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� � " '7- ��/�L> l o ,c�.s�,,, � ,.�,,,:...�:�,.,�.,��/��'-;` y <br /> � �yy 'd D81C v � �(� tano noni .��'�'/� � <br /> i0 x7 S AnPhc�tion Foi ,���� �J q __—--_ . <br /> � y N PUBLlC WORKS PERMIT � / °°""�"'���"° S <br /> � � : <br /> y M �wsPnn�FeeVm�15 — <br /> O C O 1_�ianr�0uc 5 'Z"� — � <br /> 'O y H Prinl or Type Only . <br /> � z �c <br /> x � �e �l� ,��5�18�y ����I �� r�tf���( q�oia ` <br /> � N Maum9 aderess ci�v `J z�P r�,one , <br /> R Ownrr <br /> �t. <br /> �MH �l�'l- �(� <br /> M <br /> ~ y Malhn.�Address GtV �' — Z�P Phone � <br /> � N H APPlicanl / <br /> C tn � j _ � <br /> � ro r J� �- ( fi��-1 Lo_��— /���� <br /> Hn7 ttl Describe Proposed Wo�k _�LJ <br /> O fyil _____— <br /> — r,, � �I� <br /> Praject Address lil knowN ""��� _ Z~� �� S� — � ' <br /> Attach lour(A)copies o�Plans lo�P�oposetl work- Draw b scale and note Ihe following as applicabl�� � <br /> �I <br /> • Proper�y Linea • Cenlerline o�sireet I <br /> • Outline and dlmensions ol all existing antl o Indicate No�ih <br /> prop�5ed sirudures on ihe lot 11 Show Bny proposetl�7rntlinq chingps <br /> • Existin9 and P�oposed ufih�iCs • Sto�v:neasurements /� <br /> W <br /> DO N07 WRITE BELCVJ 1�H15 LINE O <br /> � �� � PERMITCONOITIOIJS <br /> � �o�I 1.All calls lor inspection shall be made 24 hrs.in advance-phone 259•8810 ^ <br /> 2.All vrork shall be Uedormed in accordance wiih this permi�and curm,nl Cuy c�ccerett Design and Construction r <br /> � Slandards and Specilicalions. � I <br /> I 3.Call Location Under9round Service 48 hrs.6efore you dip TOLL FRFE NUMBER 1•800•424-5555. <br /> �� <br /> ' `�1 O � <br /> 4.NN" CHANGE IN THE DRIVEWAY CUT MUST BE APPROJF.D <br /> B. THG PUBLIC WORKS INSPECTOR. � j <br /> 5.CGNNECT DOWNSPOUTS TU PUBL7C DRAINAGE BYS'CEM. <br /> � �'^' 6.KEF.P CITY STREETS CLEAN AT ALL TIMBS. <br /> 7.ANY UAMAGE TO THE CURB AND SIDEWALK WILL� BE RF.PAIRED � <br /> TO THE SATISFACTION OF 'PHH PULiL.IC WORKS DEPT. O <br /> �� � a <br /> ' 1 , LCKNOWLEDGEMENT OF CONDITIONS <br /> ' ,..� lL, —__ The w�dersqned owner;applicant hereby a9rees lo hold and save harnr <br /> � ' t�' .��_ ies. 1he Gty ol Everetl Irom any nntl all claims lor dama9es, cosis. <br /> �xpenses, or '�uses o� aclion Ihal may arise because ot installaGon <br /> l �,� n �I c;.�_ �_�{ _ ��� antl mmnlenance of Ihe improvement or olher righl-o4way use hercto <br /> \ �X �pplied lor and �wthe� agrees �o remoce same unon notice trom �hi� <br /> Approvetl lor Consir�fron / ���e GI/and to replace pu6hc property damagetl IhereLy. I <br /> / �/� �� � �'"r�� <br /> _� '�/� �1-=l" / -.-— �� � �'z���� <br /> GINAL INSPECTION �`��� �— '� ���� <br /> �,pproved as Conslrucled Siqnahue ol APpliwnl <br /> WORK AUTHORIZ[D 8Y THIS PERM1iIT MUST �E STARTED WITHIN , <br /> Oi�.p�i�� PUBLICWORKSDEPAFiidENT 180 OAYS OF DATF PERMIT IS ISSUED AND THEREAFTER IS TO . <br /> 3200CedarStrcet BE DILIGENTLY PURSUEU TO COMPLETION.THIS PERAIIT t.1AV FiC I, <br /> Evcre�t,WA 98201 CANCELL[D BY TI1E CITV UPON ANY STOPPAGF OF WORN ON THIS <br /> Plwna 253�8610 PROJLC7 OVER 90 DAV;;DI)RATIpN- <br /> i <br />