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�e�e 1�—Zg-91 ^ Pum�c Wo�Ma Permn• <br /> ewu o.o�. 91/28027 <br /> Applitatit J >r <br /> PUF3LIC WORKS PERMIT �°'kW°�..f� <br /> r�.�F.. s <br /> UUAppL FN P�W � <br /> B�I�M�Du1 a <br /> Print or Type Only <br /> NORMAI�TNA LODGE 2725 OAKES AVE EVERETT 98201 252-9229 <br /> Owner MaiNng Addrsas Ciry Zip Phone <br /> OWNER <br /> ApO���e�� Mailinq Addresa City ZIP Phone <br /> DescNbe Propoeed Work �NUICAPPED RAMp <br /> � <br /> � Proi�t Addreas(if knownl -�Z � <br /> ' Attach four(4)copies of plens for propoeed work-Drew to scale and note the lollowinq ea applicable: � <br /> � • Property Lines • CeMerllns ot stroet � . <br /> � • Outline and dimensiona of�II exiatinp and • Indicete North <br /> � proposed structurea on the lo[ • Show any proposed prading changes <br /> t • Ezietlnp and propoeed utiliNea • Show measur6ments � <br /> I <br /> ( DO NOT WRITE BELOW THIS LINE � <br /> ; PERIAIT CONDITIONS <br /> � t.All calls ror inepsetlon snell be made 2a hro.In.dvance-phona 25�8810. � <br /> j 2 All worlc shall bs partamad in��ncs with this permlt and curront City of Ewrott Deaqn and Constructbn � <br /> � St�ndard��nd Spedflctlione. <br /> g�p�apNon U�srymund 9srvla�8 h�a.beforo you dlp TOLL fREE NUMSER 1-80o-424SbS6• � <br /> i ' � <br /> � <br /> ? ���� � � ` � <br /> ` P.���/ ���� <br /> '� C <br /> ! � �� �� o <br /> � �� <br /> , <br /> � ACKNOWLED6EMENT OF CONDITIONS <br /> jThe undaraipnsd owner/aDP��Gnt heroby aqnee to nclG�nd uvs h�rr <br /> � , lesa the Ciry of Everott from �ny �nd �d claims fa dam�qes, coa <br /> -er;wnees, or causae of ection that mry arbe bscauas ol Imtallatic <br /> and mslntenance of ths improvemant a olher riphhof•waY use nerc! <br /> � aoplied for �nd fuRher �qrees to romovs ume upon notics from th <br /> � ; Approved la Conatructlon _ Dete Clry end to replace pa�lic property dameped thsisby.. : . <br /> � . _ .. . . .,. _ . . . <br /> � FlNAI.INSPECTION Oero . � Data <br /> S Approv�d u Construetad Sfynatura of ApWlunt <br /> � WORK PUTMOkIZED BY THIS PERMIT MUST EE STAFTED WITHI <br /> � WBLICWORKBDEPAHTMENT I80 DAYS OF DATE PERMIT IS �S3UED AND THEREAFTER IS �T <br /> , � 3200CWv81raM BE DII.IQENTLY PURSUED TO COMPLETION.THIS PERMIi MAY E <br /> Ev«att WA 98201 �pp �ELLED BV THE CITY UPON ANY S70PPAGE OF WO(iK ON TH <br /> i PhoM:2648810 PRGJECT OYER 90 DAYS DURATION. <br /> � .. . . . .. . . , .. .-_ -. . -� - . . . . ._.: '.., —�_.-��.--r.- . <br />