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<br /> , '` '� ����
<br /> ' 7/6/95 ' � � �
<br /> — �STING ��il���� �, a�,r��,�,o,.so�,4'88�6
<br /> Date r,�m, o��o� • —
<br /> qpp!ir.alicn Fo� _ --
<br /> r,d���r No,�s v�,a
<br /> PUBLIC WORKS PERMIT ,,,,.,����. 5
<br /> .,,a:� ��..�.,, s
<br /> � � �� s�.D�
<br /> Print or Type Only �
<br /> Tom KelLy 8729 Del Campo Everett 98208 _ 337-8474 _ ` , _
<br /> Ownei \ � . . �t,:�v��, i.;y '-.r �
<br /> dames Jessup 322-2121 ----- _--' ,'� -_—P,;—,-------- -
<br /> qpplican!
<br /> --p.^ ,�i, �:t�iAdress Giy
<br /> New house _ __—- ___-__- -
<br /> Describe Propos�d Yvork _'— - � ---- -'----"-'--'-
<br /> ___
<br /> —__..__ ___—'�—_ ��
<br /> .----- -- W
<br /> - -- - - _ .
<br /> --- -- ----
<br /> ---_ _ _ - I-
<br /> 2710 Viewcrest Ave SW ___-- —,
<br /> ----- - _.._.
<br /> _ — --
<br /> Proiect Address UI knownl --- --- - - - - � -"�"
<br /> ., n -�it��inc 1o�IG����ny as anPbr:'�:�.�.. �
<br /> Attach I 14)�oP�es ot plans toi p�nP��se,l v::r•. � �.•-^. '. '. • C��^b,rlinr, nf ^tr�,�•�
<br /> • Properry Lines • I��C�ctile Na�lh
<br /> • Outline ond dimens�ons of all ea:stn:q and � <„ .v anv ;:,;•;�oserl qrar;uin c nar.,�on
<br /> proPosed slrucWrec on ihc io� • Sh�,,� •:�r�,-i,u�er��•nl:'. �
<br /> • E*is�ing and P�oposed ulihties
<br /> DO NOT WRIIE 6LLObV iH15 LINE. O
<br /> PERMIT CONDITIONS �
<br /> 1.All calls for inspection shall be made 24 hrs.in advance-phone 259•8810.
<br /> 2.All work shall be performed in accordance with ihis permit and current City of Everett Design and Construclion
<br /> Standards and Specilica�ions. �
<br /> ' 3.Call Localion Underground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•800•424•555 .
<br /> �#, i �stici I � s� i If -{�,ce a�,d v-ltu�' �rasi� ca.r�l O
<br /> at cJP�Z �;�� 1;`'" l� �r d,l�cCed !a� �i�l�llz Cv'vrkr �'
<br /> d,`��{W,
<br /> 5� ,� ���'�,S luf ln�� !z /�-`��'�`��" `' ��`"� �
<br /> -j-h� .�Lc`'� �-yvu�kc O
<br /> mU�l lt4(.e Se-� �f��-c ��e J�-�Jl.� l"i�/h-��wuJ uvr �
<br /> /���G>'�Lj Gi«c� %)'a�v i''� �I� `t�U;'✓1 7 �T�o977' �0 7�' �
<br /> ��S-C�r,'�✓.na�t, v?�j c, (c� "�U� 5 ic�e 5�:..-'P.✓' - C�/l 3 32�'�
<br /> .�a/ Pri o�-' -,� CO✓7S�U L��`�� ACKNOWLEDGE�dENT OF CONDITIUNS
<br /> 1� ����.�mrf� i�� �netl nwnPNaPPhCant hPreUY a9ree5 to holA anq tia�r nn nr
<br /> , 9�,�� i;ity e� [ve�eU Irom any and ali claims foi �1am:�Rc` �-°si`
<br /> ,,A / � v.i,e�i5es or cau5e5 0� acUon Ihni m,�y aris= because of in<i:illatie��
<br /> ��/'//�i/ 7 �1 �n;! mam'�nanr.e n� thr improvement or olher n9hbot�way us ���'��'��
<br /> �l')/4/�. GV���-_ ,. ;,:.�,�„r! 1„r and ti,rlhr� a9rees �o removP. samn uPon notice �rom the
<br /> Approve f�on��s c�io�.� � — �i1° ,. �. ��','; ',r� �"���.�c,e inibl�c prooeity dama9eA Ihereby.
<br /> �f— � _ �— S�`6 � �_�Qr�
<br /> FINAL �NSPECTION ���0 � —" Datc
<br /> 'i 5�9natum ot APPhcan'
<br /> ApnrovedasConsVucted j \^:OP.K aUiHORIZF� BY THIS PERMIT MUST BE STARTED WITNIN
<br /> �A��e� PUBLICWORXSDEPARTMENT �NO DAYS OF DATE PERMIt IS ISSUED AND THEREAFTER IS TO
<br /> 3200CedarStreet BE DILIG[tJT�1' PURSU[D TO CO;dPL[TION. THIS PERMIT tdAY 8E
<br /> Everett.WA 98201 C4'JCELLtD R'r T11E CITY �."ON ANV �TOPPAGE OF WORK ON iHIS
<br /> Phonc 259-8810 � P��.IFGT OV[R 90 D.�'{5 DUHATION.
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