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TYPE OR PRINT ONLY <br />PUBLIC wORKS PERMR <br />PI�LIC YVON(8 06MlR�A�T <br />5100 C�d�r Bln�t <br />EwNI. WA 9a201 269-BB10 <br />Millet John <br />2121 B Mukilteo Blvd <br />� �.6-21-96 <br />P1bk Mbllo PwnYt • <br />g�p p�,n* � 52082 <br />Publb wbrlo Fw i <br />98203 <br />Ovner <br />�PPMc�rt �aaYMp I►ddnu Gly ZIP Pliorr <br />;: . � . :�....r.:.. ...,�. <br />addition to SFR <br />PROJECT ADDRESS (i( knovm) <br />X Mukilteo Blvd <br />Attach rour N) capba d Plens fa popos�d work - D�w ro �cW rW note tM tolbwYq M�ppMc�bN; <br />'PrapMy Lk�ss `Outlh�s and dMtrnabne of tll exbtkp rid poposW ah�ctu�w on IM bt �Ezbtlip �nd popOMd utWtl�s <br />'CemMkb m aereat �naeet. Mam '3how+rn aopo..d w.dMw �Iwq�. 'Bhow m.rur«nwn. <br />PERMR CONDITIONS: <br />1. All calls for inspection shall be made 24 houre in advance - phons 259-8810. <br />2. All work ahell be performed in accordance with this permR and cunent Cily of Everott Deafpn and <br />ConstrucUon Standerds and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMdER 1-900-181-i6i6. <br />Pu b I ; � �va-�s �►•�- � n+- ���; � <br />Approved for Co�struetlon pe�e <br />FINAL INSPECTION Date <br />Approved as Constructed <br />Ca�L�j�'l4 <br />W <br />H <br />- <br />N <br />� <br />O <br />a <br />Rc�wovn.moE�+r oF ooriomoHs <br />� ��•w�•a ow�,whppNc.m n�br +w... ro noa .na ..v. n.nr.r <br />fhe Clty ol Ev�rMt from rry rM dl clWm for drrwp»� casb. �, a <br />cau,w d.ctlon mac m.y .rN. wo.n. a Nah�tlon .�a rtWnlwwb. a <br />the krprowmnt awhxrqM-of-wy ur hwrto appMdfamd Mtlrr�p� <br />to �amovs aYn� upon notkv han tlN Gry md b� W� WoP�Y <br />demped Mw�by <br />��� a �PP�� OM� <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMR IS 133UED ANp 1}1�EAFTER {g lp gE pqlpENiLY PURBUEpTp <br />COMPLEf10N. THIS PERMR MAY BE CANCELLED BY THE CIiY UPON ANY STOPFM(iE OF WORK ON TMS pppJECT pyEp pp p�yg pUpA7lpp, <br />