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PUBLIC `JORKS PERMIT °��� <br /> � PUBLIC WORKS DEPAfiTMENT Pudb NbrW Permit# <br /> 3200 Cadv Strest <br /> Everett,WA 88201 259-8810 Buildiny PertnR fl <br /> TYPE OR PRINT ONLY Publk WaW Fee S <br /> Plan Check No: B 61012 BEPA <br /> 1►pplioat.Dat�: 12/04/98 _ — <br /> �� Job 1►d�:�= SURF7ICSRJ7IMSS �e <br /> Tonant: <br /> Propo�ed U�as SINGLS 1�11MILY RSSIOBNCE __ <br /> Applirant DDIVIDINGwBASElSSNT INTO STOR7IGS 11ASA8 �O^� ' <br /> L�eSCribe PropOSOd WO�I OFFICE SET JOB S8T � <br /> APPROVED FOR PERKIT: DATE_/__/_ BY � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) � <br /> Attach}our(4)copies at plans for proposed work-Draw to scale a�d rrote the folbwiny it applksble: O <br /> ■Property Lines 'Outlina end dimene�tons of all exlsting end proposed sWcturea on tM lot •EzisBng end proposed utllkles <br /> �Centerline ot atreet 'Indicate NoRh '3how anY propoaed 9'ading chanyes 5how meewrements � <br /> DO NOT WRITE BELOW THIS UNE � <br /> PERMIT CONDITIONS: <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-88�G. • O <br /> 2.All woric shali be performed in accordance with this pertnit and current City of Everett Design and <br /> ConsVuction Standards and Speci�cations. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBEIi 1-800-424-6555• � <br /> � <br /> 'UDLIC W RKS �ENMI'� O <br /> NO? EUUIRt� � <br /> �Y_� �,/� <br /> �ATE_�.�����7j1.�� <br /> � ACKNOWLEDGEMENT OF CONDfTIONS <br /> The undraigned ownedepplicsnt herahy aprros to hokl arM seve hermbas <br /> the u'f;of Everett irom any and ell claima tw damapes,cosW�exPa^xa�a <br /> cwaes a ectron thas mey erise bx;aux m�nawl�tia+and me+ntenu�ca a <br /> APProved for Construction Oate ths knpiovertbnl aoMxripM-of-way uss M�eto aPP�bd forend fiutl�eragress <br /> to remove aeme upon �otko irom the City and to rep�ece WbNc WoP�Y <br /> dame9ed therebY• <br /> FINAL IN& T10N Date <br /> Approved as Constructed <br /> Signatuis of AppNeant . Dab <br /> COMKPLETION.TH SOP RMfTI MAY�BE CANCELLED B�E CRY'UPON ANY STO��MWORK ON iHIS PRWECT OVER 90 DAYS DURA71(�Y��ED TO <br />