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� � ..r� <br /> � �� <br /> ,�„��,�Fa y 3o yG <br /> `PU�LIC WOR�(S PERMIT De'° Gv -- <br /> PUBLIC WORKS I�PARTMENT publk Waka PetmR 11 �` �g� <br /> 3200 Cedat.�tiaM <br /> Everatt,WA 98201i:= 259-8810 Building PertnM N <br /> � <br /> o n <br /> TYPE OR PRINT ONLY 'q � ci Pub�ic MNrkg Fee S z0 Oo <br /> ' `� n BK <br /> Dana iensen 4610 c_ilvert#p L�� Fverett 98203 303-8066 <br /> pwner MaflingAddress r �. i City Zip Phone <br /> arra <br /> e( f� W 4) <br /> c� d 1' R <br /> �g e nk'� U <br /> Appikant Mailing Address -'�' City Zip Phone <br /> Describe Proposed Work ee i t o va uee ermit to clear blackberries � <br /> an v area d en[ to t e 11 th � <br /> � <br /> boundary of his property and construct a �eIICE � <br /> and reviewed with Mr. Craig Fullerton. <br /> PROJECT ADDRESS(if known) � <br /> Atteeh four(4)copies of plans for pioposed work-Draw to scale and nate the following if applicable: O <br /> Rroperty Linas 'Outline and dimensions of all exlsting and proposed structures on the bt 'Ezisting and proposed uliltties <br /> �Centerline of street •Indicate North 'Show any proposed grading changes 5how measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calis for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 4d hrs. before you dig. TOLL FREE NUMBER 1-800-424-6666. � <br /> � /Z�'�ce �i de Cons^�i•..ct�d �t yl7inirl'ivM a1�' Sf� � <br /> Ti^om GkiSti.y Lr�f r Moin �S2f c> �Rc%� C/f4r fJ O <br /> .s T�;S ;s Q ���,t � . a <br /> !�- � �'.,c.,,y Qhd 6rvshi�f <br /> on f/e Sovt/� /.t�L� p�' flie tli�a�oe�eo/ /P,y�_v�'-c.c/ay <br /> O��L� <br /> f0. �4�� 7��" (/MQe/,oI'�vU�d �OL4� 7�Or Gt.127�v' <br /> �n4�%� 6rr�� �xy���,�9 won� ��900_gZ¢ - Sss� <br /> �,� ACKNOWLED(iEMENT OF CONDITIONS <br /> The underslpned ownx/applicant heraby eprees to Mld and eave hartnlesa <br /> `5� the City of Everatt trom any end all clalms Por damapes,co�ta,ezpensee,a <br /> qpp } on Dat �uses ol actlon that may atlae because ot installatbn and maintenence of <br /> the improvement or other right-ot-way use herete aFplied for anA furlMr apiees <br /> to remove same upon notice Irom Me Ctty and to replece public property <br /> _ _ �/�� � damaged theraby. <br /> fINAL 1��3PECT101J De�e <br /> Appmved as Constructed � G <br /> �—��' 77 <br /> S ure plkant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN i BO DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DILI6ENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELIED BY 7HE CITY UPON ANY STOPPAGE OF WORK ON 1HIS PRWECT OVER 90 DAYS WMT10N. <br />