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� ¢ <br /> � ' ' �!�STING �' , o � <br /> �" 5-6-96 / <br /> � PUBLIC WORKS PERIlAIT °�" <br /> o�cs o�a,w�►�a+r a�ex w�n�.Pw„�« 4'G� � Sa <br /> c.a.r sa..� <br /> Everotf, A 98201 2saesto �p„�«__ 51650 <br /> TYPE OR PRINT ONLY � g S � g $ g 8 8 8 $ blk W«b Fee t ZD __ <br /> � � � � � � M � � � � <br /> Oatman A1 1815 19th �z �teo pA 9 � 778+000� _ <br /> �« Owner �p ~ � �� � � aS C� Pha» <br /> Applkant Malling �Y aP �1° <br /> Describe Proposed Wo�: :ew houne _ � <br /> _ � <br /> � <br /> � <br /> PROJECT ADDRESS(i known) 1622 Silver Lake Rd � <br /> Attech tour(4)copbe ot plens for proposed work-Drew to acab and nots the tolbwing M appNeabb: O <br /> Rroperty Unes �Outline and dimensions of all existiny and p�opoaed structurea on ths bt `bcisthq a�d PropoMd utNMiM <br /> �Centerline ot etreet 'Indicete North 'Show e�ry pmPosed 9reding cAenps� 'Show rtienu�rtbnb � <br /> DO NOT WRITE BELOW THIS LItrE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shell be mede 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed ir�accordence wRh this pertnit end current City oi Everett Deaiqn and <br /> Construction Stendards and Specifications. <br /> 3.Cell Locatbn Underground Service 46 hrs. before you dig. TOLL FREE NUMBER 7-800-424-6666. H <br /> � <br /> O <br /> a <br /> � ' � ACKNOWLED�EMENTOFCONDITIONS <br /> q r I� The undersipned owrnr/applM.ant hanby preen M hold and Nvs Iwmbp <br /> ���i..i V J �ne ciry or E�n n�am e�a.x a.w�,.ro�a.�,�.o..,�.n,•■a.nw,or <br /> roved for Construction pet ���a.aio�msi�y��o.�w..a x�.mi�nan md m.xn«�.oc.or <br /> APP the ImprOveit�enl a otMr rlpM-ot-wry uM Mnto ePPIMd 1a and�Mthw�pMs <br /> ^��/`// to�nove sams upon ratice hom ttr CMy and to npl�ce pANc p�apMY <br /> I�+f�C/7'^�� ZZ�lg dMna9efl thsrol�' <br /> FINAL INSPECTION �Date <br /> Approved as Constructed �� ��� <br /> 3�1 ne re pllcant Date <br /> WORK AUhIORIZEO BY THIS PERMIT MUST BE STARTED WIIHIN 180 DAYS OF DA1f_PERMR IS ISSUED ANO 7NEREAFIER IS TO BE dLKiBdRY PURSUED TO <br /> COMPLEf10N.hilS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPA(iE OF WOR1C ON 7FI�S PROJECT WEA YO DAYS DURATION. <br />