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1 ' ,. �• AppicationFw , � <br /> � PUBUC WORKS PERMIT ' °"° 1 � -/$ -�A <br /> Pusuc woRics oePam,iExr a�m�wu�r�n« 37 <br /> 3200 Ceder Shee1 <br /> EvereU.WA 88201 259-8810 '-'. Buildinp PermN 11 <br /> p0 <br /> TYPE OR PRINT ONLY _ Public Watcs Fae S � '� <br /> ���^ii��a 1 �omas ��M/rN aSb�I LU�fuiore, �pttl Ci1_.[�/G{l�o/S3v ( yas a5�-�90 <br /> p�� Mailfng Addr+ss Clty . ZiP P�° <br /> � G� CLL"�w�4 . .. <br /> Applicant MailingAddress '. GN . � Ph0�8 <br /> Describe Proposed Work .�c1Yi51�lu�� v��L� f' ° W <br /> y2 �.,c���s h�sl,_ � <br /> J � <br /> � <br /> PROJECT ADDRESS(if known) 5�4 ��{ m 0�4- �� � <br /> Attach tour(4)copies oi plans fw proposed wak-Drew to scale end note the following H applicabk: � <br /> �property LJnes `Outline and dimensions of all existing and proposed shuctures on Me bt 'Ecisiing and proposed utiltties <br /> `Centerline ot street •Indicate North 5how any qoposed grading changes 'Show measurer^8^ts � <br /> p0 NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspectfon shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be perfortned in accordance with this pertnit and curre�t City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3.Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6666• H <br /> T, T,.PihCP /.f f0 6e /'Y�ri,-�ovC�o� GZ7� O�✓Oi¢hC e,�Pe.�,cr � <br /> ir� 7fSe c�� G�I/Pn c�ed,r Z`o uSP ��,r FY^e�r�� O <br /> .�, LC�I� 7�e UhvG�rJc�'b�inp �OC47� �hlrh 'f�o Y■ <br /> es��6�,6ti Loc4l.o., oF w4�,�r rnoin 6¢Fore <br /> C�o/n�r o�s+�3 L�ork „ <br /> _�� <br /> � � .`� <br /> ncKrww�oc;�Ewr oF coriomoris <br /> 0 <br /> rna„oa,raq�ea owr�i�Wkane naeoy agreea eo nde a�a se�re nrmesn <br /> cr�r a e�n no�,��,y era an��a ror d��,�,ewa�,or <br /> ����r�a�me��,ey�o�.�m i�sienna��a��M:�w <br /> ,�pp or 5rrya n,ex�arove�n�+«wn«rqmo�•wayuxnere�o.ppNsdror,oenenb.•ra... <br /> to remove seme upon rwtiee han the CMy end to replace pudk FropertY <br /> �` ' i0— �� - 99 °�^°s°°t�,. <br /> FINAL INSPECTION Date ^�\ ^ �� <br /> Approved as Constructed �' X/p� /n►�� .. <br /> Slgnetuie of MP�e�t 4Clr/� DNe <br /> WORK AUTHOR2ED BY hilS PERMR MUST BE STAHTED WITM�N 1B0 DAYS OF DA1E PERMR�S����TM���T���'Y�� <br /> COMPLF.710N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF MfORK ON THIS PROJE�T OVER 90 DAYS DURATION• <br /> � <br />