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o�������, <br /> .� <br /> f� <br /> , <br /> � <br /> : <br /> t, <br /> r< <br /> f^ <br /> '� <br /> , c I � <br /> �7ate 5�c�' � �.,�, .::.�.,..,. � <br /> C� /:l'� ' '7 <br /> GICIG 1)ePl . .�L ._N5 ti.�..L-.K./. <br /> Applicalion hor � �- �-� - <br /> PU�LIC WOh`�C� �PIERMIT' �°���v,��:�°°� ------ � <br /> r��,:.��• S--- ; <br /> «.�s a„�,� F,:,.�:,,,, s---- •� <br /> Prini or Type Only — ` � 5= __ - -- { <br /> Y <br /> ;, <br /> �,} r, <br /> �VI L �r Li lr�(f S � � r i <br /> Owner 44nding AUdress Ci�y 7_ip Phone <br /> } <br /> )�l /` �- /� 1� � iL� c�l l � �a -8aa 3 !�' <br /> U n �j.� l C t4.`1 ( R �Q� .��1/' L'Q .S�—�tt� i A/�vtr S .. <br /> Applica� Madmg Address City 2ip Phone <br /> i . <br /> �I�-I �P� PXi�X � s <br /> Descnbe Proposed Work �l1r�/�(Y _ i <br /> i <br /> i � <br /> i. <br /> — � <br /> — ' � � ��� <br /> y' /f -� �{— i' <br /> Proi�ct Address pl knoc✓n) � � � �� _LL_.iJ��-'! � I { �� <br /> I <br /> Apcch lour(41 copies ot plan;for proposed work� Draw�o scale aod note Ihe follo�.ving as applicable: � � �� <br /> O Property Lines � Centerlir.e ol sireet �A f,� <br /> o OuUine and dimensions ol all existing and • Indicate North V� �� <br /> p�oposed slructures onihelot • Show any proposed grading �han�=_s � <br /> o Ezis;ing and proGosed utilities • Show m �surements � �I, <br /> DO NOT Wi31TE BELOW THIS UNE �j <br /> PERMITCONDITIONS � ''-�� <br /> 1.AP calls fcr inspection shall be made 24 hrs.in advance-phone 259•8810. �i <br /> 2.A�!wurk shall be pertormed in accordance with ihis permit and current City of Everett Design and Co�structicn � I � <br /> S;andards zr,d t:pecifications. <br /> 3.Call Location Ur.dergro�nd Service 48 hrs.before you di�.TOL.L FREE NUMBER 1-8Q0•424•5.?55. � ,,,, <br /> � <br /> � ;� <br /> / / - " �. I <br /> l� c % ���'�T'�i �� �`�� ' i:l, � <br /> /_ � � <br /> / ' '� � <br /> '%�-! ' ����� � <br /> „�� � �, <br /> �� ' � � � � <br /> � . <br /> � <br /> � <br /> r <br /> ACKNOWLEDGEM�NT OF GONDffIC '� . �_ <br /> 'he uedc.sicined oivnr.Uapplicant hareby agrees tu'�;.Ic.i�-•d snve harnr <br /> ---- i iess ihe City ol Eve�.:tt ;cnm �ny and all clairns c..r tla�nages, costs. <br /> expenses, or causes ol action that may an:e beCause of inslallation <br /> and mai�itenance of tte '.mprovemen! or other ri�Lt-ol-way use hereto <br /> —_ .— anplL�d 'c� ��rd �urthr.r arrces to remove same unon notice Irom ihe <br /> Approved lor Conslruction ����� C�h� ���.�' tc «�place pubhc i��operty damaged �hereby. <br /> FINAL INSPECTION Date __— <br /> '� <br /> Appwved as COns�ruC�ed Sinnalure ol P.pPhconl Dafe � <br /> everet( PUBLICWOFKSDEPARTMENT WORI< AUTHORILED BY �(HIS P�RMIT MUST BE STARTED WITHIN <br /> 18C DAYS OF DATE PEFlMIT IS ISSUED AND Th�REAFTER IS TO � <br /> � 3200Cedar5lreet �E DILIGEiJTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br /> Everefl,WA 99201 C4NCELLED BY THE CITY UPON F.NY STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 90 DAYS DUFATION. <br />