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Date � � � 1� . 25 �t� �„��,:�•��,�sa�.,m�. `�I 3�— - <br /> � TO POSTING — „�„„ o�,, . ��,G,z�a_93-____ <br /> �y Appli�:3�ion Fo� <br /> ��� L�l1�Ll� WORKS PERMIT '�"���`�'��"�`�-- <br /> ,��,�F�� s. <br /> ,Q��I-� p lessaoo�.Fec Pai� 5 <br /> `y' G <br /> C.• p..� O o 0 o r :� ^ o q c� ea:��,«o�.,c 5 7CJ J ' <br /> a'�� Print or Type Onl� "' =' `� ": `� `�� " `� `° <br /> b� hl U] O .Y O G O O �'J <br /> H �H �..1 rli'� rrn «� «i d� e: �i �' . <br /> �.i �l» w �. <br /> " y� ,.; 3 r�5�; � Sr�/f ���1%3 - �Sy � -���i ) <br /> �+] H�7 Owner � � c..� li�9iho� ctlr srs: CitY Zip Pho ,P <br /> F� [n Ly O� O C� C9 T Cx 3 O W O y T+ Ll <br /> .r O O iil v �) � O � O -T [� W <br /> r� \ O _.1 � W Cc' O ¢ O W .�+ S <br /> .Ti .�� _ � O � 4lfi :i' uiC) :.F3 a U5 .-� CJ <br /> �=� <br /> y d G�NL__. Mailing Address Ciry Zip Phone <br /> Applicant <br /> � �g / � . <br /> �" � —�P� ,��1' � 4 l/a„� .. L� � /�_�s. f��_'n-�. <br /> �--I Describe Proposetl Work --f-L/1-L - �111J1.`/—�--l-'�-/-�A , S - <br /> / <br /> r H� _--_ -- _._--_ _ <br /> N � <br /> H � <br /> gd� — — - <br /> �p _ 2 s-r-� Dr sE � <br /> � �� Prolect Address lif known) _ — - � <br /> x y�n � <br /> H O N Aitach four l4)�opies o� P��ns for n�oposed work� �r:�w ta sr;il��anri note Ihe iello�•nng as�nP��cable' � <br /> • Prone��Y����es • Ciante���ne ol street <br /> • Ou�line and dirt�nsons o� ,�I� e��=;ting :�n�t • Indicale Norlh <br /> propos^1 sltuC!dres Jn th�, Ipt • �how eny Oroposetl yradin9 chn��9es <br /> ' • ExI5ling nnd propoSeA W���h�'s � 7bOw nieasuremen�s � <br /> CO NOT�YRITE BELOYJ TfIIS LINE � <br /> ' PERMIT CONDITIONS <br /> ��� t.All cails f0i in:pection shnll be made 2G his m aAvancc� pho,�e 2$9•8810 � <br /> 2.All vrork shall he nertormetl�n accordarcc:nlh�his permit and cunec'.:dy 01 Everett De[�pn and Construdion <br /> Standards ana Specificatiors. <br /> 3.Call Location L'ndergwunc Se���iCe 48 hrs.belore you dig TOLL FREE NUM6ER 1-$00•42S•S55E � <br /> ��' 4. Inst 11 rock conetructi�n enY,rance behind dr:'.•.eway ae <br /> � per <:iYp etandard St208 Y,o eliminate trocking m�� onto O <br /> streets as direct�r3 by Pub] '_.; Worke InspecLor. <br /> f�� 5. {eep r_i.ty streei:v clean sc. all t 'tmes. <br /> �i 6. CurU, gu9.r,er and sidewalk in Y.he plat are new acd � <br /> un:9amaged, eny damage thereto 3ha17. be replaced at the � <br /> c'.iscretion of the Publ.ic Wnrka inspector. <br /> �Y'�' 7 . Pny chan e in the driveway cut must be approvad Uy tF.e <br /> FuUlic WorkH In:3pector. C� ' <br /> 8. Ti�ht.line all rouf, yard and drivewaY drains from � <br /> h�vsee to r.II. atuhs at. back of S1dP_ walk with rubber <br /> �,��� g3flket P.V.C_ pipe <br /> 9 . A-�.iuet waT,er Uoxee Y.o krade at end of construction. <br /> 10. Deivewaya shall b� completely cured before 3riving on <br /> '�i 1:.1C'111. ACIWONJLLDG[MENT Of CONDITIONS <br /> I <br /> ��' '��,� I � The undnrci�jned owneyapPhcant hereby a9rees to hold and snve harm- <br /> ��� ��'��� �� .---- ---" -- --- less Ihe Cily of EverEtl� iro.n any and atl claims ior tlamapes, cosis, <br /> . . . � , expi;nses. or c�uses ol acinn that may arise bewuse of insta!Iaiion <br /> � r�,� �G�CQ� __ Z_S -��_ and mamlenanr.e of ::,c �inprovsmenl or other ngh4ol-waV use here�o <br /> ❑pp6r•d bv nA Wrthe� a9iee5 to remove same upon nohce hom Ihu <br /> Date � <br /> Approv�a�Cor struction � Ci1y or Yfn ��� �ce pulillr. proPei�y�1��»>9od ih�reby. <br /> � � � � � � � i w� . <br /> /�" /�'S���- 1��. •,�i- • , f,/ <br /> F NAL N -C?IO ..' � . Date �J� --� ��� l <br /> �--� Date <br /> Approved as Gonslructad <br /> - Si9naturc of Ap,�,�ioanl <br /> / WORK AUThfOf'IIED 6'/ fHIS PERMIT MUST Bc START[D WITHIN <br /> IC�i�E�� PUBLICWORKSDEPARTIdFNT 1g0 DAYS OF LATE PERI.IIT IS ISSUED AND THER[AFTEF7 IS TO <br /> � 320GC^tlarS�ree� I BE UILIGENTLi' PURSUED TO COMPLETION 'HIS PERM!f tdAY BE <br /> Everott WA 98201 CANCLiLFD BY THE CITV UPON ANY STOPI .E OF WORK ON THIS <br /> Phon¢259�Bbt0 PHOJECT OVFR 90 UAVS DURATION. <br />