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TYPE OR PRINT ONLY <br />Owner <br />Describe Proposed Work <br />Application For <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-8810 <br />PROJECT ADDRESS (if known) <br />�<l�C ke I' <br />Ciry <br />City <br />D�te � —� � — / <br />Public Works Permit u__ p� Z l T' <br />Building Permit p _ <br />Public WorkS Fee $ _ =.�L—. <br />Phone <br />Attach }our (4) copies of plans lor proposed work - Diaw to scale and note ihe following if applicable: <br />•Property Lines 'Outline and dimensions of all existing and proposed structures on the lot •Ezisting antl proposed utilities <br />•Center��ne of sireet •Intlicate North •Show any proposed gratli�g chanqes •Show measuremenis <br />DO NOT WRIT �W THIS LINE �—' <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be pertormed in accordance with this permit and curren[ City oi Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />4. Lso2 C ;�, <br />��)�7F/ C�drn1 <br />_�F D�.�oC- AS S!locv�.l <br />Li�k �cN[;�nlF•_P/��' <br />L� <br />� <br />� <br />O <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLV PURSUED TO <br />COMPlET10N. THIS PERMIT MAY BE CANCELLED BY THE CIN I�PON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />