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�/�/� <br />'A►i . <br />Appl�cetion For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 (425) 257-8810 <br />Date �-8'99 �/ <br />/ <br />Publ� Works Pertnil k `IQ ( 18 <br />Building Permit N CC9907-009 <br />TYPE OR PRINT ONLY TO POSTING MOV 0 9 2UUI public Works Fee S ��^ <br />The Tredway Corp PO Box 3014 Everett WA 98206 425-303-8100 <br />Owner Mailing Address Ciry Zip Phone <br />pvner <br />Applicant Mailing Address Ciry Zip Phone ��� <br />Describe Proposed Work <br />PROJECT ADDRESS (if known) <br />Attach lour (4) copies plans for proposed work • Draw to scale end note the Idlowing if applkable: <br />• properry LJ�es • Outline and dimensions of all existing and proposed sirudures on the bt • ExisNng and proposed utilitles <br />• CenteAine of sVeet • Indicate North • Show any proposed grading changes • Show measurements <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All worh shall be peAormed in accordance with this permit and current City o( Evereri Design and <br />Construction Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555. <br />�-. i�l 2+s�hti� �►�� cxccss d���� -� �� � ra�e� s��,c. <br />-�"j, 12wt� f�F-�ci� rt� o�F -to ?,� �� n-F� I��on xJ,s�e.h dcs� yhe� <br />and conslavc�,ed Pr,r ss�c 3-z.�.Z ��d 'F���r� 3-2.z aF-t�e�� <br />��or'M w�%r m�nua I (�p ���c�ed). <br />(p. ��lCl� �'�ovo 1^U✓lc�� � d��vG� � q��( -�i (�9� �yY.��to�1 Oh <br />o�o or l� 5� de5. � -_. ` y>c � <br />;l 95_.. <br />;;; v , <br />I`[i �14 <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />� <br />a <br />ACKNOWLEDGEMENT OF CANDITIONS <br />�� �j � � I� �� The underaigned ownedapplicant hereby aprees to hold end eave hartnless <br />ry � � me ciry ot everen trom arry ena ex dakns ar damaq9s, ��, a�s, o� <br />ro e or on/ s ruc �on � e e causes o1 aclion thet mey aris� beiause ol Inslailatl�.� arM makdenance d the <br />� improvement a Wher riqM-0l-way uae herero applied for and IuMer epraee.lo <br />�,� e/% remove seme upon notice hom Cie City and b reFlace pudfc PropertY darti. <br />�C/T�t .2 ' l0 - oo aged ,eny, <br />FINAL INSPECTION Date <br />Approved as Corstn�cted <br />WOFiK/UlTFIDRf�I? BY THIS PERMfT l*JST BE STAHTED N7THIN 180 DAYS OF DATE PERMi IS SSUED MOl}Ef�J�F7ER I510 BE 01 ' 11LY PURSUED 70 <br />Cp.�PLEIION. T}NS PEPo!NT M4V BE GU�LED BY hE CiTY UPON ANY S70PPoK'aE OF WOW( ON THS PRO.�CT OVER 90 DAYS Dlk. JN. <br />