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`• f r .�. <br />H 3�}�y- <br />i �; . . <br />� PUBLIC WORKS PERMIT <br />Pueuc woRKs oew�aTrnerir <br />3200 Cedar Streat <br />Everett, WA98201 258-8810 <br />TYPE OR PRINT ONLY <br />Don Rider 12111 33rd Dr SE Everett 98208 337-4870 <br />p�a Maflirp Address �nY <br />Owner <br />Applicant Mailinp Address �nY <br />Describe Proposed Work new four-plex <br />�e 3-21-97 <br />a�w�c wona a«�n R ¢' <br />9ulw�ng Permlt II 54597 <br />� � 0 �' <br />Publlc Wa�ks Fee S � <br />�2D8- �O�fL�' [Cc.- <br />�ide r 4- pcaac. . <br />� 7o�D �� ,�-�,:,� <br />A1'0 Sew�� ,Bo„/a/, <br />� , c,�d;+ �or o�� �,ed. s;�� <br />PROJECT ADDRESS (ii known) 320£� oc efeller Ave �jOvk Prt✓i od L`/ ah � O j-. <br />Attech four (4) copies of plans for proposed work - Draw t� acale and note 1M tolbwing H applkeW 1 <br />�proparty Lines 'Outline and dlmensione of all existinq end proposed etrueturea on the bt �—�'�— <br />'Centerline of stieet •Indleate North 5haw any proposed greding chanpes 5ho� OQp ' 9 9 S��4 S•,�kr y� 1 F <br />f rrz <br />� DO NOT WRITE BELOW THIS L-�_ <br />PERMIT CONDITIONS: N -------- <br />1. All calls for inspection shall be made 24 houre in advance - phoi � (�a}�r � y,�� �c ` � <br />2. All work shall be performed in accordance with this permit and � � �nS �a �(� <br />ConstructionStandardsandSpecifications. �y �f+y �!Spoo <br />3. Call Location Underground Service 48 hrs. before you dig. TOl _. <br />4 Znsn�-�C s�als��.;.:�- �,- 6rfy s�4,: <br />' , . <br />5�`�2�':.. SL�.,�"ce. Siz�e on p,-� va r�c � <br />a ��,: �,.y, �,,.. o�' ��' U.4 •� c; � y <br />a /"S��-r.::ee <br />�e, �QNy �ra�h S/�c[.✓aL,C S�M« � <br />, <br />by f�K aPpC.ca h- f c�s �, c,e c�eo� 6Y �lr< <br />��or�'S TnS�Zcfo/�-. <br />��f �,�„�jj��� �/9�97 <br />p�mved or onstru �i� Date <br />FINAL INSPEC710N Date <br />Approved as ConsWcted . <br />The undersigne <br />the City of Ever �/Q 1rV'� n �,L-��J � <br />wuses of actlo <br />the improvemer A/ <br />to remove sam � uh Ct lry S W i. Y� a.$ � <br />damagedthere � _� �� j <br />I " ` � Signature of /q <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISS <br />� JMPLEf10N. THIS PERMIT MAY BE CANCELLED 8Y THE CITY UPON ANY STOPPAGE OF WOflK 01 <br />� <br />i <br />I <br />