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Date- .4-27-95 � l.� �� �„�,�.�w�..,P�,m,�. �� <br /> '� omq o�m . 48197 <br /> AUP�ir.ation Fo� [, -- <br /> PUBLIC WORKS PERhAIT P��^,o;rFePf�e S --- <br /> U [VV� l�l Less 4pol Fne Pa:�t S <br /> Prinl or Type Only T� PaSTING N°"' 3 y- � �y � � � o �', �,�,,;e,�� 5 �� <br /> � <br /> n] -� fJ G O .t O O O ��• • : <br /> .. p .. m ., .wry,i in c� � �� <br /> � t k9. �9 .p N �O 1. <br /> fl M M- Y1 � P': <br /> Rick Linton 907 Ash Court Snohomishr,WA .`98290 356-70� � ry� ^ <br /> --v—ia---r_-- <br /> �1Vl1('i A�l�:�n�. .AtldlPSS - � (1�.��� (: � ry'ri1P�y' lJ + PhOftC <br /> f: � O 1�1 U Lt (_j �. � 1�i7 n 41 U) l�il <br /> �. �� � i o.i . i �r. �. . o �T n i,.� -- i i <br /> OWi12i y� :�c j� n. y. in rn n a .-3 st �n Tn L> <br /> Apphcant M:,ih���;;Atldress --�--�� �iiv ZiP —_- Phone i <br /> Describe ProposPG Work _neW hOLL80______ ____ <br /> Pro�ect Address Id knn�+�nl J.O`�_�V_I��� ��/�'](j{�_ __ � <br /> �_. .-__-_ __ � <br /> Attach low 1°i)eoP��'s ot Plans fm uropo;c.l wor. - Drae. I;, _;.�-...i;•..i i��Ir Ihe!oltow�nq as inUhr.ah�o <br /> � <br /> • Pi�p�±rlY L�neS • C��nte;lm�af siree� � <br /> • Ouiline and Aunensions o�a��c.is:r+q;�nd • Indicat•� Nnrih <br /> proPosBtl S�rueture5 On Iho lul • Fnc�v any r..:�posed�ratlmy chnnqi�� <br /> • Exi5tin3 and prOposed ulihliP.S � S��n;: mr,a5u�emrnts � <br /> —� <br /> DO NOT WRITE B[LUbl' iHIS LINE <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shall be matle 24 hrs.in advance•phone 259-881�. � i <br /> 2.All woik shall be pedormed in accordance with thic permit and currenl Ci�y ol Everetl Design and Construc�ion <br /> Standards and Specifications. <br /> 3,Call Location Underyround Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-800-424-5555. � ; <br /> 1. h�sie�il nuw sidewuik on ilie iuloliN Avenue Iwntaye arrcJ ieniove ancl ieNiace existiny <br /> broken oi damagod sidewalk on 341h Street frontage wifh new concrote cemenf O � <br /> sidewaik us per cily ol Everett slandard plan N306. Driveways shall be per sfandard � <br /> pian N307. <br /> 2. Connecf ciownspouis ►o fhe sidesewei. � <br /> � I � r � � s ►� e� � ► ►� s� ll� �9 N <br /> V�P i...� ,A- .�, o�ei h P w � ��— p�,� O <br /> o� a <br /> �w��t r�� /'O u P_w.p�-Q — /�rI � pl��Pi �,��m iI� '/'�/ <br /> ACKNOlY1EDGEA1FNi OFC��N�'�` <br /> ih��„��rf.���iqnpd owneVapni�cani heieby agrees to hold and save harm- <br /> --- - . . _.__-1 Irss ;h�= Gitti nl Fver?II Irp�n any antl all claims lor Aama9es. costs. <br /> .���_� �i � P�pl'nFeS. Or �auses of aChon Ihdt moy lns� bec0use of inStalld�i0n <br /> -��ji��/y //-�- and �naintenance o! thp imnrovement or her nph4obway use hereto <br /> � �- � ,i^.�din,; Ipr ;�nr' �urth�.r a�r Cs to rP,mo Samc upon notice Irom Ihe <br /> Ap roved t r onstruc ion � �'-��I•� • C.!y and ep c Uubhc ner y da Ayed I ereUy. <br /> I l����� <br /> � S3/ � <br /> � — -=17�0?- � - <br /> "d I Si9n twe ol Applican! ��e .� <br /> � PUBLICWORKSDEPARTMENT I 1'�nFK �1UiHORIZED BY THIS PERMIi MUST BE STARTED WIl'HIN ,� <br /> '�� 3200CedarStreet tA0 DAYS Of DATE PERMIT IS ISSUED AND THEREAFTER IS TO . <br /> Everett,W49B201 BE �ILIGENTLY PURSUED TO COMPLETION iHIS PERMIT MAY BE <br /> Phone:259�8810 CANCELLED BV THE CITY UPON ANY STOPPAG[OF WOFK ON THIS �� <br /> PROJEGT OVER 90 DAYS DURATION. � <br /> i <br /> � <br />