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�� <br />TYPE OR PRINT ONLY <br />Describe Proposed <br />Application For <br />PUBLIC WC�RKS PEFiMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 259-B810 <br />: � �(�STING NOV 1 2 �9Q7 <br />Address <br />PROJECTADDRESS(ifknown) �G�S ^ <br />- 7�' �►.v✓, <br />City <br />City <br />Date <br />/ <br />Public Works Permit k �,�/�_ <br />Building Parmit # <br />Public Works FeE S Z� � <br />Phone <br />Attach four (4) copies of plans tor proposed work - Draw to scale anrl note the following if applicable: <br />•Property Lines °Outline and dimensions of all existing and proposed structures on the lot •Existing . c�. ro sed uC' ' s <br />1�% �-��} iG:��AM <br />•Centerline of street •Indicate North •Show any proposed grading changes •Show measure�enl�s 97321 <br />�_� 7- <br />DO NOT WRITE BELOW THIS LINE ��� <br />PERMIT CONDITIONS: s�OTA! '�li.00 <br />1. All calla for inspection snall be made 24 hours in advance - phone 259-8810. G��f` <br />2. All work shall be performed in accordance with this permit and current City of Eve�t�'�e's�l�n and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 4fl hrs. before you �iig. TOLL FREE NUMBER 1-800-424-5555. <br />f�� �/( i•✓►r /►vu�n o7� 3,i n� �. �tx Csmo���c,�.�z,/// �ud,drv <br />� �sl��-� � s,l�� /� 5t u �� <br />i <br />