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/� <br />� <br />TYPE OR PRINT ONLY <br />Ovner <br />PUBLIC WORKS PERMIT <br />PUBIIC WORKS OEPARIMENT <br />r�oo c.a.. su.� <br />Eveiett, WA 98201 259-8810 <br />�� 6�OSTING DEC 10 188� <br />�����ioov"io�� <br />r- <br />Describe Proposed Work <br />Homee PO Pox 969 <br />Mailkq Address <br />nderee° � _ <br />o•ta� <br />houee - Basic 1249 <br />PROJECT ADDRESS (if knowr,l 4315 5 3rd Ave <br />�� � <br />[- .% <br />oate "' S-5-98 <br />P,,,� w,,,�b,,,�. 98,�119 <br />w <br />su;�drqaerr�• 58721 _ <br />; a a <br />a �b <br />rnone <br />Atlach four (4) copies of plans fa proposed work - Draw to scele and n.rte tha tdbwin0 il epPlMable: <br />'Property Unes 'Outlim and dhnensiona ot all exlrihp end pra(waed stnrotu�es ai tha lot 'Fxisling and poposed utlNtia <br />'Centertine of street 'IMbete NoM 'Show erry propo�sd padMq dunpes 5how measurements <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed fn accordance with this pemik and cument City of Everett Design end <br />Construction Standards and Specifications. <br />3. Call Loca:ion Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-4246666. <br />�. y 1de se�,�cf �s P�r s-�d P Iz� ��o I f 6oz. . <br />�• <br />� <br />�/�1 � 5�1r�98 <br />Ap oved tor onstruc' Date �- <br />� - /0...?7.'f.� <br />FINAL INSPE T10N Date <br />Approved as Constructed , <br />ACIQJOYA[DGEME1a f OF CONDRIONS <br />The un�ersqned owneNwu��ant neiony ap�ess ro �wa r,d save h�less <br />tha CHy W Everett fiom any end ell clalms for dartiepes, costs, ezpsnsw, a <br />cauaes d ectbn Mat may arise becauea of hntallatbn and mdnlanence d <br />tha Impovxnent aother rfpM-of-wey ues Mrto applied for end fur'.hwapises <br />to rertave same upon rwHce han the CNy and to repl�ca qd�ic piopwty <br />demaped tAereby. <br />WORK AUTHORIZED dY THIS PERMIT MUST BE STARTED WI7HIN 180 DAYS OF DAIE PERMR IS ISSUED AND THEREAFTER IS TO BE DlllfiENi1.V PURSUED TO <br />CAMPLETION. hIIS PEHM(( MAY BE CANCELLED BY THE CRY UPON ANY STOPPMOE OF WOFlK ON THIS PR0.IECT OVER 90 DAYS DURATION. <br />