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?S/�F��;��Nf :`�'� � ' �.' <br />..'"', ^_'i}7.. . `���. 1 . . ' . s"+T.ii` : } .TjYi� ..li�.il.i� 'y� �F �y <br />Tc. <br />1 i i.�.. , ' `�t f�' �4•+P . �. I r� . �.4i�<�ty,..�'i"' 4�� �•.•*.�__�, <br />Date- 9�,/31 '� <br />Pu�hc Works Pmmlt ♦ �� � r.l � <br />Appliwtion For I eino oep�.: _ q 1/77� F 0—r— I <br />PUBL � <br />�C VI/�RKS PERMIT <br />j Print orType Only TO POSTING �'3—N Z <br />I <br />Wapne I:levin S Son Conat <br />uwner <br />Describe Proposed Work <br />34oi 202nd St 5ta <br />!aifing Addre�— <br />ailing Address <br />'UC[ 4 Ui]j.{ annrt <br />Puelic worxs Fae i <br />Totel Fee S I <br />�_ <br />� ��:.s:oat vca ra��e S �� <br />Balanc¢ Due $ <V ��� � <br />�� <br />� <br />[JA 95036 6?2_193t� <br />ZiP Pione <br />ZI[7 Fhn—.... <br />Project Address (if known) 30�� - l�J, /y���.�„ , �i �' ��� <br />Attach four (4) copies of plans for�ro� S�ed work - Draw lo scale and note the following as applicable: <br />• Prope�ty Lines <br />• Outline and dimensions ol all existing and � Centerline of street <br />proposed structures on the lot • Indicate North <br />� Existing and proposed utilities • Show any proposed grading changes <br />• Show measurements <br />IPERMITCONDITIONS <br />1. All calls (or inspection shali be made 24 hrs. in advance - phone 259•8810. <br />j 2. All work shall be peAormed in accordance w.th this permit and current City of Everett Design and Construction <br />, Standards and Specifications. <br />, 3. Call Location Underground Senice 48 hrs, before you dig, TOLL FRE# NUMBER 1-8 <br />00-424•5555. <br />� ��� ����.�� .�� �,. �:.�,� �����_:� ,�.:t, �s����J-,.: �- <br />"�'6G � G d��' G, 0 5�- � � <br />�,' S .�ii c-<a�� u. r.X <br />.��C���,�� <br />�f�r-,f�� <br />for <br />FINAL INSPECTION <br />Approved as Constructed <br />�PUBLIC WORKS DEPARTMENT <br />3200 Ceder Street <br />Evaret4 WA 98201 <br />Phone:259•8810 <br />L.�/. /1JG Sc ��.✓ (�-_GG.•_ '-' .�'_�_ . y �.i.. <br />c�'f".: �j` ,� <<r�. ; �i ''�.3 c�7 <br />G - <br />/� �3�-%� <br />Date <br />-/ -5 2_ <br />Date <br />Z <br />O <br />� ; <br />�I <br />O � <br />a� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harm• <br />less the City of Everett Irom any anA all claims for damages, costs, I <br />expenses, or causes of action that may arise because of installation <br />and maintenance o� the improvement or other right-ohway use hereto I <br />applied lor and further agrees to remove same upon notice trom the � <br />City and to replace public property dama�ed thereby. � <br />";�,�—.. ,�,\L �l-� � �:'���c� c <br />SignaWre of qpplicant � ' pa1e � <br />WORK AUTHORIZED BV THIS. P RMIT MUST BE STARTED WITHW � <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE '� <br />CANCELLED BY THE CITY UPON ANV STOPPAGE GF WORK ON THIS � <br />PROJECT OVER 90 DAYS DURATION, , <br />