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, M � <br /> � <br /> ^ '� � !✓' li <br /> v��u��c\Ymis Permi x /� � <br /> Date�i—�—�� tainn oco� • _�L,��a�_S?� <br /> qpplicalir.n For I <br /> PU B LI C W O R KS R E R M I T `''"'"'"°,."" 5 -- --- � <br /> rauirrr , <br /> �es�anni ra�ca�u S J ��— <br /> �r� TO POSTING__1 -��-4� -�� = i <br /> mi,��.�o��� 5 <br /> a�3 Print or Type Only <br /> .ozx <br /> r�� ��,I,(I , /`/��' ������-� T��� n���i i ;�►��=.� ��� � <br /> �"� �3 1��`+���\ Ma�linV�tld�ess T�--J City 2iP Ph c <br /> y �"� �wnei <br /> � H� �` '` �3� -i�1 <br /> y N� Ann���.���,, Madmg Address Gty Zip Phone <br /> � z _—�c '� J <br /> -, Q� . ; - <br /> �y Descnbe Prop�sed Work _ ^ � <br /> � C�q O _ /) <br /> C,�Y �J <br /> r� � <br /> 7; H� <br /> rHy _ �iDGFl���'n ��� � I <br /> y Prolect Address lil knownl ��''� / � �� <br /> H <br /> C] Cy N — <br /> C Attach lour 141�'oP�e,ol pinns lor proposed work� Dra�v to sca�e and nole Ihe tollowing as apPliwble: � I <br /> � �s�� • Propeny Lines • Centerline ot street <br /> y y y • OutGne and dimensions o�all ex�shn9 and • Indicate North <br /> H O V� proposetl structures o�Ihe bt • Shnw any proposed 9radmg changes <br /> • Feisung and proposed utildies • Show measurements M � <br /> DO NOT WRIiF BEIOW THIS LINE O <br /> � <br /> PERMIT CONDITONS � I <br /> 1.All calls lor inspection shall be made 24 hrs.in advance-phone 259•8810. <br /> 2.All work shall be pedormed in accordance with this permit and current Ciry of Everett Design and Constmction . <br /> .,,, A Standards and Specilications. � '' <br /> � � 3.Call Loca�ior Underground Service 48 hrs.betore you tli�.TOLL FREE NUMBER 1•800•424-5555. <br /> � !�'�!«,.��-�= tUrr�- ,f /c c/7ic �c'..�1�-'/r. ,�1- ��c� )r`t-<<� �/:j -,S%� � <br /> t` / <br /> �' <br /> < �.,�.�� � <br /> �... � �(/�� t�,flr-:./�"� . <br /> / ,{ ,r �+ � �w <br /> te �. ' � S"!.1/ �i !, ��Icrt:pi7�.i�� �� . l ��'�-� _I <br /> `� •S /�'.,,C�_,.�- -fF T`r��<+�T� <br /> "'� 'B ' � , < <�: �/'' ��� ��.�,./.J' ,��c� . <br /> ���1: �r � L � <br /> ' �—� � �y - //[('�').:..-f' C.-,e✓" <<:lri-i• .Sx'2f�t�a�✓ �.Cl-! .l�,..:'�l�i F/� a <br /> � (O. ✓-�O'4 `L ' . 7� <br /> / � / � �y -I` fi1 ' .� ' G, <br /> /Jlf ..,��i[: ����.1� (i c i.a(.,l �! '7 �: r(�t P/�=<'.iy L`��(/�l,..CG��. <br /> / / <br /> ,� _ '� �/ <br /> ' ' ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersiyned owner/applicant heieUy agrees to hold and save hann- <br /> �' � less Ine City ol Everett Irom any and a�l claims for damages. cosls. <br /> ' � e*penses. or causes of action Ihal may arise because of installalion <br /> —y�//� '1 � Tnd miintenance ol ihe impravertent or other righ4ol-way use here�o <br /> '�,��+��'^-./.� �� � !9 _ apPhed for and lunher agrees to remove same upon not�ce Irom the <br /> , •- Appwved lor C9nslruclion Date �f�y and to replace pubhc property dama9ed thereby. <br /> �/ /C� <br /> r / <br /> i/�,/ /�-�> -�— � /��� � �C <br /> FWAL N PECTION2 �� Date Date <br /> ApprovedasCunsVuctetl S ❑.��we I plicant <br /> WORK A T RI2ED BY THIS PERMIT MUST BE STARTED WITNIN <br /> 0 i,���p�� PUBLIC WORKS DEPARTMENT 180 DAYS F DATE PGRMIT IS ISSUED AND iHEREAFTER IS TO <br /> 3200 Cedar Slreel BE DILIG[NTLY PURSUED TO COMPLETION. THIS PERMIT IdAY BE <br /> Cverelt.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phonc:259�8810 PROJECT OVER 90 DAVS DURATION. <br />