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., ' �, 3 -� -99 <br /> ��� PUBLIC WORKS PERMIT <br /> aueuc wua�,s t��arMENr a�,a�wo,�ve�mn• Q <br /> 3xoo ced�saoei <br /> Eveiett.WA 98201 259-8810 ���r�.�i <br /> TYPE OR PRINT ONLY �k���_ �QoO <br /> P�1e� �riksen q532 Rd C� SW Roval 94�5� 509 34�fo 24�28 <br /> o� r�wi�e�dd� °v `^, � <br /> ��s�► Er�ksen ���� 2t}-Fk 5f Eve.reNr QBZD � µ2s 339 3i7� <br /> ,��t ����� � � <br /> Describe Proposed Work�d Yl$'�Y�SC� �te.V�C� n �- '� 1" ��O �il� • � <br /> � <br /> ��N <br /> V/ i <br /> PROJECT ADDRESS(f known) [('� s{- � I <br /> Attach four(4)copies of plans(a proposed wak-Draw to scale and note the folbwing if epplkable: O <br /> �property LJnes �Outline and dimenslons of ell existing and proposed stru�.iures on the bt 'Exfffiing and prop�d uutkles <br /> 'Centerllne of street •Indicate North 'Show enY P�P�9�Ing chenges 'Slwr+me%+�reme�ls � <br /> DO NOT WRITE BELOW THIS UNE � <br /> PERMIT CONDfTIONS: <br /> 1.All calis for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performed in accordance wfth this permtt and curterrt City of Everett Design and <br /> Construction Standards and Speciflcations. <br /> 3.Call Location Ur.derground Service 48 hrs. before you dig. TOLL FqEE NUMBER 1-800-42�-4666• H <br /> � � I <br /> � If f!e c��y e.i�r �.ea/s -fo vse ,f�.s �P�tif-o,� O i <br /> G�y , �ic oc�.vxrr iriur� i-,eh+ov�e �Scnce . ' <br /> C«�_,. -'�� �z;1�r"'' � <br /> �+ � r ^ <br /> S `!'lqX . 1`CrlGt Ii�¢I��7f �G�C gZ����!�• 7yit`'v` 4_, <br /> �< �lr�" �C!/ r_, 2o.sc <br /> �v6L:G ,� a� '-r:�:� ..c.ct� � <br /> ����s9-� zo,00 <br /> „ ;:r.i�_a� � <br /> a � <br /> i <br />� �aaow�oaaae�rr oF co�rta►+s <br /> n»�w�+��i•r�n h«wr.�..�ro noa ra.w.n.�r..� <br /> . � n»cNr ot Evwstt han aiy.�d M arm.w.artia••,oosu�.xqn....a <br /> cansa d actlon Mat mey rbe becrw of krliUon and rmMw�ios d <br /> qppro Const . 9 ° theMnPionnwitorWl�xrlpM�a(-rrryuwhsiMo�P(�MdlorrdNtlrrapNs <br /> � �� to ietnovs sanb upon notk:e fiom Uis dlY rM b^N�°�P��P�P�►Y <br /> �iF� _ d�ed thweby <br /> FINALI�SP L710N Date /j�///��//� <br /> A�fOVOA&4 COfIStNCt6fI � �/!Mf//WV '/ " ' <br />, �a� aM <br /> WORK AUTFiORIZED BY THIS PERMlT MUST BE STARTED WfTHIN 180 DAYS OF UAlE PERMWf IS ISSllEO AND T�A�7��TO�pL10ENRY�7i0 � . <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY TI1E CIN UPON ANY STOPf1�(�OF WOf�(ON TFNS PROJECT OVBi 90 DAY8 OIdiAT10N. <br />��I . . .__ . . . . . . _ . . . . -- -.. . . . . -,.._,. . .,.._.... ..._._._:. <br />