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oa�e �'-,�. �S' -�t0 TO POSTING ��o,.�wo,..o.,m, ��L��7 <br /> Applicalion For '� -I�^-�j e�aa oam• � <br /> PUBLIC WORKS PERMIT °°°.o;�..`N s <br /> Mu�po�iee Pna S <br /> fl+unce�ue f 7�� <br /> Print or Type Only <br /> K Y �'.{'f'1!V`rl '» � �x-j_t1�J l.t 1 )�r�I�YY�I �� ��_"Z�� <br /> �— MaiNngAaaress Ca Zin Pnone <br /> � �1 <br /> APVliwnt MoilingAOG�ess CitY Zip P�one <br /> DeScr�be PmOosetl Work �[��-� X�` �'�1�`T 1 <br /> W <br /> PIOjQCiACAlCSBIdkOOWl1) 105�5 — 32G A�fF' � � <br /> Atlac�lour�41 copies ol plans br proposed work�Draw lo scale an0 note t�e lollowing as ano��ca�le�. � <br /> •Pmoerry Llnes •CenterLne ol streel /A <br /> •Outl�ine ane tlimensions oi un e.istmB ana •Indi[aie Nori� V� <br /> O�000se0 stmctures on Ue lot •Show anv��oposetl gratling clianges <br /> •E�i5t1nB an0 pwposed utililies •SEow measuremeNs Y <br /> W <br /> DG NOT WRITE BELOW 1HIS LINE O <br /> P'RMIT CONDITIONS <br /> 1.All calls lor inspection snail be matle 24 hrs.in ativance-phone 2F 9•8810. � <br /> 2.All work shall be pedormed In accordanca with Ihis permit and cv rent C�iry ol Everett Design and Consiruction <br /> SlendarEs anE SOecilications. <br /> 3.Cell Localion UnEergrounG Service 4P�rs.belore you d�g.T04L FPEE NUMBEfl 1•800•424•5555. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> / ACMNOWLEDGEMENT OF CONDITIONS <br /> - f/y T�e�naersigne�owner/applicaNherebyaB�ees�onolaandsavenarm� <br /> Y less ihe City ol Eveie�� Imm any antl all claims br �amages. rosls. <br /> H�JIfQ evpen5e5 O�cau5e5 O� aClion IM1d� Tdy d�i4e �eCeUSC O� installation <br /> ��•�yV��� �— �Q^�Q anE maintenance oi me�mmo.ement or olner ngni�obway use nerem <br /> aonlied lor ana Iurinei agiees to�emove same upon notice Imm��e <br /> Appmv /lor;,onsiruclion / Date ��q�andlo�epacepWLcproperrydamrBeEt�ere�y. <br /> �( eG��^/�L�� �� f�� <br /> FI AL ` GiION_-5l��ILGE ! ' ��e '-] j A� �/a�a...�, �������) <br /> AppmveDasConslmcte0 �7��'�'��� Si9nal�LolAppl'cant� � , a�e <br /> POBLIC WORNS OEPARTMENi �dORN AUTHORIZEO BY TMIS PERMIT MUST BE STARTED WITHIN <br /> eveien t80 DAY$ OF DATE PEFMIT IS ISSUED AND THEREAFiEN IS i0 <br /> � 3200CetlerSveet BE DILIGENTLV PURSUED TO COMPLETION.iHIS PF.RMIT MAY BE <br /> Everett.Wp 88201 CaNCELLED BY THE GITV UPON ANV STOPFAGE OF WORK OI:TMIS <br /> Pnone�z59�8610 PROJEGT OVER 90 DAYS DORATION. <br />