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��� _ _ -.__ -��- . ����-" <br /> / <br /> PueM1c Waka Permil <br /> Dale�Sn92 e�eJ uco� • "�SR57 _ .. <br /> Applic:�tian Por __ <br /> PUBLIC WORKS PF-�-�i���'��,� °"°"""°"„`° S <br /> � ) Q� lou�Feo <br /> /��_ �= <br /> lesf ApPi�Fee Peia S <br /> 7 <br /> o.�; �o�� 5 <br /> Prinl or Type Only <br /> [�1 [r:1� — <br /> H <br /> Be.m Construc[ion 3514 Broadwa Everett WAZIP98201 258ho e31 <br /> '� �H Owner Aiailiny Address Ciry <br /> t" yN _ <br /> H� H OwneT C�tY 2ip Phone � \ <br /> Applicant Mailin9 AAdress <br /> fG H 'OC !,� <br /> � N � �\/I E\\ — <br /> VJ H Descri6e ProPosed Work n w SFR 1 0� b S� � <br /> � O� <br /> H C7 <br /> �� g - L�� <br /> "" " Z41Cv �/tE��/G�Cs'T' A�/�= �.�.+ <br /> ~ Pio�ect Address(if knowN <br /> zyy �� <br /> C H y f.ttach lour(4)copies oi p'ans lor proposed work� Draw�o scale anA note the tNlowing as applicahle' � <br /> N s Properry Lines • CenteAine of sVeel <br /> H • Outline and dimensions of all ex��sling and • Indiczie North <br /> n d y proposed struCWre,on t�e lot • .^,hOw any Proposed 9�atlinu changes <br /> �� r • [zisting end proposeA utildiCs O Show mr.asuremeNs M <br /> � n. W <br /> y O � DO NOT WRI7E BELOW THiS LINE O <br /> �.��i �j PERMIT CONDITIONS <br /> f�■ �' 1.All calls lor inspection shall be mado 24 hrs.in advance-phone 259•8810. ^ <br /> ` 2.All work 5hall be pedormed in acccrdance witn this permil ontl current Cily ot Eveiett Design and Constr�.i.lien i/ <br /> Standards and Specifica�icns. � <br /> 1 3.Gall Location Underground Service 4B hrs,betore you dig.70LL FREE NUMBER 1•800•424•5555. <br /> I �� :t _ inst.all T�n�,k cr�nstrur.t.inn eni�.rirn-r- h�-hinr3 rlriv�,w�v :�s r.<-'r ;� ii�.'�� � <br /> �e� st,�rn9rv�rl �:^Od and erosinn r�nl;rol a:: rlirr-rt.eri I��v Pnblic W�:,}.s <br /> inspect.or. <br /> . Keap citY sl�.rr�etF rlean at al l. t•i.mas � <br /> �� �'urb gutter and si.dewalk in thP Flat are new �nd undnma�Nd. <br /> j �� -�nv damaea thereto shall be repl.ar_ed at the riisr_retion of th� � <br /> rublir Works Tnsver.t�r. <br /> hnv .^han�e in the drrvewaY �ut must be approved hv the Pnbl 'r' A <br /> '�.�, W�rks Insp.. rtnr. r � <br /> \�f <br /> ��,� ... 3:iu: t . � h �r'� :- t , rrr��l. it. �=n�# �f ron rruct.io-�. � <br /> . !�rt . . . . :�.h-� I � i��. � n-�1 �., , i rir,�, ri . ��r�. �r -L•d :�in . <br /> �� r!-�,�-m. <br /> �� � ACKNOVJLEDG6f'P`.iOFCONDITION` <br /> � ��.' �� TheUndCfSiq��CdownCUapPLC.inthe'ebyagrmcs�Oholdandsnveha�m� <br /> ' lesr� Ihe Cdy oi Everefl frcn any and all cla;ms lor damnges. cos�s <br /> �� <br /> �_- ^ �� C� e � �ses, or causes ol atbon Ihal may arise because ol inslallalion <br /> �e. ,� J� 'Q—4� a, . iinlenance of the improvement or other riqht-U�way use here�o <br /> � w,,�__ � � � lor and Wrlhcr ai�r�es �e remove same upon natice Irom ihi� <br /> AnProveA lor Construc�wn Date .]Io replace public properiy damaged ihereb•;. <br /> ✓����� �� a _�ts- >3 �.� �c, ��� 5- 11- 97� <br /> .::.t; _ <br /> RNAL INSPECTION ���� � Dalc <br /> qpproved as Consiructed Siy7nalure of App cant <br /> [ya�� WORK AUTHORIZED �Y T�IIS PERMI7 MUST 19E STARTGD lV1iHIN <br /> Lt�� PUBLICWORKSDEPARTMENT lII0 DAVS OF DATE PERM1IIT IS ISSUED AP:U THEREAFTER IS TO <br /> ��, 3200Ce0arSlreel BE DILIGCNTLY PLIASUEU TO COMPLET�ON. THIS PERMIT M11r1Y BL <br /> � Evmetl.WA58201 �ANC[LLED P1'1HE CITY UPON ANY STC�°PAGE OF WORK ON �bfl5 <br /> Phane�,259-BB70 I PGUJ[CT OV@R`.10 DAYS DLIHATION <br />