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�; �;� � <br /> ,, � ..,,..��,m. . ------ <br /> �� �,. _5_'1" eiaao�a�.s�J�4_—_ <br /> „VP'.�c.dian I oi � _ <br /> Pu011c\YO�Af�oo S <br /> PUBUC WORKS P�RM�T T°'°"PP <br /> Lrxs<po�Feo Pa�o S-�- <br /> Prinl or Type Onl <br /> TO POSTIrlG .�_��s y3 A��,��,.��.,. s2��= - <br /> 3514 Broadwa Everett WA 98201 258-4331 _ _ <br /> Beam Construction ���Y Z;p Pnone <br /> Owner <br /> Mailin9 Address <br /> C�1M� � <br /> Owner ------ piiy Z�P Phone �\ <br /> Maihng Atldress ! <br /> � CU H ppplitant � <br /> � y � ScA�l1 t=\�/ <br /> t..r A <br /> y �H Descrihe Pmposed Work <br /> FC C7 — <br /> � H �1 � <br /> H '�I <br /> y� L <br /> yZ r <br /> VI��lGfZ.EST A`� <br /> � H l7 Piolrct Address�i�known) 7`E'32' �� <br /> � ��j A�lach lour(4)copies of plans for Pwposed worh� Draw lo scale and note.�Ce^�'p��ine of�pQe��able: I_ <br /> V • <br /> 4]� O • Pronerly Lines • Indicale Nor�h <br /> � • Outline and tlimensic�s of all ezisling and � S��p����y��oUosed g�ading changes <br /> za y proposed simclures on Vie lot � Show measuremen:s � <br /> L� H y • Eai5hn9 and U�opoSed utili�ies' � <br /> C7 N DO NOT WRITE BELOW THIS LINE � <br /> O H <br /> C�C7 fn <br /> �� r PERMiT CONDITIONS . � <br /> � 1.All calls tor inspection snall be made 2n his.�n advance-o��one 259'881�. <br /> y � � 2.All work shall be pedormed in acccrdance with�his permit and current Ci�y oi Everet�Design and Consimclion � <br /> � Slandards and Specilicatwns. <br /> 3.Call Localion Untlerground Servico 40 hrs.belore you dig TOLL FREE NUMBER 1•BOO•424 SSS • r ` <br /> i ��� .! _ �nstall. rock ,,nnst.rur.t.inn �nt.r�nrr, 'i,��h�n-� -lrivew+ � ��s r• � � <br /> s,tandard q20N �+nd c ro:;i r,n -n!-.r�,I �i:� 1� r�c t.�-�9 hv 1. iil,l �r� �7 r ,-..� <br /> • 1nsPPrt�r. � <br /> I �_ ., . I:eep cit.Y streets r,lean -'�t �� � timea <br /> � i,_ i'vrb gutter and sidNwalk in the plat. are new and undamr�r'� �3. � <br /> � :�nv dama�e theretn Fhall Ue replar_ed at the discrPtion ���1' '��ir-� <br /> P�ablic W�rk� Inspector- O <br /> �� <br /> . Anv r_hanee in the dri.vewaY cut. must be approved hy the Fi�P' ii�' <br /> ; = ' �4orks Inspector- � <br /> � . Adiu-t, water hoxes tu Rr�de at en�j �,t' -��n::t.ru•�r.i.r,n . <br /> .� . I'riv�.-.w;i�.s :;h'il1 hr �.nmPl�=t� l•, r.�:-..�.�; ��,.�-'nra r1��in.. �,i: ;�h��m. � <br /> � s <br /> '�'� ��CKNG`•VLEDGHtd[NT OF CONUITIONS <br /> ���: The undcrs� ned owner�appliwnl hereby agrees lo h,�ld.nd s:r��'�������" <br /> ' 3\ _ — I�ss the Gty ol Everett Irom any and all claims br domages, cesis. <br /> _'�' eKpen;es. o� causes d aclion Ihat may anse because o� ,��sta'I�lio�� <br /> 2 � and mointenance of Ihe improvement or olher righl�oFway �se herelo <br /> � —•. . n __V�/�G ✓Q� , �,J� ���9� apPlied lor and Icrlher agree5 Io remove 5ame upo� noLce trom ihr <br /> ��'•`��� d Dale City and lo replace public p�oper�y dama9ed there6y <br /> � npn�ovedforConsiruclion . <br /> r� � - �' � 7 �'z— <br /> � j��;� ,t . xl -93 i' ,�J�n�s. ��� .� <br /> JY.-� Date Dx:�� <br /> �� FINALWSPEGfION SignaWreo�AP 1lcant v,�_N,�, <br /> qppmved as Censiruc�ud yyORK AUTHORIZED BY THIS PERM�T MUST HE SiARTEO <br /> �� PUBLICWOFnSCEPARTMENT 1�0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS i0 <br /> 3200 Ced+rStreet BE DIUGENTLY PURSUED TO COM1IPL[710N.THIS PGR,NIT M,OY dE <br /> Everetl,WA9d201 C�NCELL[D RY 1 iE CITY UPON�Nv STOPPAGE O��`;�1�K ON T�iIS <br /> PI•.anc253��1010 � PROJEGTOVEF9� DAYSDUf;A110N <br />