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4/13/84 <br />Date._� <br />PUBLIC <br />Pri�t or Type On�Y <br />APPlication For <br />WORK� PE�MIT <br />N.F. Partnership <br />— Owner <br />.�� gy Const. Co. <br />�- -,._,..,� <br />p¢scribe Pro�osed Wark <br />2911�5 Hewitt <br />15119 75th N.E. <br />� <br />PuElm Worke Permn � �� <br />eieu. oeo+� • <br />84 13233 <br />PubtoW�`eePoe S'-- <br />Less APO�� Fea PeiO 5��— <br />i Ba�ence Due s — <br />Evezett <br />98201 <br />Zip <br />City <br />98258 <br />Lyke Stevens _� <br />"�""�••' doors <br />r�adin9 DpOk� tWO entry <br />Add canopY� <br />258-9133 <br />691-6801 <br />�— 3330 Hill Stre=� licable: <br />Draw lo scale and nole the tollowin9 as apP � <br />prolecl Address (i� known) o osed work - �� �enterline ot street <br />Atlach four (4) �oP�es of P�a^S �Of P P changes <br />• Indicate North rading <br />� Pro�erlY Lines <br />• Show anY ProPosed g <br />���,�tline and dimo�sions ot all exisiing e� � ShoW measurements <br />pr�Posed slru' O�os d utllilies <br />• Existin9 end f P �_ _,�r.,,�ortF BELOW THIS LINE <br />hone 259'881 of Everelt Design an! Constructio^ <br />pERM1T CONDITIONS 555. <br />�. All cells tor inspection shall be made 24 hrs. in advance • 1.B0O_424•5 <br />p. All work shall be Pe�ormed in accordanci� with this perm�� TOLI FRE`E NUMBEP <br />Slendards and Specificallons. <br />3. Call Location Underground Service 40 hrs. be�ore You ig. ��� <br />' nJ�/� <br />� t \l � n <br />� � C �l <br />� �., pC �v�� � <br />� � ) <br />�{�� <br />� �, ,,, �--�-� <br />,�. <br />� F CON01710NS <br />—�Date <br />ppp;oved for Construclion <br />�— <br />Date <br />FINAL INSPFCTION <br />qpproved as Co�structed <br />evere'i PUBLIC WORKS DEPAATMENT <br />� 3200 Cedar Street <br />Everetl. WA 98201 <br />Phone:259•8815 <br />� <br />� <br />O <br />�a <br />A6'.NOWLEDGEME�TO <br />licant herebY a9�ees to hold and save Costs, <br />T��e undersig <br />ned o.vner/aPP � dama9es, <br />les- lhe City arise because °� ��5eahereto <br />ot EvereU from a��y and all c'aims °�,f Way <br />exPenses, or causes of artion thal maY irom lhe <br />�ies lo remove samc uJa° �otice <br />and ma"'en2nce ot the im?rovemenl or other rig �� <br />ypplied tor end turlhUb1a9nrcpf,�Y damaged lhereh. <br />CItY �nd to rePlace P <br />�� <br />Si9naWre � : cT BE STARTED �AITHIN <br />WORK AUTHOF � 3Y TFi�S PERMIT �' AND THLREAFTEF �S TO <br />180 DAYS OF PEaM1T IS �SUED1Or� THIS PEqM�K ON TNIS <br />BF DILIGENTLY F'ur�SUED TO CUMPLE <br />PROJECT OVER 90 DA�S D�RAT ON. ST�PPAGE OF WOR � <br />