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.� <br />� <br />TVPE OR PRINT ONLY <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPAflTMENT <br />3200 Ceda� Slrest <br />Everatt, WA98207 259-8870 <br />TO POSTING N01 g° 20°' <br />6/I1/98 <br />PuW� Wakn Permk N ��n8 <br />euqdmp permR • 59127 <br />PubNc Waw r•ee S � <br />STAN STRICRLAND 13413 106TH DR SE SNOHOMISH 96296 425-485-2111 <br />. II77.l1'ft741_efRvLE7f97rfRVCievvwYe�av�rna�r --- <br />- nna�aa�ap�cx�a]L�i <br />MalxnpAdtlress CMy LP PIKK�e <br />J:\,i,u 1 J.J:►.�,�,�r �) 1,1;�.�.� �,1'��1 q, ��.N , <br />Describe Proposed Work <br />PROJECT ADDRESS (d knovm) <br />Attad� four (4) coples of plans fa proposed work _ Draw to scale and note tM tollowMg H applksbb: <br />�Pioperty IJnea �putline and dimensions ol all ezistlng and pro�wsed etructures on the bt 'Exhtiny and proposed utpkies <br />'Centerline of street yndiwta Nonh �Show eny proposod qrading changes �Show memurerne�ts <br />. .----�-----" ....__..... <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours fn advance - phone 259-8810. <br />2. All wo�lc shall be perfortned In accordance with this pertnit and current City oi Everett Des'gn and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-6666, <br />'-T � �XIStIVIq 5% <br />J <br />DD viot ci r ZI.t. <br />W i5 O i� Cirt1 �ce GdriG. ;h Cxcellr..�-�-��J, <br />��� es�,,�Pt. �.,�r � �. �S <br />Cas; I� . A„� dGM � ye, to ex�t; <br />►^C,�y.,1�'C� or fC�ITG[� V _ �i'�t., <br />��S I►15�'kY. � <br />� (�O�'►f1Gfi� �-�p� <br />it w; l � tx�er�.{M-rr� <br />Q <br />h�.$1 �G\✓S �� wl �I � <br />47-'� ,B 11;31aM <br />s �S �tii C�i/c�ti�l� R��IL <br />EUILG 805,00 <br />r"LUM6 84.00 <br />�N�� � HECH 60.00 <br />�i�dG �Cu�✓ SFCHG 4.50 <br />� �•sr <br />u 4609 <br />WATEF 650.00 <br />N 31610 <br />SEk�EF 70.00 <br />UTILII" 1�9b.00 <br />TQTAL �969.50 <br />/ <br />AC�OIOWLEDGEMENTOFCqND��": =Sc4.:�� <br />the C n W Eva'elt hom,��1 �� � to I�ald antl aew IrmN�� <br />�h' anY and all clalrro for darnapss� cosb, eap�neb. a <br />��� a� m.r �y ar� �s� m�.wna,.�e � a <br />the improvert�snt aoMx ripht-d-waY uss hreto �q�lbd brand hNwapsN <br />to remow srne upon mtice hom Ihs CMy and M isplece P� PAP�Y <br />dam�ed me�w,,. <br />I - .. _ ._ ..._. �........ ua�e I <br />Approved as Construcled <br />ure of I1ppNcant � <br />WORK AUiHORIZED BY THIS PERMIT MUST BE STARTED WIT}{IN 180 DAYS OF DA PERMR IS ISSUED ANp 7F1EpFjlFhp IS TO BE DILpENTLY PURSU� 7p <br />COMPI.E�ION. 7HIS PERMIT MAY BE CANCELLED BY THE CRY UPON ANV STOppAC,E OF WORK ON TIMg pqO,1E�7 pyEq gp p�yg q�� <br />