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j <br /> -26-95 ���,�„��:�•,�,.. .,�,�„ ����,3-- <br /> ApPlir.n�ion For 6ntr� Dvci . —�4�7�_____ —._- <br /> �I; BLIC WORKS PERIVIIT �°°��°w°,��`��� - -_ <br /> ,��,��,.� s— <br /> . r��S�ING nuc �� o �sse �,,;,,A,,,� :,... . , S �s5 io <br /> �:. s�► -- <br /> Print or Type Only- - - ----- <br /> Port oF Everett YO I�ox 538 fiverett 98206 259-3164 Bob PfcChesney <br /> Ovmt.i �. .���,m�; .1r,drass C:�i� .. � p�„�nc --' <br /> Owner <br /> ----- - - _ -------__ _ <br /> qpplican� A^..��n��:t �lddir;s �.ty v ..._ _. .. �i,,,m. <br /> oesr,r��e P�on�sed work _ Pressure wa�h building _ _________ <br /> ----- _ - ------ <br /> �'�iL/25'_z➢PN.��QAt3�9?i---' ` : : <br /> / <br /> -- - -- --- ------ _ __ ----- #OQ096f1Q? <br /> ,,�h nT�� �x^8.6� W <br /> --- _ _..------- ------- <br /> "§6�14th St F;t/REV :20..OD � <br /> PrOIeCtAddressldknown! ___— _ _.—__ _ _ _. . - ._ _ ._-.__.___— . ___'__ _.-_ . _e; <br /> � .J7?Fi5-"Ob�_-_- <br /> Attach four 141 coP�es of Plan& to� P���nw�-,: w�u. � Dmv. �, -.. �', .�-�:i n..�.• inr� '�,nr,�.viny as aouhrn!n�.� �HrC�� �7.55=`-u � <br /> • Propt.rty Line: • Cu••inrl;nn nl sVe�•+ ♦^ <br /> • Outline nnd dimensions o� all ex�,stin9 and o I^�Lwb: North V� <br /> proPosrd structureg un the Int e cnr•w any r:rot�osed �Ira�!:n:i cr•�.�n:i�•�, <br /> • �xis�inn .in 1 ProPosed u�ihties • Shn�.a in�,asun,inenis /�/� � <br /> DO NOT YJRI7[ 6ELOW TH�S LWE � <br /> PCRMIT CO"1DITIONS O <br /> t.All calls tor inspecGon shall be made 24 h.rs.in advance-phone 259•8810. � <br /> 2.All work shall be performed in accordance with this permit and current Ciry o(Everett Design and Construction � <br /> Standards and Specifications. <br /> 3.Call La:ation Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800•424-5555. � <br /> As �r �p���' f���f d� E� �-z -�S- � <br /> H �, <br /> Cl� ' <br /> � <br /> 0. <br /> f1GKP10A4�LEDGEt.!ENT OP CONDITIONS � <br /> l h��u���h�i�ian�.�d ov:n�v.3pplicznt nereb� agrees to hold anA sace harm� <br /> ^ � � les5 Ihr Gry �� Ev�rett Irom any and all �aims for damec,es. costs ' . <br /> l �C��� I'-""' / � �� ! e*p�nses o� causes of act�on thai may anse hecause of installa�ion <br /> f/ -�� — and mau�tenanre M ti�r �mProvement or other nqht-ol-way use he�eto � � <br /> 1 <br /> ! ,ac��i��� -; for and furthei agrees to remove samr_ upon notice lrom Ihe <br /> ApProved for siructi IJ:���' C.,� �i:���1 tr, r,�place puC'c p'oneity Jamaged iherzby- <br /> � ��=74 � <br /> l _ i / <br /> FINAL INSPECTION ���" I - — <br /> Approved as Constructed '� S ,,r�atwu of Appl .an' Cate. <br /> ' \NGcY. Al!iHORIZED BY THIS PERh11T lJSTBE STARTED WITHIN <br /> �� PUBLICWORKSDEPARTMENT I 1y0 DHYS OF DATE PERMIT IS ISSUED tiND THEREAFTER IS TO f � <br /> 3200CedarStrcet BE DILIGC-NTLti' PURSUED TO COMPLETION. THIS PC-R�v11T t�1AY B[ <br /> Everett WA 9820t I�, CANCELLED 6'f THE CITY UPON ANY STOPPAGE OF WORK ON THiS <br /> Phone:259�8810 i PROJEGT OVER 90 DAYS DURATION. <br />