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H <br /> (� � I �/� ') � <br /> H � I `-l �- <br /> � � � . 1 .-��I`.. <br /> C M Dfl�G—�J.�.__ I .. � J��� "�/� ' <br /> y y �., i ���i . . � e.1 L � <br /> p. � � rop!icalicnFor _____—_._—___—. � <br /> K � PURL�C WORKS PERMIT "„°'�°,"°,.°"` <br /> y r�,n�..� s <br /> � M � ' LessAno�fnrva�.�l $ � <br /> y ., ��—z`I-1 �.,,r��,.��� s� <br /> ro � � Print o� T,�� o�,��� TO f'OSTING_ _---= - -- <br /> � . ,�__ ,. _ <br /> M <br /> xn <br /> � •"' � ; �- � _ ;rr� 'l �'y� " : li1i�..1)rf� �� ��� 1 �6i�� �;.: �� � �.-� /� / '` �` — <br /> � y � ��p�•.ni,� � MaihngAtldress CAY Lp Phone � <br /> � o � li � 'av/1i°t�� l���Y 5���" Ilc::�l.� !7'�I/,1'�l��`Lt`l�(�l� � � � �l,)���1•-��' <br /> � G � Appiicant htaihng Adtlress City Lp. � Phonc / � /( (; / <br /> �tl I ,�� [ <br /> O y �:.f. .�� <br /> N <br /> Descnbe Proposed Work <br /> �3dU .S _as�d�J (�t�dct� /)r ----- -- � <br /> Prolect Address Id knownl ��� ' � ��.,�"{ �t`.—J�' -- -- � <br /> Attach low 14)copios ol plans lor o�oposed wak � D�aw to<caic antl notr Ihe lollowing as apPLnbic �� <br /> � PrOpe��Y �ines • Cenlerlme ol street /^ <br /> • Ombne and dimensions ol all eustin9 and • Intliwte North V� <br /> n�oposetl SUuciure5 on�he lot • Show any 1>roposed[aradiny chanqrs <br /> � �nsllng nnd proposed utdd�es • Shaw mca5uremen�s M <br /> W <br /> / �' DO NOT WRI1E 8[LOW THIS LINE O <br /> I �� PERMITCONDITIONS <br /> � 1.All calls lor inspection shall be made 24 hrs.m ativance•phone 259•881 O. � <br /> 1 2.All work shall be pedormed in accordance with Ihis permit and[urrent City ot Everett Desi�n antl Construction <br /> �_ Standards and Specilicalions. <br /> � 1 3.Call Lowtion Undergrou�id Service 48 hrs.belere you tlig.TOLI FREE NUMBER 1•S00•424•5555. � <br /> � <br /> ' '-� /1�/ • / � l.:' .:i �".^ . �_!�_J.<'.}.•r' :%..r- 7r�. O I <br /> I / '/ CGC6^ ' . . - . . <br /> �� � 1 ' � � <br /> �✓�z c <br /> I/L*�/✓c.J`✓ ,':tr_,?�.' .l� 4r .: .t ,� i l;'i'< ' �/� <br /> S�cfz Ccc, S.�.LC; ,..� V♦ <br /> ��' � / O <br /> �_ a <br /> __ <br /> � ACKNOWLEDGLMENT OF CONDITIONS <br /> �1 ' ____ The undr.rsigned ownei/apphcant tiereby agrec5�o hold and save harm� <br /> ����,� less Ihe Cdy of Everetl irom any and all claims for damapes, r.osts <br /> _j�� fl��� � /� � � . expenses. or causes o� aclion Ihat n•^v arise because of installation <br /> �'� /� � .1��� antl maintenance of the unprovement o� other nghtrof-way use hereto <br /> � �.-��� �rY1CrC���� �'� ied lor and lurlher n9rees to remove same upon nalme Iwm the <br /> Appr A'ar Coil�strt���� . _ � 0��� CitV. �tl to replace p Ulic erty tlamaged thereby. <br /> !' / _� '� <br /> � / / �-� , �� � . �� �i <br /> �wc;.( �� .v 2 � � /� � � � o n <br /> FINAL INSPEGT�O Date � � � <br /> Approved as Construr.ted " Si9nL,] re ol AppliC �I �'��O <br /> PUBLICWORKSDEPARTMENT WnL'+K AUTHORIZE BV THI� LRA11T M11UST BE STAHiED V✓ITHIN <br /> evcirit 18��AVS OF DATE PERMIT.IS ISSUED AND TH[REAPTFR IS TO <br /> � 3200GtJarStreet g D,ILIGENTLY PURSU[D TO COMPIETION. THIS PERAIIT MA\' B[ <br /> Everetl,WA99201 CANCELLED BY TH[GTV UPON ANY STOPPAGE OF WORK ON TNIS <br /> Phone:259�B810 PROJECT OVER 90 DAf'S DURATION. <br />