (�/{f � 5 1� Ji1LG ��'%11vC QvR� �v� C��'15�'JtS. �� <br />C� ?�nd ��5,(JcvEs u��k �z c'.onntcte6 � s',dasa..cr, <br />G, aecards� � �d� c� G'►v� �he�q� W'c� bc (�� <br />V� {� ex.`5 i Si�GSP�•J'- �i.� s;�sc�,xrrtin�l� er�tt.f <br />� \ � tn2 (tz�f,td ��v ��� � C�dcru�ye v+^ v�9�tdtd {�o wt¢C.� <br />c� G u/I.a.rt �� <br />� �aa�ovnFooe�Nr oF cor�omoNs . <br />The u�nqrMd aw�rhpplceM MnbY �prN� b add �nd pv� hrmNu <br />Mis Gly of EvwNt hom �ny �n0 M c1Ynu br dnrpM, oosb. ��rM. a <br />awsa of �cllon MW rtry Mw b�w d In�Yltlon �nd m� d M <br />YnpiwM�rN a dwr rlpMaf-w�y u�e hNNo �ppWd lor �nd WAfrr �p�M b <br />nrtav� wnN upon noYo� from rr CMy �nd b npwn pibYc ProPMM �' <br />p�d IMnbY• <br />Fl�ovid�Co�mw�ed � <br />u <br />WOFMf AllRIOFi� 9V7F#S P6iM� MUBi� STAAIED 1M1}iN t!0 DAY80F G7E PHM�IS 681�MD ll6�F7EN 870� OIIf�RLYPl1��10 <br />OOIYPtEi101'ITNSPEli�RANYBECANCB.LIDBYIIECRVIPOf�ANYSIOPPMfiE OFYWR(QIll�Plq�.T011dii0DMSDUW10fl <br />