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TYPE OR PRINT ONLY <br />Owner <br />Applicant <br />�.:.. � ..: ' n ...,: �,. i. <br />PUBLIC��`VORKS PERMIT <br />PROJECT ADDRESS (if known) <br />�,a� �� �� <br />��� <br />EveoMt, WA 98201 259-8810 <br />BuUdlnp P�rtrYt �I <br />wwk w«w Fes s <br />Plan Ch�ck No: C 6a260 RSr,I <br />1►ppllcat.Dat�: 04/33/99 <br />Job 11ddr�s 414 {9`ft� ST BN <br />Own�r t COX D11NNY <br />T�nante <br />Propo��d Uwi BINOLE 11WILY A88IDENCE <br />D��c. ot Nork: <br />NSN 11TT71CHED O11R716E MITH LIVIN6 SpACE 11BOVE <br />Of1�ICE SET JOB SET <br />I�PPRVD LrOR PERlfITs DATE_/_/_ BY <br />d�4-,1,1-;cs �.�pa,,..G 1�`�11 <br />AMach tour (4) copba ot plens for popoaed work - Draw to acab and note ths folbwkq H applkads: <br />'PropsAy Lhbe 'Outline and dknenabna M ell ezlaHng and propoeed atnictwes on ths bt 'Eiciatlng erM piopoeed Wllkiss <br />'Centerlk�e W etreM MMhate North 'Show any Propoesd Orad�nC chupss 'Show nwairsrt�ents <br />PERMIT CONDITIONS: <br />1. All calls for inspectlon shall be made 24 hours in advance - phone 259-8810. <br />2. All wc�lc shall be performed in accordance with thts pertnk and current Cily of Everett Design and <br />ConsVucdon Stendarcis and SpecificaUons. <br />3. Call L.� �`Jon Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42h6666. <br />� � �� eCT10N <br />� �E �o P � �� <br />?UDLIC WORKY rERMI'i <br />NOT F�pUIRER <br />• Y ��'Lt <br />MT E _._�� <br />Approved fw Conslruction Date <br />FlNAL INSPECTION Date ' <br />Approved ea Constructed <br />ACIQJOYVLEDOEMENT OF CONDITIONS <br />The undswipned owner/ePP�'� �ebY +Drsss to Iwld end savs hemYsn <br />the City of Eveistt fiom any and all ck4ro tor d�n�pa� costs. e:p�nem, a <br />cwaas a aanon a,.1 m.y ara. wcw�s a k�slal�tlon .na maH,bnr�c. a <br />tlisknprovartantoroUiarrfpfllot-vrayw�Mw�tolppYW torendfutlw�ps�s <br />to remow eam� upon radce from Uis Cky and ro �a�lw� P� P�Pa1Y <br />ddneWd tMr'�bY• <br />SlpnMure of AppYpnt Date <br />WORK AUTHORIZED BY THIS PERMR MUST BE STAFTID WRHIN 1B0 DAYS OF DAiE P6iMR IS 133UED AND i}{g�AFiBi IS TO BE DILKiHrTLY PURSU� TO <br />COMPLEfION. iHIS PERMR MAY BE CANCELLED BY TME CITY UPON ANY STOPPA(iE OF WORK ON'fHIS PROJECT OVBi 90 DAYS DUWRION. <br />