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i <br /> H � t+ �3iC 1����1 :.:�. v�,m�cN�onarr,m��. �j=�C: <br /> ¢� u 'a (� p(�(� ❑ion n�ni • 91/2b��� <br /> i0 A C .; NPP6cationFor T{1 5'1.�\TINC _IZ'If .�L � ____' _ <br /> � � � PUBLIC WORKS PERMIT �°'°�°"'°"„°° <br /> ,��„���a s <br /> f+ S � �assnomr��n.,�ns -�- <br /> H z � � � <br /> K H � �� ; �� c _ -.� �-r ❑.�ia���o�0 5_<C�_ _ _ <br /> Print or lyp� Onl j� `; `�' - : <br /> O C O . . • • <br /> b N �y' .� O. C 1 O] L� �:� <br /> V1 � .i K� b �� � M tlT r��� �-I `Q <br /> � �; <br /> a� �� P <br /> T Q �.�+ 'J O! t4 I.1 �in' I� L� CJ r�4 W <br /> '� Everett School �i�kri&� � d�3 �� � <br /> � ro � O�..nci � w � r� �,hsnu�ne�a r �s3 ri � m o r� ��CitY ZiP Phonc <br /> M O � K W 0 .+00 aHOL-� W <br /> c� �i o o : am � 3oc� oor <br /> H � o _� o wo .-. � oaaaoax <br /> Z y �y .+ a u_ a mscn � ., a a o r� n. a3c.i <br /> f9 � <br /> � tr y AnPhcant MailingAddress City =�r I=���,".' <br /> O N <br /> H <br /> O N <br /> i�y tCC !^ Drsc.��be ProPosed Wo�h nAd't' r�dol-o�IiDWell-Pilemenka�'y-Sehool . .__ ---_ . _.___-- _ <br /> 9C H u�i ____ ___ .--- <br /> H O tn <br /> --__ —_ � <br /> rroiccl�lddiessldknownl 5010 View Dr. . _ _._ ___.__..__ � <br /> A;Inrh lo.0���I ��opiCS ol plans for pmposed work-Oraw lo s�::ilr antl note ihe lollowing as applir,:3l:l,r �� <br /> e Pioperty Lines • Cenlerline o�streel � <br /> • Oulline and dimensions ol all r�x�s,inq and • inAir.ate NoiUi <br /> pioposetl sirur.lures on Ihc lot • Show any nro;'....�,rl ynid�n9 ch.�n�irs <br /> • Existing nnd p�opoSCtl ulilitics • Show mea5utonienis � <br /> DC NOT WRITE 8[LO�V THIS LR�E O <br /> �� PFR6M1IT CONDITIONS <br /> � �� t.�II calls for inspection shall be made 24 hrs.in advan:e-phone 259•881 O. � <br /> '��� 2.All work shall be ped0�med in accordance wilh ihia permit and curren�Ci�y of Everett Design and Con;iruction <br /> Standards and Specifications. <br /> � 3.Call Location Underground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•S00•424•5555. � <br /> I �� / L U i � (/�] <br /> � , atL� ��tt'r C.J.zN- �O Ll� d[mt. �04,� f?�1.,✓ a�iO�1�+u.ral� V' <br /> �y F'�-�:.2�,�t' /<-�_c'�.c: �v�nl�� �,,, .�-��- : � <br /> ���„�f, n������-� �,�, <br /> �'' � <br /> i" � <br /> �— �. <br /> ' i — <br /> r�� nckNo��,��Eo��_r.��N*or- coNoi nnN:; <br /> The unde�siqned owner/applicnnt hareUy n9recs�o hoid anU savc harnr <br /> . - ----- -------'—-"- le;; Ihe CdY �f Everell f�om anY inA all claims for tlama9es. costc. <br /> ' � exn��"��= or causes of action ihal may arise because ol installation <br /> II.i�� � / �^L Z_G� and mainlenance ol ihc iinprovement or other nghl-ol-way use hcrelo <br /> ` �Z � apphed for and Iuriher ayrces Io remove same upon notice irom �he <br /> ��i�P�oved lor Co .tr �on �'��e Cdy nnA m replace pubhc p�operty damaged Ihereby. <br /> � -��-, s� <br /> ���-<�� i��_dy.�� � ,/ <br /> FINALINSPECTION Date �- � � ' -��'"'� ry �� �L <br /> Approvr.d as Constructed Si nature ol Ap ican Date <br /> WORK AUTH RIZED BY THIS PERMIT MUST 8E STARTED 1VITHIN <br /> 0 rvcrett PUBLICWORKSOEPARTI.fENT 180 DAYS OP DATE PERMIT IS ISSUED AND THEREAFTER IS TO i <br /> 3200 Cedar Sireet 8E DIUGENTIY PURSUED TO COMPLETION. iH15 P[RMIT MAY BE <br /> Ecerei�,WA98201 CANCELLED 6Y THE GTY UPON ANV STOPPAGE OF WORK ON THiS <br /> Phonc 259�8810 pf{OJECT OVER 90 DAVS DURATION. <br />