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_.� i <br /> PuFir..1�� �s I..rm�t i _ <br /> Date�1.=H�D <br /> eaa oem •3f1/�5969 — <br /> Applicalion fo� <br /> PUBLIC WORKS PERMIT °�°'"`"°""�° — <br /> TOIT11'pP. `S- <br /> Less RPp�Fee PaE 5 <br /> e.,�a���o�� S <br /> Print or Type Only <br /> [�7 ty+7� <br /> O R1 x Carl A. Schenk 4307 Terrace Dr. Evemtt 98203 339-3691 <br /> yH] y Owner tdailiny Address City Z�p Phone <br /> i <br /> H �H Owner _ <br /> O C� O APPIiGant �.ilim,Address Cily ZiP Phonc <br /> �y H <br /> � ,_,� Describe Propased Work _S^nt r�rY nrw qaraye___ --- - <br /> H <br /> C <br /> H �g - W <br /> �• � - <br /> x �� 4307 Terrace Dr. � <br /> Y H Proiect Address lil hnown) — -- -- <br /> t� MH�y Avach lour 1�71�opies of plans tor pmposed work� Draw to sc.de:,nd nole Ihe lollowing as appllca6le: � <br /> N • Property Lines • CeNerhne ot street ♦^ <br /> n ab y • Outline and dimensions ol all exist�ng�nA • Indicate Noilh V� <br /> � [�q r proposed structures on Ihc lot • Show any proposeA c�ratlm{7�hanges <br /> � [*1 • Laisting and proposed utilities • Show measuremenis � <br /> N <br /> � <br /> � DO NOT WRITE BELOW T��IS IINE O <br /> PERMIT CONDITIONS <br /> 1.All calls for inspection shali be made 2�hrs.in advance�phone 259•8810. � <br /> 2.All work shall be pedormed in accordance with lhis permit antl c�rrent City ol Everett Design and Gonslmction <br /> 1 Standards and Specilications. <br /> �� 3.Cail Location Underground Service 49 hrs.belore you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> � _�,� 1I <br /> ,_� J/ � G 1�;.»z,/y�– �1•'1'»�.t,(� �i ' i <br /> I ` G�._,E'�[6/� // � <br /> i��U'/� /�l qG.,t..t�d' / ,� �/ ♦^ <br /> � �y.! 4�?�"t'�°z - . <br /> I �1- //-�s-9n �ir,,,�l�«C r�+-�jr�c.�i�, � O <br /> ' � a <br /> ,_�_� � <br /> a y, � , <br /> � , <br /> �\, � q , 1���/ <br /> T��i, � (� dsaveharm� <br /> �'�1 — less `,J `� � iec�es. custs. <br /> - CrPt � d inslallation <br /> . anA Y ��:e ncrcto <br /> . . aPPI :iCe Irnm Ihe <br /> AppwvedforConslruction Date CitY . . . ., , . .._ ..._.__, <br /> FINAL INSPECTION Datc — - —� -- <br /> ApProved as Constructed Si9natwe of niiPi�cant �a��' <br /> WONK �UTHOf71Z[D BY iHIS P[RMIT MUST �E STARTED 149TH�N <br /> everert PUBLICWOPKS�EPARTMEN7 180 DAYS OP D�TE PERMIT IS ISSUEU AN� THEREPFTER IS 7i� <br /> � 3200Cedar5treel BE DILIGENTLY PURSULD TO COMPLETION.TH!S PERMIT MAY B[ <br /> Ev�rett,1YA 98201 CANCELLED BY THG CI1V UPON ANV STOPPAG[OP tVORK ON 7HIS <br /> Phonc'.259�8810 pROJLCT OVER 90 D.iVS DUf7AilON. <br />