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'' <br /> P ���GQ v..InmWorkSP..� �i�—.� <br /> Dat �1� ' �� , ,:,, oro� . �S3.�c.'��`_-��� <br /> H C� i�PU!�caiiCn Fnr . . _. . <br /> �;y PUBLIC \lVARKS PEi�MII' "'°"""°'."'' �� __ <br /> ,��.�F.,,, s-- <br /> .0.`tl x . ...�n�r r a..�.n�� 5 .'__. _ <br /> C H S -•.-,=- <br /> 9Hm _ .,�. „ -- -. . <br /> rri 931 Print or Type Only <br /> � zN <br />, K c� <br /> � H� � � �f� d �'ra r� �s l��,��% �v�) �i I ����m.t��l S�c-�.9�ca�� i — <br /> � �� Maiiing AAdrass Ci1y LD Phone, <br /> wner <br />�I � y d ----- --- —���� —.. <br />�I O H —p,PPhcant Maihng Addi!�ss Cih; Ln Phone <br /> � �g <br />► "" " 5F�- ��._�__���2.�1� ��� )E� _ <br /> H <br /> 9 y Dsscnbe Proposed Work _-L—. <br /> t' z -- --- -- ----- <br /> r-i H �� <br /> O �L ! , , <br /> � �� Prolect Atldress Id Mnownl / 7Z8� ����7VE=-ry�,---- --------___— � <br /> H O f/� <br /> Alt3ch tour I-�� copies ot plans�or pwPosetl wo�K-Drav� Ic sr„ic and note Ine�ollowinq as applicabi<� � <br /> o Pruperty Lines • Centerlme o!sire�•t � <br /> s p�.id��n�and d:mensions ol nll e*�s'�r.n nnrf • Ind�r.ate North <br /> pipn�ged s�ruCWres un tt�U lol • $h�w a�ry P��PrS�•rl qr;uLn4 cha��q�'S <br /> • Erisbnu and pruPoseU uldibr•s • SI•�ow mca�_;un.men�s � <br /> � DO NOT V�:RI'.= BFL0�4' iH15 LINE � <br /> r ' <br /> PcRM1T CONDITIONS <br /> �s 1.All calls(or insp^chon shall be matle 24 hrs.�n ad�:ance�nc�n��259•88?0. � <br /> 2.Alt work shall be pedormed In accordance v+dh"����Rermd;�nd curre,nt Gity o�[ver��ll Des�J����iU Gonstruction <br /> Standard5 and Sper,ilica�ions <br /> �e � �� uc'�, TOLLFREEIJUMBERI•$00-424•5555. �' <br /> � 3C.�II Localion UntlE;rgraunA Servi�v:P.P,r. I�.��tnn��u � <br /> �a. ,�, <br /> A.�» �v+ � <br /> .r. ns � <br /> w � <br /> � `d-�' � <br /> �� � o.. <br /> _. .�,.9 <br /> �f�o <br /> i.!;KNOPlLEI�GEtdFNi OF COhJDRIONS <br /> The im�ersi9r,ed owner/apPlicanl he�eby a9�eca�o holtl and SavB ha�m� <br /> — ��— Iess Ihe Qty ot Everet� Irom an; and all claim� Wr darnac�es. costs. <br /> ' expenses, or causes oi action tha: m�ay anse because ol instillation <br /> -j�► /./ � �p and mainlenanr.e o' the improvemen� or other n9hPol�v.ay dse hereto <br /> y' .�3�c.`c'-/::- /`��r' " npphed :or aro I�_nher agrees to remove sam� uPon notice from Ihe <br /> Approvr!A�oi Cont�;ruc�ion Date �ity�nd Io repmce puUhc pwperlY������9ed Ihnreby. <br /> �/' <br /> l, �� 6 /�9 __�� / � � � <br /> —�---- � 7 <br /> FINAL INSPECTION �»��' Dale <br /> App�oved as Conslructed Sic7n, ie i� Applicant <br /> WORK AUiHORIZED BY fH15 PERMIT MUST BE STARTED WITHIN <br /> cvrrrR PUBLIC WORKS DEPARTMENT 18G DAYS OF DATE PERh11T IS ISSUED AND THEREAPTEH IS TO <br /> � 3200CedarStreet BE DIL�G[NTLY PURSUED TO COMPLETION. THIS PERM�T 4•L1V BE <br /> EverelL 1VA98201 CANCGI.LED�Y THE CITY UPON ANV STOPPAGE OF WORK ON i HIS <br /> Phone:259�F1B10 PROJFCT OVER 90 DAYS DURATION. <br />