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oeteG�� �Y <br />C <br />Applicntion Po� <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />Owner <br />ApPBcenl <br />Deacri�e Proposed <br />Plan C�ack Nos 8 3/7Y04-37a33 SEPA _ <br />�ppJob�llddr���12093POPLTR <br />Owner� EV6R6TT NOUSINC 71UTHORITY <br />Tanent� <br />Ptopoaed Us�s HOUSINC UNITS • <br />De�c. oE Nork: <br />R6M006L�NITS.�' <br />OFFICB SET JOB SET � <br />APPRVD FOR PEIWITx D71TE_/_/__ 0Y � <br />Project Addresa (11 Mnown) <br />t" <br />w�euc wen. »rmn • <br />eao o.o�. J� w ?7a� <br />wexcwo,ur.. � <br />rmnr•. <br />io.�ow rw'.b f <br />B�4r¢�Du� i <br />Zip <br />Allacn lour �a) coples ol plans lor Oropased work • Draw lo scale enE note Ihe lollowing as av011ca61e: <br />� • properry Lines • Cenledine ol street <br />• Oulllne and dlmenalona ol ell eaiatlnp anE • Intlicale Norlh <br />proposed slruclurea on Ihe lot • S�ow eny OroposeE pra0lnp ctlan9ee <br />• Ealslin0 end proposatl utllitles • Show measuremenls <br />PERMIT CONOITIONS <br />1.A11 cells for Inepeclion a�ell be mede 24 hre.ln advance • Oha�a 259�8810. <br />2. All work ehall Ce peAormad In ecc0;dante wilh tNs permit end turtenl Clty ol Everatt Deai9n entl Con6inicllon <br />Slenderde end SOecilicetlonx <br />J. Cell Locallon UntleryrounC Service 4B �ro. balorc you tlip. TOLL FHEE NUMBER 1�800�4245555. <br />, . . <br />c /G� �:.', z. :- ,�. _., f : �!r e..�:�. �.:�, <br />°�fi <br />�-�� ; < <br />Approvetl lor Canslruction Data <br />FINAL INSPECTION Dete <br />Approvx0 as ConSlrucleE <br />PUBLIC WORKS DEPARTMENT <br />�200 CeCer Stroet <br />Everslt W� BBY01 <br />J <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />H <br />� <br />� <br />z <br />0 <br />The undeisigneA awner/eppliceni �ereby eqreea lo hold and uve harm• <br />less Ihe Ciry ol Everett irom eny antl all clelms for Eamapes, cosls <br />avpenle5, or Causes ol eCtlon I�BI mey erile beceuse ol inllalla�lon <br />nntl meinlenence ol lhe im0�ovament or olher ri9��•oM1way use �ereto <br />aOD��ed lor end lurl�er npreea lo remove eama upon nolice Irom t�e <br />City anE to ra0lace Oublic Oroperty EemepeA IheraDy. <br />Sipnalure o� Applicen� Oaie <br />WORN AUTHOR12E0 BV THIS PERMIT MUST BE STARTED WITHIN <br />1B0 DAYS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTIV PURSUEO TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BY THE CITV UPON ANY STOPPA(iE OF WORK ON TMIS <br />