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I <br /> .... � < �-'- �`.J/ / <br /> p `' ` �T:O POSTING_ Z 9/— ii9 <br /> Z'�! � Puei�c�VansPermui ___ <br /> r+ Date � ' . : � ' �/ - al1��lO/ <br /> dmf9 DcO��• <br /> N p ,,, �1 ,qpplication For _ <br /> � VubLc Woixs Fur <br /> =yyN pUg:LIC WORKS PERMI�' .�,a�F�� 5 � <br /> [" d' T �� Lnss Pool�ea Pa�e 5�rj-- <br /> � i H <br /> -,• <br /> `'' n o 0 o n in c� o cy in omooc�o�c 5 "'>__�- <br /> O O Print or T pe Onl �� """- � ��� `-' r' ��J �" N II� <br /> � Y Yu � � o .; r:i m r' oi ra t= <br /> m H ro r �, „ a.. �, i o.; <ram <br /> N M ��. ��j n .+ f� a�� ea .-� O <br /> G'� <br /> � � � ��—� �; J�.����'���"7�c� �� "'�.�_�cJ l,c�� n �1��D I 33�i-�/ao C� <br /> .�v n � Owner � a c� oiMa�ddressra r� m c: -- C�ty <br /> Phone <br /> H IE N O L'l f< O W •-� O LiJ O • V- �,.y F- l�i <br /> � • N Oc7Ul � 3 �i O � Ou 33 �1 Z <br /> O '.Of (J I�1J O U ^� "C f �T L7 O� lA !� U <br /> y Phonc <br /> Z M <br /> � H y Applicanl Ma�ling Address ���Y Z�p <br /> O N <br /> � � y N2<,cJ�aC��t,��--' �' /U,OGb S� r�, <br /> � r, Descrihe Praposed Work <br /> o v�', '{'�f�0�—�(� ObU S� 1'1�Pi'ICL'L¢� <br /> W <br /> Projecl Address lif known) �/� � � <br /> � <br /> Attach tour(4)copies of plans for proposed work-Draw lo scale and nole Ihe lollowing as applicabla � <br /> • Property Lines • Centedine ol strcet <br /> • Outline and dimensions ol all existing and • Indicate North <br /> pwpo5ed siruc�ures an�he lot • Show any proposed 9radin�j changes <br /> , • Ezisting and proposed utilities • Show measurements M <br /> W <br /> DO NOT WRITE BELOW THIS LIN[ O <br /> i� . PERMIT'ONDITIONS � <br /> •�^ 1.All calls lor inspec�ion����II be made 24 hrs.in ativance�phone 259•881 O. <br /> � 2.All work shall be pertormed in aaordancc w'Ih this permit and current Ciry ol Everett Design and Conslruction <br /> Standards and Specilications. � <br /> 1 3.Call Location Undergmund Service 4B hrs.belore you dic�.TOLL FREE NUMBER 1-800•424-5555. <br /> ���� 7, d-[-Gt'.. L<�Lc.C'.�C�y/��a ��[/+.� �iC��.(�G<.�c[i/y �"Y � O <br /> U � <br /> ��'a""" ��cvc_ � ��li� <br /> ���� c� y _3 -9i �C n�`� ��`�cl�� �♦^ <br /> � �� v♦ <br /> 1,�('�j Q. <br /> � <br /> . rl,� ' ACKNOWLEDG[MENT OF CONDITIONS '� <br /> � The undersiqned owner/appliwnt hereUy a9rees to hold anA save harm� <br /> ! '� less the Qty oi Everett from any and all claims lor tlamages, costs. <br /> 1� evpenses. or causes of aclion Ihal may anse because ol installation <br /> ��_r '�� - /y�_ � �_p/ and maiNenince ol ihe intprovement or other ric�ht-ol�way use hereto <br /> GrLT% � applied lor anA lurther a9rees lo remove same upon notice irom the <br /> - ApProvetl br GO slruc�i6n' � Dale Cily and to replace UUUIic propeity damaged Ihereby. <br /> � r; �, <br /> �..�%=<<�.��--�=�`�� �� - ��_ 5-Z,�-91 <br /> FINAL INSPECTION ���� Dale <br /> �pproved as Construcled S na ur .ol ti nt <br /> OR< UT RI E THIS PERMIT MUST BE STARTED WITHIN <br /> Oi,�i���� PUBLICWORKSDEPARTMENT � pp O -E PERMIT IS ISSLIE� AND THEREAFTER IS TO <br /> 3200CedarStreet BE DILIG[NTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE 1 <br /> Evcre�t,WA 98201 CANCELLED DY THE CITY 11PON ANV STOPPAGE OF V:ORK ON THIS <br /> Phona 759��810 PROJECT OVER 90 DAYS DURATION. <br />