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, <br />�PUBLIC <br />� Q 9 � PUBI <br />TO P�,TING E°°^ <br />TYPE uR PRINT ONLY <br />Don Rider 12111 <br />Owne/ <br />Owner <br />Applicant <br />Describe Proposed Work <br />'1PV <br />PROJECT ADDRESS (if known) <br />/ lcC�, f <br />�RKS PERMIT <br />iRKS DEPAFTMENT <br />Cedar ffireet <br />98201 259-BB10 <br />� 863� <br />� � M � <br />Dr �E �ylYett <br />0 <br />� r u_�,_;c <br />8g g <br />� a ix <br />Ave <br />N 3a: q -s �: <br />p�, 3-21-97 _ <br />wa� won� a«�nn • ¢' <br />ewao-p a«mn M 54597 <br />��O <br />Publk Works Feo S <br />phone <br />Phone <br />Attach iour �4) copies of pians tor proposed work - Drew to scale end note the folbwing H applkaWe: <br />�Proparty Lines 'Outline and dlmensions ot ell existing end proposed structures on the bt •Ezlsting end proposiW utilitles <br />'Centerline of street •Indicate North 5how any proposed 9rading changes •Show measurements <br />PERMIT CONDITIONS: <br />1. All calis for inspection shall be made 24 hours in advance - phone 259-8910. <br />2. All work shall be performed in accordance w;th this pertnit and curtent City oi Everett Design and <br />Construction Standards and Speciflcations. <br />3. Call I_ocation Underground Service 48 hrs. before you diy. TOLL FREE NUMBER 1-800-424-6666. <br />�, Zi�STa- �i SlalGS��J.: �- � i- 6i�S� S� r I . �!( i� � '°!/ GG /� GOZ � �G � <br />f <br />5�;'�2�:. Sr7,�.ti:e S.z2e on �p�-,va�e �Dia�e,-¢Y 7�0 6� <br />�t /�; n�mum 0�' I�� D/G ' � G/�f/ w�LG /��fi�aLC <br />a / '� " <br />S���v�e e <br />G, �! �v�, � ra �u ti Si�ea.�a �,� S�x� �C /� y�eP L� c u c% <br />by fl,� aPp�,«.;-f as d, ir��� 6� �1w pabC; c <br />�.upr,Cs �i,s�?�c/o/-. <br />ACKNOWLEDG�MENT OF CONDITIONS <br />The undersigned owner/applicent hereby agrees tc troW end � 9ve hermkss <br />the Ciry o1 Everetl hom eny end ail clalme tor dameges, cosb, eapenses, a <br />cnuses of action that may a�ise because of installatbn and melntenence ot <br />the Improvement or other righFof-way u�e hereto applbd forand lurfher aprees <br />to remove same upon notice e and to replece pudk p�operty <br />demaged the�y. <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STAR'TED WITHIN 180 DA: S OF DATE PERMR IS ISSUED AND 7HEREAFTEF IS TO BE DILIGENILY PURSUED TO <br />COMPLEf10N. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PFiWECT OVER 80 DAYS DUMTION. <br />