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- -- -- -- _� -- _, <br />Date 2/8/97 �� ./ - � ��--- - - - � a�c.�w,.w.w,m�5�95Z�— <br />Applicatlon For ewo D•oi • <br />PUBLIC WORKS PERMIT °°;ow�:�� . _ <br />i�u �oo� rw o�n t <br />Prin� or Type Only TO POSTING �`Y �'�'3 ei1inciDei ` <br />*like Selle 3214 Gcand �ve Everett 98201 259-5245 <br />Owner MalNnp Aatlress ���Y Zip P�one <br />VSk1og Conetruc[ion 259-7250 <br />.+oo�icem MeilingAtlEress C�W z�a Phone <br />p.-r.ri�e Pmposed Work <br />Gazagu <br />Prolecl Atltlre:.l�� known) <br />Attach lour �41 cop�as ol O�ens lor pro0osetl woik • Draw lo scale anE nole Ine �ollowing as applicaCle: <br />• Proporry Lines • Cenletline ol street <br />• Oulline antl dimensions ol all eRisling ana • Intlicace North <br />o�o0orsed svucNres on tne lot • S�ow any pmposed greEing chenges <br />• Eaisting and proposeC uiililias • Snow measuremenis ` <br />PERMIT CONDITIONS <br />1. All calls for Inspecibn s�911 Ce meGe 24 hrs. in ativance • phone 2SP8810. <br />p. All work s�ell be pedormetl in accortlente wit� INs permlt anC cunent City ol Everell DesiO� end Conntruction <br />$IantlerCS antl SpeCiliceilons <br />3. Cell Location Underprouna Service 4B hrs, belora yau Aip. TOLL FPEE NUMlEq 1•900d24•5355. <br />�6.0-� j <br />Appwvetl loi Conslmction Oate <br />FINAL INSPECTION Oale <br />Appwve0 as Conslmctetl <br />�PUBLICWORKSDEPARTMENT <br />3200 Cednr Slreel <br />Evareil, WA 98201 <br />Phone:Y59�B810 <br />ACKNOWLEDGEMENTOPC�TIONS <br />T�eunaersiB�edowner/applicanl�erebya eslo�olEanEsaveharm� <br />Rss Ihu Cily ol Everelt Imm any anC all'claims lar Eamages costs. <br />ea0�nses. or�causes o� aclion Inat may ance because olinslallntion <br />and maintenance ol t�e improvement or other riBh4ol�way use nereto <br />apPlletl lor ontl lurther agrees lo remuve same upon nolice Irom t�e <br />CIIy antl lo iap�ace pubhc properly damapeE I�ereby. <br />Signalme of APPlitnnl Dete <br />WORI( AUTHOF ZED BY TMIS PERMIT MUST BE STARTEO WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND TNEREAF7ER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANLELLED BY TME LITY UPON ANV STOPPAOE OF WORK ON THIS <br />PROJECT OVER 90 DAVS OURATION. <br />