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r��a�� ..,...r.,mn. . _ -- '_—_ <br /> Datr, >>_��-90 ���, n,:;.� . 90j25989— - —— <br /> qpplical�on For _ — <br /> PuM¢Wons fee <br /> PUBLIC WORKS PERMIT ���r1FeP g <br /> ��,=aoo�«o�a,a s_ <br /> ��r�T�,o���� s <br /> ��n-,� Print or Type Only <br /> [�7 [ys1 <br /> �7 y <br /> 929 N. 130th #8 Seattle 98133 362-5025 <br /> � y y William Schzoeder Z,P phone <br /> C, Mail�ng Address Ciry <br /> Owner <br /> y N <br /> �'3 � Alnine CUstom IIuildinas - �i�Y Z;p Pnone <br /> r� p'�',q � qpplicant Mailing AJdress <br /> U]H <br /> �Q� �escrihe PropoSed Worh �nStluCt IIC'.w Gt001 dIa 0 — <br /> HC <br /> OH <br /> ��g W <br /> xy� r <br /> ��-7 y y Proiect Address lif knownl --��-3-�5���• — �� <br /> }5 M p��a�h�pin�q�copies ol Plans lor Pwposea wo;k- Draw to scale antl�ote Ihe followin9 as apphcahiu'. � <br /> �y y • CPn1Crline ot 51r(+c� <br /> �� • Prope�ly Lmes <br /> • Ind�catc North <br /> []L'� • Outline and dimensions o�all ezisting and � Show any proposed grndiny d�anyes <br /> �N proposed stmctures on Ihe lot /M <br /> y • ExiSiing and proposetl u�dM1ies <br /> • Show measurements � <br /> DO NOT WRITE BELOW THIS LWE O <br /> � PERMIT CONDITIONS � <br /> 1.All calls lor inspection shall be matle 24 h�s.in advance-phone 259•8810. <br /> 1 2.All work shall be perlormed in accordance with�his permit and cu�rent City o�Everett Design and Construction <br /> � �� . Slandardsand5pecifiwtions. � <br /> 3.Cail Location Undergmund Senice 48 hrs.belore you dig.TOLL FflEE NUMBER 1•800•424'555 . <br /> � a^ O <br /> / � U ti�y ,,(�,��,�r.��j,�' �,,t.c,i,� <br /> , <br /> + �� �CL/L C.(J / �{� (l J��"�'��1 � <br /> ���/-/�1 '°v (� <br /> u� O <br /> a <br /> �1-i <br /> ACKNOWLf:JGE1�tENT O�GONDITICNS <br /> L��y � The undersiyned owner/ap,��icanl horeby agrees to hold antl sa:e ha�m <br /> 7T Iess the Gty �I Eeeretl f'om any and all claims lor dama9es cos�'.. <br /> exDei�ses. or wuses ol cation ihat may arise Uecause of �ns;allahon <br /> � and m:'n�enance ol Ihe impwvement or other ughPol�waY ��s" ���=�eto <br /> applieA lor and fwiher acrees to remove same upon nohce bom the <br /> AnProved lor Construclion <br /> Date City and to replace public property damaged Orereby. <br /> FINAL INSPEGTION �`'�e ����� <br /> Signalme ol Appliw�� <br /> qpproved as Conslructed WORK AUTHORIZED B" fH15 PERId1T MUST �E STAR7ED WI7NIN <br /> ��.��.�i,�� PUBLICWORKSDEPARTMB!�T 180 DAYS OF DATE PI:R6U7 IS ISSUED AND TH[REAFiER IS TO <br /> 3200 Ceea�Sireet I 9E DIIIGCNTLY PURFU`.D 70 COMPLETION. T�NIS PEHMIT IdAY �[ <br /> EveretC WA9B201 GANC[LLED BV 7HE CIIY UPON ANY STOPPAG[OF WORK ON THIS <br /> POonc'.259�8610 PqOJECT OVEH 30 DNY3 UUf�ATIOIJ <br />