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„._. .�..,��., . <br /> >� C H <br /> � ry <br /> ;d t=i <br /> ay <br /> a � x <br /> c ra <br /> > H C/� <br /> y � � � � — <br /> tt O Date 9-24-91 n� - � - a„o��wo�ksa�,�mu. �__: ,"/ , <br /> O x O i"� '-�D L .� c _ � - _ . sion o�oi.. 91/27776� .---_ I <br /> � '~ � Aoplication For <br /> VJ F� <br /> � o � PUBLIC WORI:S PERMIT �u�Toa+IFneF^� 5_ I <br /> o � d TO P05TlNG�;'�/� , �Bs,APo�FeoP„� s�_ <br /> :v � d .^.— aa����oo�o s �o— <br /> r :� o Prir,t or Type Only — I <br /> n� o COz �zz- Yo-OoO�!/- :S-;i <br /> H C. <br /> zyH3 <br /> t" yz <br /> Fy y James W. Sc:iuler 15707 Admiralty [•ta�� #2 Lynnwood 98037 546-6304 <br /> t7 U� Owner tdailing Fddress Cih, Zip Phone <br /> J <br /> C�] t7 V� � <br /> •�,�� t., "�omer <br /> � � Applicant idailing Address Ciry Zip Phone � <br /> z �-; cn <br /> tio �n <br /> D�:�cr.ri6eProposedWork nAw ronefrnction d l _ <br /> - W � <br /> ,.. my�_..� 20/O A B — .3G t�' S7`.' � � <br /> �'���i�ct Address(il knowN - - � ' <br /> l��t�ch�our(4�copies ot placs lor proposed work� Draw to scale and note the lollowing as applicable: � �� <br /> 6 Properry Lines • Cenlerline of street pA <br /> e Oulline and dimensions of all existing antl • Indicate Norih �d � <br /> proposed structures on the lot • Show any p�oposed 9reding changes . <br /> e Existina and proposed utilities • Show measurements �A � <br /> � �atl�”' ��-� DO NOT WRRE BELOW THIS LINE 6�� � <br /> �� �' PERMIT CONDITIONS I <br /> � ' 1.All calls br inspection shall be made 24 hrs.in advance-phone 259•8810. , <br /> �. �� 2.All work shall be pertormed in accordance with this permit and current Cily ol Evereit Design and Construction � i <br /> p Standards and Sp?cifications I, <br /> `°>�s' 3.Call Location Underground Service 48 hrs.before you dic�.TOLL FflEB PIUMBER 1•S00•424•5555. �q ; <br /> i� <br /> ._ � � C�'X�s��i��j' CJ�i^iuc<<.r�� C'tJi�.�J ' <�r_ -r �^i� �Cfi� S/::!/ �Z- � �I <br /> i � I'. ::,.a�� /'vi in�a'c� L�� /'a�J�r °-�•c,� l_.�i��; /��CC i�.-�./� fur�J. <br /> a �.� �L'�r �//L�'c'412� C'i� �G ��' .�7_' �(;'G�� (jC' i.,S �-�L.�.. �!_78•' <br /> �'� C�i�� .i/�:n�i^� �i_�[i f � <br /> t! <br /> �- <br /> � =1+' iit'..: <br /> � � <br /> I , � �� - ACKNOWLEDGEMENT OF CONDITIONS <br /> I �.� l p� <br /> � � �V ihe i�ndersigned owner/applicant hereby a9rees lo hold and save h:in:r <br /> \ , less the City ot Everett Irom any and all claims lor damaqes cosi�. <br /> expenses, or causes ol aclion that may arise bi cause uf �mi�L+.t� ��� <br /> � ����� /�,. j J / and maiNenance of Ihe improvement or other nnht-ob� i i i�,��i. � <br /> � applied for and lurlher a�rees to remove samr u� ��• <br /> Approved tor C no str�C �on � ����e City and to replace public property dama9ed ther��Dy <br /> i <br /> �� � � �%-.'<� / %f.— . 1��,��"/ ' 7�Z- r A' , / � <br /> FINAL INSPECTION Date ,�,4�':��v.=�� (, � �%/..../-�.� __- _ ._ <br /> Approved as Consir�cted S49�nature o!Apnlicant ��,��" <br /> �A���� PUBLICWORKSDEPARTMENT WORK AUTHORIZED 6Y 7HIS PERMIT MUST BE STARTED WIIF i': <br /> 3200CedarStreet 180 DAYS OF DATE PERMIT IS ISSUED AND TH-REAFTER IS li <br /> Everett,WA98201 BE DILIGENTLY PURSU_D TO COPtPLF.TIUN. TIiIS Pf rii 11i MM' '� <br /> CANCELLED BY THE CITV UFON ANY`'��� � i �. � �`�-' � � <br /> Phone:259�8810 PROJECT OVER 90 OAYS DURATION. <br /> . . _ _ ._ _ _ � _: <br /> _ -.� _ .�._ _ .___._ ,.-__ . _ . _. __ . . .—_. _ ._ - . .i.' __'v <br />