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� <br />TYPE OR PRINT ONLY <br />�lSw2 �� <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evarett, Wq g8201 25&8810 <br />23Z <br />Describe Proposed Work �°K <br />�� �� �� <br />PROJECT ADDRESS (if known) <br />TO POSTIN6 FEB 13 2UO2 <br />�_ , I� �� � <br />R,a� w«w Perron r <br />e�xai� �n � 59 90 <br />PubNc vW rks Fee s �D o o . <br />�_��O $� V�. � V �.UP.tl <br />,-�� � (� <br />��,��� <br />F� <br />Vpc7�' cV�� t1 <br />P` <br />� I�.e � �,I J�, <br />Attach four (4) copies of plans for qoposed work - preW �o scale and note the 1olbwing H applicaWe; <br />'Property Lines 'OuHine and dimensions of all existing and proposed structurea on trye �p� 'F�C�ning and aopoyed utpitks <br />'Centerline of straet 'Indicate North 'Show any proposed gradtng changes �ShoW rt�nsurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be perfomied in accordance with this pertnit and cumsnt City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 7-800-424-a666, <br />-/, i'yiP�� W� �[J6�i�G l.ilOi^�'S /hS�¢ G77r d y� ,$L� p,ior <br />`�' �O ��/nniia� �d ��OryF-- <br />,�-�, i��t enfdrii,p Cq7��i 04Sin Musf st Q�Prd✓r d <br />� <br />H'�A�ariaC `<1/C) <br />_ �G. <br />- -:�„-�., <br />, . �;, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The underspned ownedapplicant hereby apries to hold and save Aermlus <br />tM CNy of Everett hom eny and all elaims tor dartwpes, costs, ezpensea� pr <br />causes ol actbn thet may se o� installatbn and maintenancs W <br />thaMiprovementaoMer t-oi-way haretoapplbdforardfuryierapaaa <br />�a �elserjJq'op'on ti�e trom the :ity and ro replace WbN� prap�ty <br />he�fe►Sy � <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WIT}��N 1 BO DAYS OF DATE PEqMIT ISSUED AND THEREAFTER IS TO BE qLK3ENTLY PURSUEp 70 <br />COMPLEl10N. THIS PERMIi MAY BE CANCELLED BY THE CITY UPON ANY STOPPA6E OF pN THIS PROdECi OVER 90 pAYS DUM71pN, <br />