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� <br />PUBLIC WO KS PERMIT <br />��� <br />s�oo c.ar su.0 <br />Ev«att, WA 96201 25Y-!!10 <br />E OR PRINT ONLY <br />Owrnr AAaq <br />Appllcant Irlill <br />crlbe Proposed Work <br />�IECT ADDRESS (if known) _ <br />o.a • <br />��,�. <br />BuIWMq Pwnt t _ <br />Puble NAxks Fre i — <br />Plan Ch�ck No: C 5885Z S�P)1 pry�y� <br />Applicat.Dat�: OS/15/98 <br />Job 7Wdr���� 1910 A MWCILTEO BLVD <br />Own�rt lOST6R D11N <br />T�nant: �M <br />Piopot�d Owt BIN6L= lILLIILY FSSIDENCt <br />D��c. of Norkt <br />BRDROOM/dATH 11DDITION <br />W <br />O!'lICE SET JOB SET � <br />11PPROVED iOR PERlIIT: D11TE_/_/_ BY w� <br />— � <br />� fan (q copks a pl�ns t« po�w.w w«k - a.w �o scw.na noe. n,. �aawNp n�ppuc.a.: <br />'PropMy Llna `Outllrn �l dknmslom of eN �zlttlnp and p�oposW atrueluns on 1M bt 'Ezlstkq �nd propo�W WAltbs <br />'Canterllne ot atnN MndkN� North 'Show �ny propos�d pwdMq d�rqw 'Show rt�sumnenb <br />PERMIT CONDITIONS: <br />1. All calls for lnapectlon shell be made 24 hours In advance - phone 259-8810. <br />2. AI! work shall be pertormed In accordence wfth this pertnit and current Cfty of Evere!t Deslgn and <br />Construction Standards and Speclficatlons. <br />3. Call Locatfon Underground Servica 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-3555. <br />� Approved for Construction Date <br />FINAL INSPECTION Dale <br />Approved as Constructed <br />:u��i�: �woaK� �cR <br />�Y NGt R UIR611 ~�r <br />a�ra.�` �� <br />��/� <br />V�♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDfTItN�1S <br />The undeniqned ownxhppNeanl hwaby apn�s to hold �nd aava h�nnbss <br />the City ot Everett fiom �ny and dl cWms for d�rnyps, cosb. expsnsa, a <br />ceuses of actlo� tlut may arlas bacaus� ot k�shNetlon �nd malnt�e� a <br />the Nnpro�ertbnt a other rlphtof-w+Y u» tbMo �ppNd ror and lutlwag�� <br />to �emove aam� upon notka hom the Gly end to nW�es pubNc propMy <br />damaped Ihneby. <br />Slg�ature of Applfcant Dah <br />RIZED BY iH'S PERMIT MUST BE S-�ARTED WITHIN 1B0 DAYS OF DATE PERMR IS ISSUED ANO THEREAFfER IS TO BE DILIGENTLY PURSUEO TO <br />THIS PER� "T `MY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF VYORK ON 7HIS PfiWECT OVER YO DAYS IX1RA710N. <br />