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I - <br /> �� <br /> �"�'""F" 3/8-99 <br /> � PUBLIC WORKS PERMIT °�'°_ <br /> PUBLIC WORKS QEPAFiTMENT �a��P°^^H R � <br /> 3200 Ceder Street . <br /> Everett,WA 98201 259-8810 guikling Permk R <br /> m0 <br /> TYPE OR PRINT ONLY Publk Waks Fee= a� <br /> J � � � <br /> p�y��y Mailing Address C�' � �� <br /> -3 <br /> ApPlican Mailing Addrass Clty Zip �b <br /> Describe Proposed�W�9rk �e,o/,..erP lr.X�g�e='f ..S�i��--�=-���T`� W <br /> 5idcc.�xLG • . � <br /> --��� � <br /> � <br /> PROJECT ADDRESS��f known) ,f�¢���— m <br /> Attech four(4)coples ot plans fa proposed�vork-Draw to scele end rwte the folbwing H applkeWa: O . <br /> •Property Lines 'Outline and dimensfora of all ezisting and proposed slructures on the bt 'Exlstln9 end Proposed u���nba <br /> �Centerlirre of street •Indicate Norlh 'Show any proposed greding thanges 'Show measuremenls � <br /> DO NOT WRITE B�LOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours m advance- phone 259-8810• O <br /> 2. All work shall be performed in accordance with this pertnft and current City of Everett Design and <br /> Construction Standards and Specifications. � <br /> 3.Call Location Underground Service 48 hrs.before you dfg. TOLL FREE NUMBER 1-800-424-6666• <br /> ¢ YQ��ltGC �C/^ �'�� .s�4s�2ro� .�De6 V/ <br /> _ O <br /> y:�,�_ a <br /> �.' . . LQ��Ir <br /> _ . _ 20.C�( <br /> r _ .,,.,, <br /> i ..., <br /> ACKNOWLED(iEMENT OF CANDfiIONS <br /> `7 1 �//t O'D�7�+� ��naersfpned ownedepp�kant herebr avrees ro nold end aeve nermksn <br /> . the Gty of Evefatt han eny end aN claims for damepes•oosta�expensro�a <br /> �.t_ 3—/8—�� causes ot actlon tnat mer adse because w�nstellatio�ane mainte�ence or <br /> App ' forCo struction. Data ��m�.��}a�rlght-ot-wayueelv.wetoePWbdfar�dl�°P�°e <br /> to rertaoe same upon notice M1om a�d to roW�e P�a� P�°PMY <br /> ��-�--�- i�-z�-�9 °�°° / <br /> w '' i, ' <br /> INAL INSPECT70N Date <br /> Approved as Constructed _ � <br /> a �8� <br /> COMPLETION.RTFi15 PERMiT MAY @E CANCELLED BY THE CITY IUPON AN STOPAPAGE OF WORK ON 7���T OVER 90 DAYS al��'Y���� <br />