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Date 11/14/94 `�l���'I�(a NOV 0 5 1991 ��/_�3Sj ' <br /> ll ai�in�r.v:o�.:n�,mn. ci <br /> Noplir.aticn For -�.... r,�n�� n�•c� � 46202 � . <br /> PUBLIC WORKS PERMIT � ���;�;��ePF��. S -- <br /> .� �ess<oo� Fee aa,� 5_�_ <br /> Print or Type Only er�.,���o,�.: 5_� � <br /> _ : OU2-3Z�fo/is� / ---- <br /> Loren Dorrah PO Box 5036 Lynnwood 9$036. 778-0555 <br /> Ownei �A'a�.m�,4.J��aS � �c,n�, <br /> 7_iR Phone <br /> . � i :�i �.t - � <br /> Curt Johnson 337-4733 I ` � <br /> Applicant C'..�In-�c: AA�Ir:;s — __—_._._ P: Z�n �__ Phon�—�-- _.-_ <br /> oescr�be Pionos�d wo�k ___ New 4—Plex Basic 291 <br /> Pr01ec�Adtlress lil known! �/��f.'7tS2y_f f�—__/ i E�'f'_�`__.�p._,_ _ __ __ __ _. � <br /> A��aCh lOuf 14)COP�es of plans�oi ProP�sod wu�.. - Drav.� Io -�-.i'�. �...i ni:��•me 'cnc;ainq as anphcalne. � <br /> • Properly Lines • G��ofoiline nt 5tre�l � <br /> • Outhne and dimensions o1 all esishnq�nd • L••i:�c�l.. Norih <br /> propoaed slrucWres on Ihe lot • Fhnw any rroposetl�ua�!�•in rn;�n,u-y <br /> • ExiSiin] and proposeA u�ihiies � 5��,�„ ��,` `3'���N��'����' � <br /> DO NOT WFITE 6LLObl� 1HIS I.INE <br /> � PERMIT WNDITIONS O <br /> � 1.All Calls lor inspectiun shall be matle 24 hrs.in advance-phone 259•$$10. <br /> 1 2.All work shall be pedormed in accordance with this permit and current City ol Everett Design and Construction � <br /> Standards and Specifications. <br /> 3.Call Location Underground Service 4B hrs.before you dig.TOLL FREE NUMBFR�-800-424•$555. � <br /> r. l L�n�,f fc� L�'c o%ne �C���� s��� �l<., a��.-�ve�,/ O <br /> Bf/ ,�f,6L,-� �i.(�ir�S o�� /2—/ -`�S� �:��py affac�Seo(� <br /> r s,��s�� ��o,;� .riF« � �t�- �;fy st��„��: ,_�,�5 � <br /> � �% GoZ �- ln � � <br /> O <br /> a <br /> ACKWOIYLEDGE":1FNi OF CONDITIONS <br /> _ 1he�unders�qnetl owneNapplicani hcie�y agrees to hold and sa�e hanm <br /> --� less Ihe G�y o� 'evere�� Irom any and ail claims lor d,�ma�es. cosis <br /> � � � eKpenses o� causes ot action that may ans^ because u� insiauahon <br /> � �y /���� � and mamtenance of �he improvement or oiher nghbobway usr h��ietn <br /> � aCn����: �or and luriher agrees to remove same upon nohce bnm Ihn <br /> ApGroved for Construction � ��+��' j C!y ar.d tn u•pL�co puU6c nronerty damageA thereby. <br /> ?-3(-5'.7" � � <br /> F� L SPECTI01d ! Dale I � (4/l�� Il—I� �y�_ <br /> 4pp�o .d as Can<iructed I iqn we o1 AnPlican! Datc <br /> � PUBLICWORKSDEPARTMENT I �"�� �K AUiHORIZFD BY TFI15 PERMIT MUST BE STARTED WITHIN <br /> ��� 3200CedarSireet � �H DAYS OF DA7E PERMIT IS tSSUED AND THEREAFTER IS TO <br /> �'� ' �E DILIGENTLY FURSUED TO COM1IPL[TION. THIS PERMIT t,1AV 8G <br /> , Everett,WA 98201 I� <br /> Phone�259-8810 � CAH��ELLED BY THE CITY UPON ANV°TOPPAG[OF WORK ON THIS <br /> '. Pq�)J[CT OVER 90 D4YS �URATICIN <br />