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� <br /> � Z3 � <br /> Date 5/31/94 P�,o���•�o,.�Pe,�„�. �" ! <br /> Application For oinQ oeo� • 44529 <br /> PUBLIC WORKS PERM'I� P������_,.��.�=F�.r - <br /> :�' TotaiFre 5 .__ <br /> i <br /> A�o O O �nne less<oui Fne Paio 5 __ <br /> TO POSTING " ° '� ` ' �� � <br /> Print or Type Only ,-` i.� r:i �r�:+�ceDuc $ <br /> �. <br /> r- o i:, v� <br /> ro i� [n <br /> �� i.i rn <br /> r�, , : �. r.� I <br /> �n :n n . <br /> Intraweet Tnd ,s ia7 .prn tnni yt}� a�e �� �$1n�a;rriA ooi5q F�5-q��� <br /> OWner �142�iinn qr:�lreSS � � . C� � 7_i� Phonc <br /> ri i�� �.., G'_, <br /> i'i t1 'r •, I�I <br /> Yl 1_. •..) .I <br /> `... :: I 1 �; I. . <br /> George Canstantine 885-3797 � - <br /> APPIicaM G?:��h�;;:qddrr;s ----C�iti ZiP Phonu --- I <br /> oescr��ea�onosedwork _New office/warehouse__ _ _ _ <br /> Q�---.�7----- ----- -�_-- -- - W ; <br /> Praled Address Of known: _�_(._Z_v�__.����-----��'P!1'Y(_I!�_CT:- �_C(����� � <br /> AttaCh four 1�)eopies ol plans loi P«U��sed wu:.. - D�a�•: to .,:.ii�� .r,,i note Ihe'olk�,wnq as apphc�bie. � � <br /> • P�onertY Lines • G!nt�!rlinr nl streei � <br /> • Outline and Aimensions of all existin9 :md • Irdic�b.-: No�ih <br /> proposed struCtures on Ihe lol • Snov: any r,ropose�gra�mn [hangrs <br /> • Existing and propo5ed utilities • Sh�v: r.:n�sur�menl:s � _ <br /> DO NOT WFITE BELObV iH15 LINE O 4 <br /> PERMIT CONDITIONS <br /> t.All calls for inspection shall be made 24 hrs.in advance•phone 259•8810. � <br /> 2.All work shall be performed in accordance with thi;permit and current City ol Everetl Design and Construction <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800-424•5555. � <br /> � /��,- �������/� ��� � 7-�Z- � � Q : <br /> H <br /> � ; <br /> O <br /> a <br /> ACFNOl1'L[GGEtd[NT OF CONDITIONS <br /> i',���,,,d,�i;ianed or;ne�lapphcant hereUy agrees to hold and Save harm� <br /> � , i���,�.�, ;he Cdy ot Lverett trom any and atl claims lor damages. r,osts. <br /> � �, o.���onsc,, or causes of ar,tion that may ans^ ue�ause of mstallation <br /> � anA maintenance nf Ihe improvement or other nghbof-way use he�eto <br /> IaGN�e�: for and lurther aqrees to remove 5ame ipon notiCe Irom the <br /> A rovAd Co�ction Date Cdy ard in i��ptoc� public pronerty d maged ihereby. <br /> I <br /> .'L('�'l / -- �Z Gl� I 1 <br /> FINA INSPECTION Date � <br /> Approved as Constructed I S�o �e of Anohcan! Oate <br /> ��r� PUBLIC WORKS DEPARTMENT WOfiK AU i HORIZED 8Y THIS PERMIT i.1UST BE STARTED WITHIN <br /> 3200CedarStree� I t80 DAl'S OF DATE PERMIT IS ISgUEO AND THEREAFTER IS TO <br /> ��rr Everett,WA98201 BE DIUGENTLI' PUFSUED TO COM1IPLETION. THIS PERMIT MAY BE <br /> �� Phone:259�8810 ; CA�JCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> I PAOJECT Ob'ER 90 DAYS CURATION. <br />