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,. � �,.�,�,vo,.,Pem,. <br /> y�,_ �, .— <br /> Date��Zo�90 - TO POSTING_��_�_- � �� ��,�oeo, . 9��z �5�-9=___. - <br /> v qpplica�ian For _._ <br /> G -- <br /> �.IC WORKS PERMIT PuL4cWo�ksfpc 5 <br /> PU B '"°'`°° <br /> � lrxs Ap01 Feu Panl 5 .2O�� <br /> C <br /> r g $ 4u c�—� tgi $ o `8' `b' a F'i u.,i.,���o�� 5 <br /> Print or Ty(,� OnN LL <br /> L) O� NON .Y O O O U Ol� <br /> � � � �O H W � � M � � d <br /> L�] CiI� r�, �` p m � � p � � � - <br /> rn � E 98201 252-6141 <br /> >H hfichael ticGintv� � 1793�k3 n . Z;p Phon� <br /> A '.b`.t'. _—q�_`c�r— HGi tF� `�+'.1 0 `r i o r� f`�' Cily <br /> � y N Owner \ o o rF� w .� in �r'� • �- o � t� � i = — <br /> `,C p sr'�i a Xr,_ a� c� � � a �i .`". aou <br /> Fi y 3 pw�1�Y Z�p Phone <br /> K7"A qpplieant Maihng Q��dress Gty <br /> H�� <br /> y�p N� te fam;lv residence <br /> y H Describe Proposed Woik _ <br /> � �� — W <br /> � �g _. — � <br /> �" n 35th 6 Short sts. 3515 - 5t+ce.T �-r� �-ttiT <br /> � H � Proicct Address 1�1 knownl <br /> � <br /> t� � y Allach low(4)�oPies o�Plans lor p�oposed work�Draw�o scale antl note Ine lollowing as aPPhcablr � <br /> • property Lmes • Centerline o�stree� <br /> Cy y • Intlicate Noith <br /> O H • Ouihne and dimensiors o�all Cnistin9 and � Show any proposeA g�adin9 cF.anges <br /> O C7 y proposed structures on Ihe lot � <br /> ��� • Show nu�asuremenis <br /> • Eristing and propo5ed uiilihes <br /> y O � DO NOT IVRITE BELOW THIS LWE O <br /> PERMIT CONDITIONS �\ <br /> 1.All Calls tOr inspCclion 5hall he made 24 hrs.in advanCe-phone 259'8E110. <br /> � 2.All work shall be pedormed in accordance wilh Ihis permit nnd current City ol Everett Desi9n and Construction ♦ <br /> Stantlards and Specifications. � <br /> i 3.Call Location Untlergmund S^rvice 48 hrs.belore you tlig.TOLL FREE NUMBER 1•800•424•5555. <br /> ' �� / .�,� . _ � . O <br /> � / ; /'�i� , �n 2 ' .1s�nrJ <br /> � `(.TJ1.: l 2.(ec �<C';.. ( o[r ,/.ZL• rlj�'L��1.< r r x!•�,- <br /> � � /' �tl �. ��1.7�-- "l,�.0.�� 2(�rxil S��z� Cy-�:.�1`�. � <br /> y � <br /> I �� � <br /> O <br /> � 11 a <br /> �t�I �11 ACKNOIVLEDG[�t[NT OF CONDITIONS <br /> '� ��`� The undersi9nctl owncilapn�����nt hmeUy a9rees to hold and save ha�m' <br /> � less the Cdy of Everelt imm any and all clanns loi dainaqes coa�s. <br /> 1� eapenses, or r,auses of attion Ihat mny arlse because ol installation <br /> _// ` O �.� antl mmntenance of Ihe miprovemcn� or other ri9ht�of�way use herclo <br /> ��� �..._Jf�/; /�.J.��- O Gc.��l� applied lor and lurther agrees to remove same upon notme Imm ihe <br /> i I' �L <br /> - Approved lor Constr �fion Date �ity and Io replace public properry d,ma9eA thereby. <br /> / <br /> ,��� %�`�� — �l .�✓— /� /� -. / ." ��- �C� <br /> � Date '� � <br /> fINAL INSPECTION s;n,,,wre oi Ann�� *n_� Date <br /> Appwvetl as Conslructed <br /> WORK AUTHORI G BY THIS PERMIT MUST BE STARTED WITH <br /> 0 evcrett PUBLICWORKSDEPARTMEN7 100 DAVS OF DATE P[RMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarStreel BE DILIGENiLV PURSUED TO COAIPLETION, THIS PERMIT MAY BC <br /> Evere�l,WA98201 CANCELLED BY THE CIT1'UPON ANY STOPPAGE OF WORN ON THIS <br /> Phone�.75��6D10 PFJJEGT OVGR 90 DAVS DURr1TION. <br />