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Date-5-4 P�STIlVG 9�-CI, � �- ��z�� ��,���,��vo,�sF,.,m,�. '�1�/j� �' <br /> �;��:�� owi . ��k��.----� <br /> AnUlicabnn For � _____ <br /> PUBLIC WORKS�ERMlT `�.,`�,°,°°,�°`,° _ <br /> c4.�GI�Fn..pd9 S ��.� <br /> r S O O O If1 O O O O O �'^�.�r�,�.f`,:�� $.�[L._ <br /> Print or Type Oniy �i .�y'J� ([�� p�p � N N M ��.. oMpN 0 <br /> � V I N M M M N N M �O m <br /> .a M M I� M M <br /> Larry Finch 19009 33rd Ave W „�ii.yn�ood 98036 2}� 4 0 _ <br /> �v,,,.,,. ,�.,:�.� —x -- ��v�r— �nn„c <br /> oc�ne� � o� �" tTy5� � � w � i <br /> M T A C o n s t r u c t i o n P O B o x 1 8 6 �th ��li4�iO�� � ��T"�derson <br /> -- --- --- <br /> _ - - - - ----- - ----- <br /> Applre�nt--____._--_—.:.,d�.,-�.: .�ddr.s. . ,� ZiP Phon� <br /> DeSCrihe P�oP�soA LVoik __R8W tlOUSE — _ <br /> Lot 2 SP_1131-93 __________ _ _ - <br /> - -- ------- _.. <br /> — — - -- ------ ----- � <br /> _ _ —__ _ <br /> �'folec�Address�d kno�vn� llllZ lst Ave $E ..__ _'---"._ .___'_ _._—.—_ --__— � <br /> A��aeh tow 141 eooie5 ot plans lo� p:��PaSeJ �,;.r.. �'�:ir. •. .i � .e�.i n�L•pi��•o�le:•nnq as aoPlieatni� � <br /> � Prnperty LineS • Gani�,rlinn nl 5trpel <br /> • OUlhne a�1d AimCnSiOns d p�ll ex:�;�'�q ;1���1 • IrCiCaRr North <br /> proposed shuciures on ihe lo� • <��p�v any nrenosed�Irar��n�7 rhnn.i�.•n <br /> • Exisiing �nd ProPosed utiliiics • Shn-� im�asurcincnts M <br /> W <br /> DO NOTwR�7E 6C�UW ll1�5 �iNE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be made 24 hrs.in advance-phonc 259$510. � <br /> 2.All work shall be pedormed in accordance with this permit and cuneN City of Everet!Design:,nd Conslruction <br /> Standards and Specifications. <br /> 3.Call Location Undergreuntl Service 48 hrs.before you dig,TOLL FREE NUMBER 1-800•424-5555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> /� :�GKN061'LC�GCLSFNT OF CONDITIONS <br /> ��7 ` � � . _ ''„ .�.q..i,�:�nrA owneir'aPPLcant hoirUY�9ree5 io hold an0 s;ace harrn� <br /> — - , n-,:. :P.�� i,�h� o� [veretl trom any anA all c:aims lor dam:i9��s. r.osls <br /> c �'.,�n � - pr cause of action �hal m,iy �nse hecause of insl;+lla�ion <br /> c��.� lf:�`� _� ������(_!- . ,i f �n��t�nanr,e nl �nn unProvement or olher nc3ht-of�waY use heielo <br /> � ;n�. �.� I i nnd h�Ih r �qrers t�, remove �ame upon nohce ��om ihe <br /> qppr ed lo�Construct�pn ��„�.. � � � � r i.,nl.ic i � il c Pran�r;� damageA thereUy. <br /> �� ��S.��y-- � ��Z�/� G��if�-rK.-�� <br /> FIP'AL INSPEC110N _�� C � �'�� Date <br /> �� $� n.�lum of AnPhca����� <br /> qpprovetl as Constructed � <br /> j l".'OF.P. r11iiHORIZEO NY THIS PERMIi MUST BE STARTED WITHIN <br /> ���__-' PUBLICWORKSDEPARTMENT � 190 D?YS OF DATE P[Rt.1R IS ISSU[i. AND THERC-AFT[R IS TO <br /> 5200CedarSlreet i 8E DIUG[NTLY FURSUED TO C061PLETION. THIS PERMIT MAY BE <br /> E.veretL WA 98201 r.q�dCELL�_) BY THE CITY UPON FNY STOPPAGE OF WOHK ON THIS <br /> Fhone:259�9810 FcclJ[GT OV[R 9] D:1V5 DURATION <br />