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C � ��� D�. � — <br /> � PUBLIC WORKS PERMIT public Works Pertnft k <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257-8810 Building Pertnit N <br /> TYPE OR PRINT ONLY Public Works Fee S <br /> Pl�n Ch�ck No: C 62511 B=p�► <br /> Applicat.Dat�: 05 19 99 <br /> Job 1►d�__ �RTc:YLH00/VIQCI <br /> Phone <br /> �r Propo��U��: SIN6LE 111MILY ASBIDiNCi <br /> D�tc. of Nork: <br /> Applicant l�DDITION P� <br /> D@SC�be PfOpOSBd WOfk_ OF!'ICS SST JOH 8=T W <br /> 71PPROV6D FOR PERNITt DATS_/_I_ BY � <br /> � <br /> � <br /> PROJECTADDRESS (if known) � <br /> O <br /> pttech four(4)copbs plem for pmposed work'�raW to scale end rwte the fdlowirg If applksde: � <br /> •Proparry Linea •Outllne ard dknenai�nn of ell eziating and p�oposed sWctures an IM bl •ExlsNng end proposed udll8es <br /> •Centertine of street •IrMkata NoM •Show e�Y P�ed grading chenpes •Show meaeurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: O <br /> 1. All calls tor inspection shell be made 24 hours in advance- phone (425) 257-8870 <br /> 2. All work shall be pertortned in axordance with this pertnit and current City of Everett Design and � <br /> Construction Stendards and Specificatf�>ns., � <br /> 3. Ca�l Location Underground Service 48 �vs. before you dig.TOLL FREE NUMBER 1-800-424-5555. <br /> >UDUC WORKf rGqlWli O <br /> �aT�nC i fjUIREt � <br /> �__ <br /> � <br /> ACKNOWLEDf3EMENT OF CONDRIONS • <br /> The undersfgned ownedepplicent hereby aprees eo Iwld�rW�ave harM9sa <br /> IM Gry of Everetl trom anY and dl deims br duNp�s.wsts.��we,or <br /> causea of actlon Ih�l mey eriee Dsceuse ol�Yon�rq mNnronanc�ot the <br /> prove or s on 8 8 knprpvenbnt a dMr riphtvf-w�y uae hereb�ppN�d lor nd NnMr prws b <br /> remove esrtia upai notice han the Gry end a roW�.+p�blk ProMn1'�. <br /> eped�hereby. <br /> FINAL INSPECTION Date <br /> MProveE es Ca�atrucled <br /> b <br /> O�PLtTpN•1!#5 PEFMfi MA�rCMJCBIID 81�'TFf�GiY UPON�ANN 310F'RIt�E�iWOFi(ON�TI#.4 PHQECTOYHi YOOAYB WMTOPLY R1Fi9U�l0 <br />