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Dete � wemwo�....mn. <br /> ApPllcalloe...r I exq.o.o�. <br /> PUBLIC WORKS PERMIT ^�°�w°��� <br /> ,�.�.» s <br /> i...•owrnr.a • <br /> au�c.o,,. t <br /> Print or Type Only , <br /> Plan Check Nor B 40606 SEPA <br /> Appllcet.Dete: OS/19/93 <br /> Job Addrei 2127 OARES <br /> Owne[: CORE �EFFNEY <br /> Owner pro�ed�Uee� SINGLE FAMILY RESIOENCE � Phone � <br /> oeec. of Nork� <br /> NEH FUUN�ATION UNUER EA::iTINC AESIOENCE <br /> Ap0licent 7 P�one <br /> OFFICE SET JOB SET <br /> Deacrl0a Proposa0 Work_ APPRVD FOR PEAHI'i: OATE_/_/_ 9Y <br /> W <br /> Pro�ect AEEreas(II known) � <br /> At�ach lour(4)coploa ol plens lor pro0osed work•Drew to acale and note ihe lollowinp ea apPliwble: � <br /> •Properly Linef� •CenlerllnB 01 Streel /w <br /> •Ou�line and dimenalons ol all exislinp entl •Intlicete North V/ <br /> proposed elructuras on the lot •S�Ow eny O�oOoaetl yredin0��B�Oee <br /> •Existinq end propased utllitles •Show meesuremanls � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PEFMIT CONDITIONS <br /> 1.All cells lor Inepecibn a�ell De mede 24 hn.in etivence•phone 259�8810. ^ <br /> 2.AllworkahellUaparlormedlnecwrdencewlththlapermltenticurteniCltyolEverettDealpnendConativdlon � <br /> Stenderde end Speclliutiona <br /> 3.CaIILocatlonUnEerqroundServlca48htabeloreyoudiyTOLLFNEENUMBEHI$00-424•5555. � <br /> O <br /> PUBLIC WORNS PERNI7 � <br /> NOT REOUIRED <br /> BV =�� 'A <br /> OATE G✓-9 �' ' N♦ <br /> O <br /> a <br /> ACKNOIYLEDGEMENT OF CON�ITIONS <br /> T�e undersignetl owner/eDPlicanl here0y eqrea�to holtl and save�arm� <br /> less Ine Clty ol Evc:otl Irom eny en0 all claim� lor tlamaqas cosl; <br /> . expense; or caunea ol ectlon I�at may�rise because of Instellalion <br /> end meintenence al Ihe Improvement or ot�er r10��•ol•way ueo�ereto <br /> epplietl lor end lurther a0�ee�to remove eame upon notice Irom I�e <br /> Approvetl lor Conalmction Oale qty end lo replece publk proparty tleme9etl t�ere0y. <br /> FINAL INSPEGTION �ele <br /> ApPraved es COnslruqed Sipnelure al Applicant Da�e <br /> � PUBLIC WORKSOEPAflTMENT WORK AUTHORIZED BY THIS PERMIT MUST�E STARTE�WITMIN <br /> 7POOCedarSVee1 1B0 DAYS OF DATE PERMIT IS ISSUEO AN� THEREAFTER IS.TO <br /> Everetl,WABBP01 BE DILIGENTLV PURSUED TO CJMPLETION.THIS PERMIT MAV BE <br /> Phone:259�881� CANCELLED BY TME CITY UPON ANY STOPPAGE OF W ORK ON TMIS <br /> PROJECT OVER 90 DAYS OURATION. <br />