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XPUBLIC W RKS PERMIT <br />DEPAIIITMMT <br />TO POSTING OCT 2 8 1991� <br />Bunt <br />-- Everen, w , zspp 10 <br />M N 1 7 <br />TYPE OR PRINT ONLY n <br />Describe Proposed Work Relocation of <br />will be located in 39th Street. I <br />PROJECT ADDRESS (if known) <br />city <br />sewer from alle <br />Dole APRIL 16, 1996 <br />Public Wort s Permit a 6 /sj <br />Buildkp Pat i 0 a <br />Pubk Vyoks Feet 198/ ,r/ <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following If applicable: <br />'Property Lines Routine and dimensions of all existing and proposed structures on the lot RExisti g and proposed utilities <br />•Centerline of street 9ndloate North •Show any proposed grading changes •Show messurenwa. <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 performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 14MO-424-SM <br />GUc3t+r< Zo sf ��F PecE' Pc Swt .9�,zxyvEo <br />dt/ ¢ems- 9G V 7AW 46 Edv T T 12+se.ie r. ta¢,rr 46,077 <br />(-2 q <br />Date <br />Approved as Constructed <br />W <br />I- <br />71" <br />z <br />O <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownertapplleant hereby aproea to hold and as" his <br />the Clry of Everett from any and all calms for damages, costs, expenses, or <br />causes of action that may arise because of Installation and maintenance of <br />the Irruprirverrtsnt or other right-of-way use hereto applied for red further agrees <br />to remove same upon notice from the City end to replace public property <br />damaged thereby. <br />I�Ir^"^ut'i� t - !!�/Is (S(e <br />Sip ature�Ap'Ikan, FF Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER go DAYS DURATION. <br />