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/ <br /> ,�u�Fo� oere 5/Il/9�1 <br /> PUBLIC WORKS PEAMIT public Worka Pertnit N 4 1z9 <br /> PUdLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257•8810 Bullding Pertnit k <br /> TYPE OR PRINT ONLY Publfc works Fee$ ZO— <br /> K�LI.�/ �� MITC�HELL 351q 2S� S1Y.e.e�' �vp.i'.f,� `t8?�I <br /> oNner MailingAddress Ciry z�P �hone 4Z5,z5Z�4�4q6CH� <br /> KEl_L.y A. MITGHE�� sarn,� as a.bove. 4zS, 'l�s, i5ql lw) <br /> Applicant Melling Address Ciry Zip PFane <br /> DescribeProposedWork Gon51'rUGtlOn of driv�w I�D �'a0.!/k W <br /> A.r f0 al oW -S`tY lu � <br /> � <br /> PFOJECTADDRESS (if knoH�n) 3s�� 25�' S�l'Z21 �iVlX'P�II � <br /> Attach four(4)copiea plana for Droposed work•Draw lo scale and note Me following If eppiicable: O <br /> •Property Unea •Outline and dimenslons of all existing and proposed structures on the lot •Exlating end proposed ublitles � <br /> •Centerline of eveet •Indicete NoM •Show eny proposed grading chenges •Show measurements <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> 1. All calls for inspection shall be made 24 hours in advence- phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current CHy of Everett Design and � <br /> Construction Standards and Specifications., <br /> 3. Call Location Uncierground Service 48 hrs. betore you dig.TOLL FREE NUMBER 1-800�424-5555. //� <br /> \i/♦ <br /> �, CZ� � � �of N1CG�i��� W�'� ��bliG y►brKS ing� Prior-+,v a <br /> ��r�h� �rk — c�� I 33q -��to� • „ <br /> �_; <br /> �� ��.. <br /> ��� . , . ., <br /> ._. . :Lr��. _,.v�i <br /> �l., � r� ��u:.t3:.'3 <br /> y� ACKNOWLEDOEMENT OF CONDRIONS <br /> y�n / „� The underoigneJ owneqapplk:ent Aereby egrees to hold and eave hanMesa <br /> l,/L/ the Gry of Everetl lrom eny end eN t�aima for Cameges,oosh,expsnses,a <br /> ove or i a e �— ���actlon thet may e�iee beceuse of Instellallon end mekiMrw�ce of the <br /> improvement a oCier rlphPof-wey use hereto epplied lor end fixther eqrees b <br /> rertave same upon notice trom the Ctty end to reWace P�D�nY�- <br /> /';�/�—� - a9ed reby <br /> FINALINSPECTION Date � � ��(�_� <br /> Approved as Constructed �V� <br /> 9� <br /> w+oweaun��n evnis�xr�nusr ee sta�wrr►+r�ieo onvs oF w��a�r�s ssumnrv��stoee oex�ean.r�� <br /> CONpLEipN.htlSPERMfTMAYBEG4NCF11EDBYTFfCIfYUP'ONANYSiC)F�i�AOE OFWOFi(ONT}#SPRQECTOVEFiBODAYSDUW►itd�l <br /> l ... . _ .. . _...__._..__.._.._._..� _.._ .. . ._........._. . . __. <br />