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� . � �/ <br /> Date�6=93 r�eiK waa v..mn. <br /> APPlic�tlon Fw '�.� B��� �a <br /> PUBLIC WORK$ PERMIT � �kWOAaFN <br /> � Ta.�F.. • <br /> . l�_ . � LNt MDL Fn V�1E �� <br /> � ° �.���ow t Z/7-_ <br /> PrintorTypeOnly � . ���� 002-322S�o/S�Bj/ <br /> � ���R�o���� <br /> Song Rim 5735 94eh P1 fi Mukilteo 98275 ' 353-2043 <br /> Owner M�Ixnp Atldroes� . �. , ' �. r, Gry Zip Phone <br /> � <br /> wk. 152-/SyS <br /> Bob Oleon 659-L507 <br /> �PPIMsnt M�Ilirq Addro�s City Zip �o^� <br /> OescribeProposedwork ��'ing warehouee. paving. drainage. underground wire 6 vater <br /> W <br /> prc�ect Address I�t known) 2402 Pacific Ave � <br /> �� work•Drew to ac�le and note Me iWlowlrq aa appliuble: � <br /> Atl�lour(4)copis�of Plans for MoP�� � • CenterHne W atreet � <br /> � PfO�����°� • Indlute North <br /> • Outlim�nd dNn�nNom o�all exlstinp�nd • Show a�Y M��9ndinp chenpe� <br /> � propoMd atructurss on th�lot � Show meaeuroments M <br /> . • E�INinp�nd P�oP�d ut11RMs W <br /> N WRITE E I LINE O <br /> I, pEqMITCONDITIONS � <br /> � i.All c�lb(a►MNp�clion�MN b�m�M 24 hn.In Wv�nce•pAon�Za�810. <br /> � 2.All work tMN b�p�Aorm�d M�000rd�no�wIM thfs permil�nd current City M Evereri Detipn�nd Condruelb� <br /> 3t�n0�rM md 9p�dNntbm. � <br /> 3.GII Loc�tion UndNpround BMvloe 4B hn.before You dip.TOLLl�II[E NUM�[111-800�424�5565. <br /> y, Q�� �r,�-;�, c4.�-�6�,..s � � �� O <br /> ,r � �,.,,,,,, .�, 6e p�,,� ,� £A-'.s.�:.�. ��-��..� � <br /> i7,e�.ta ��,.,,,,��.,� pvc�.� . <br /> � lo, �`'P �'-�f 1�.�- ���,,, �.t� � �.;�.�.�. _ � <br /> i 0 <br /> � a <br /> � ACKNOWLED6EMENT OF CONDITIONS <br /> The undersipned owneNeOPlicent hereW�Y�t ro hold�nd s�w hum• <br /> lese the City of Everott from eny end NI cl�fms for d�M�Y�t, cost4 <br /> . � expenee�, or uuses of ecuon thet may �Mw Wuu�e of inatNl�tfon <br /> nd meintemnce of the improvement or otMr rfphl-of•w�y u�e�eroto <br /> � applied lor and further aproes to dem ped MenMn ��+p from the <br /> � q ed 1 ons ion ate Gry and to replece public propertY <br /> ia ve \A�� )��-�- 6���. <br /> FINAL INSPECTI Date D�te <br /> � Approved as Conetructed �pnNure of Appllcant <br /> PUBLIC WORKS DEPARTMENT <br /> BORDAYS OF DATE PERMIT SESSUED AND TMEREAFTER ISHTO <br /> 3ppp��r Stroet BE DILI6ENTLV PURSUED TO COMPLETION.THIS PERMIT MAV BE <br /> fiveratt,WA 9E201 CANCELLED BY THE CITV UPON ANY StOPPAOE OF WORK ON TNI$ <br /> phone:269�Bs10 PROJECT OVER 90 OAYS DURATION. <br />