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�— .r, <br /> PUBLIC WORKS PERMIT °�'°-�� p / <br /> PUBLJC WORKS DEPARTMENT public Nbrks Pemdt R S ZD � <br /> 3200 Cedar Streal <br /> Everatt,WA 98207 25&8810 ���� <br /> TYPE OR PRINT ONLY �����S � — <br /> � � l36(0 47 ��C 41 MKk./!u w,{ q�'�7S [t�}�'1 '41-Gii � <br /> ow� r�im9 nea� cnr zm Pn«+e <br /> Appli�ant Mailirp ACdress City Zip F1ane <br /> oesc�ne Proposed Work � ry•osl� (��.�..� �••. � <br /> so..,c Lot �.ti,d; � <br /> _ — <br /> — — � <br /> PROJECT ADDRESS(if known) 313 a W A�E t�Pr✓Q z ,�./r.u�i�. t�.� . � <br /> Attach four(�)copies of plens for proposed work-Drew to scale and note the fdbwing M applicable: O <br /> �PropaAy Lines �Cutlina and dimensbna oi all existirp and qoposed sit�ctures on the bt �bclsting arM piopoaed utNNbs <br /> 'Centerlfne of svaet 9ndicate North 5how any proposed gradinp changea �S(ww measurert�ents � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls fa inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shail be perfortned in accordance with Mis pemiit and current City of everett Deafgn and <br /> Construction Standards and Specifications. <br /> 3.Call location Underground Service 48 hrs.before you dig. TOLL FAEE NUMBER 1-900-424-666a. � <br /> 4, ��„� QNy Q.�.�e� �o�,�� QS �,,;¢�d � <br /> � �j� Pl/�iLiG C✓.���fs' //7�OCC-�O/+ ., q7-^�-S6 4'18PN O <br /> � nCd� GlTr ��^Qt.�.s �4n t� 4�� CiOiii'i�.t , yC.GG � <br /> �GTr� �0.00 <br /> CA;3K �0.00 <br /> � Gi�7�?� <br /> ACfQ10WLE06EMENTOFC�`NDIi10NS � <br /> The u�derNpned ownerhPP���WY�to fwM md�h�miMu <br /> 1M Gly d EvrMt fidn ary and all cWnn tor Gm�pn.awb,e�pwrM.a <br /> or Co . n Date cauess W aclbn M�t mry rNa Wcan�d kqtMl�IMi�nd mrntenr�ce d <br /> the Nrq�o�enwri ordl�er ApMbf-way ues hsrslo+PpGO ka�d��tlNrap�r <br /> i _ to remove a�me upon notke han ths qty eM M repYc�P�P�P�Y <br /> �''� /�`-7`'�' °'mw.a"�n,�. <br /> FI INSPEG'lON D�te <br /> �10V!(18S(�.OI1SiNCiBd ��� <br /> spnen�s a� o.e. <br /> WOfiK AUTFpRIZcD BY THIS PERMIT MUST BE STNfIEU WIIFIIN 1E0 DAYS OF OATE PERYIIT 1.9�AND T}1EREAF7ER�9 TO BE DllOQ1TLV PUR9U�70 <br /> COMpLET10N.iHIS PERMR MAV BE CANCELLED BY THE GiY UPOII ANV STOPI�MIOE OF WONIC ON T}MS PROJECT OVB1 YO LXYS OURI1T10N. <br />