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5 14 91 r�e�c wen. nn.mn • — <br />Date�L i eaa o.n.. q��vr.m <br />ADC��cetl�.� For - <br />PUBL{C WORKS PERMIT " �:�:s"' • <br />�....�,.«�.b • <br />B�y¢� Due i <br />Print or Type Only <br />ee.wrt. oa715 523-2246 <br />Ownrr • " MnlNng AEdrae6 Gly Zip P�o e <br />Mike Hanaen dbs Mzalt Colli�im 2027 73rd St L�erett 98203 347-5342 <br />ApO��^� MeilinBAAdmns City Zip P�One <br />DeacriEe Propoaed Work BtfC[ Spidy b00t�1 �n bOdy BhOp <br />Prolett REdrels pt known) <br />Attec� four 1<) copias ol plena br proposed wo�k � Draw b scale entl note t�e I011owinB as aODlice0le: <br />• P�operly Linee • Cenlerline ol slreet <br />• OuOine anA Elmanaions ol ell eRistinp an0 • Inditete NortO <br />propoaeE elructures on Ihe lot • Show any proposeC BraEinB ��anges <br />• E�istinp mA proposed utlliliea • S�ow measuremente <br />PERMIT CONDITIONS <br />t. Au una lor �nepecllon shan oe maae 24 �n In edvance - pnone 259-8810. <br />2. All xroh ehall Ce oedormeC In accoi0ance vnt� thls permit and cwrent Ciry of Everett DeclQn enE Constructlon <br />St6nOUEe md Specillcatlons. <br />3. Call locatlon Underyround Service 48 hn belore you Oiq. TOLL FREE NUMlER 1•800424�5555. <br />P�� ��P� �,���� <br />�� �� <br />s-is- 9i <br />A00��'eE lor Conatructlon Oalu <br />fINAL INSPECTION Dete <br />Approvetl aa Co�structed <br />�PUBLICWORKSUEPARTMENT <br />3200 CsIMr StrNt <br />Everot4 WA 98201 <br />� Pl�one:2SB�BB�O <br />ACKNOWlEOGEMENT OF CONDITIONS <br />W <br />H <br />� <br />N <br />� <br />O <br />H <br />N <br />0 <br />a <br />The under6�B^eE ownedepplicent hereby apreea to hol0 anE aave herm� <br />less Ine City ol Everett Imm e�y anE a0 c�eima br damapea coata <br />eRPenaes or ceu�ea ol ection 1�a1 may erlee beceu.�e oi Inet�llallon <br />en0 mainlana�ce al I�e improvemenl or other rigPP:bwey use �eralo <br />ap0��ed br enE lurt�er aprees to remove seme upon rolice tmm I�e <br />Ci1y anE to re0�ace public Froperty CamapeC Ihereby. <br />S�B�atura ol APPlicenl Date <br />WORK AUTHOR�ZED BV TMIS PERMIT MUST BE STARTED WITMIN <br />180 DAVS OF D�TE PERMIT IS ISSUEU AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT M�V BE <br />CANCELIED BY THE CITV UPON �NY STOPPAGE OF WORK ON THIS <br />PflOJECT OVER 30 DAVS DUR�TION. <br />