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<br /> -- - -- ,i8�94 �� �0 POSTING E,�:,��,�:.�,�,P,_,,,, ����(�
<br /> Date � I -� � -qH � �,;,, , C44851
<br /> . Aoplir,atir.�or _ _ ___
<br /> � F UBLIC WQ�R�S PER1111iT `°°�""�„_`"�
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<br /> O LP55 AOI�I FRP Pde1 5 -
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<br /> Scharbach Construction 1502.� 3�h Avenue NW Stanwo�'r,6d �8291 � 652-i876 _ __
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<br /> �dayne Scharbach Same o ,------ph(, - ___ -_
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<br /> Applican! '. .. " ,.
<br /> New house -—
<br /> DesCribe ProP�Sed Work .__ -- - --._...—..----�--'--�—
<br /> __—_——_-___._____—_____'__ � m...ea
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<br /> Prolect Address(if knownl — - 128 _4_7 th_St SW____—__-- ----- ---
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<br />� Attach f0ur 14) coPies ot Plans foi Pronosc�l v,,,�K p��c. ;:� -,-.f�.. .��a:i n��:h�tn��follGwin9 as aPVhc�u�i� �
<br /> • Proaerty Lines • Genteiline ��f siree'
<br /> � I�dicab: rlartli
<br /> • Outline and dimensions of all e■�s'in9 on<1 � ,;��c�y �ny r.roDosed i�rfidin,�i rh.;nq��;
<br /> ?roposed slrucW res on the toi � ghn,v m��asureinents �
<br /> O Existir�g and proposed u�ilitie5
<br /> p0 NOT W�ITE 6GLON: TF1iS LINE �
<br /> PERIv11T CON�ITIONS �
<br /> 1.All calls for ins?ectiun shall be made 24 hrs.in advance-phone 259•8810.
<br /> 2.All work shall be perfomied in accordance with;his Fermit and curreni Gity of Everett Design and Co�struction
<br /> St�ndards and Speci!ications. �s�,�
<br /> 3.Call Location Urderground Service 48 hra Lefore you�i9.TOLL FkEE NUMBER 1-n00•424•5555. �'
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<br /> ACh:NOVdLEDGGPAE�vi OFCOND1710N5
<br /> �f y,� �.n.n„=r�nned ov:ner�Gphcant hereby agrees to hold and save harm-
<br /> �'��_____ --- - -- -- - �-- �._.ss ;I�,�� i,ity o� Everett 'rom any an[I 311 c�aims Wr damu9es. :osts.
<br /> c.>pen,:es. o� causes of action Ihat may anse hecause of Insiallation
<br /> � i/� ��( ,+nd .naminnanr.e �! �h? imp�ovement or other righFOFw3y use hereto
<br /> � __ _ / � i;-�u�n,d is� and ��rther r�.9rees �o remove same upon notice from lhe
<br /> r���� ' G.tN .�nA to replace P���I propertY � aged thereby
<br /> anP�a�ed tor C StrucCon p" � �
<br /> ,%�� - //�% 5 y i �%/'�% � 2� -� - �/
<br /> F!�'AL IPJSPECTION Date Date
<br /> I Signature uf AnPlican!
<br /> App�oved as Constructed 5'.JRY AU71iORIZFD E3Y THIS PERMIT MUST BE STARTEU WITHIN
<br /> �A� PUBLICWORK3DEPARI'MENT iL'0 .'.�.,5 OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO
<br /> 3200CedarSireet I BE �iL"SENTLI' PURSUED TO COMPLETION. THIS PERMIT MAY BE
<br /> �T� Everett,'NA 98201 I GQ`.CEI__tD P f THE CITY UPON ANV 5TOPPAGE OF WORK ON THIS
<br /> Phone:259�8810 I PGOJEGT OV[R 90 D4YS DURATION.
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