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Date Z-1�-`3� ,..:�, ��:�,��v.,�„�� i <br /> �C� :,:,:; �,.,: , 92/356-+5 — <br /> AGP���ation For <br /> C+7 C+7 /1 Q /}�� !��f{ T1 <br /> �^bH rU ���V �o��V �`+ ,� ' • �uoncWm.sFee — <br /> ioiai Fre 5 <br /> a N p� lessacm �•��aai� S <br /> r 'x 3aunce Oue $ <br /> H9� _ <br /> y z�� Print or Type Only <br /> �G c� <br /> H 7J <br /> � n H Gric & Heidi Anders 1609 15th St. Gverett 98201 339-ll57 <br /> x, O� Ov+ner �dailing Address Cdy Zip Phono <br /> C <br /> H t7 <br /> Owner <br /> � �a qpplic2nt Mailing Address City Z�P Phon¢ <br /> G�� CC�y <br /> Z H 3, <br /> t9., y�; oescr�he Froposed Work re�l�ce CaraRe donrs with wa11 door, windo�a _ <br /> h�H <br /> t7 � <br /> O H <br /> C'� C7 f/� � <br /> � �� � <br /> z y cn � <br /> H o rn c�oiect Fddrasslit knownl 1609 17Ch St <br /> nit�ch `our p:i COpiBS Ot plans lor prOposed aiork� Draw to SCale �nd note Ihe lollo�'�ing as applicable: m� <br /> n Propei�y Lines • CPnt�rl�n� nf ;tre�t .� <br /> O Outline antl aimensions or a�.1 ez�sting z��.,: • InC�ca!e Ncnn <br /> arepcsed structures on the Ict • Shovi 3ny Gr000Setl gratl'.ny cl��an_;�5 <br /> . �� � • Existing antl proposed utdihes • Sno�v mcasuremenls A�Aq <br /> � d.s <br /> m����� DO NOT WPITE BELOW THIS LI�E <br /> �-... C� f <br /> .��� PERr�tli'CONDITIONS <br /> 1.A;I calls for inspection shall he made 24 hrs.in advance�phone 259•8870. �� <br /> 2.FII work shatl be performetl in accordance wnh this permit antl current Ci1y nf F.verett Drsign and Construction <br /> O�4 StandaMs and Specifications. � <br /> �� 3.Call Location Undergro�mtl Scrvmc 48 n�s-�nir,�c�ou d�c TOLL FFEE P:U.'dBER 1�800-424•555$. m�y <br /> 8� <br /> ��I � <br /> ��� /"L��sCat '_Ir�� i . i �. . , . . _ . r , - ��..s, ,. �. <br /> . � <br /> � �' , � � <br /> 'i •��. <br /> �.i -�.i'- ;': ' � <br /> !w ��•o <br /> '�e.'.' ' �i <br /> FlCKNONJLEOG[^dENTOFCONDiT10NS � ' <br /> 1 he unde�siynco owner/applicant hereuy ag�ces to hold and save harm- '' � <br /> " �--- tess ihe Cily ol Eve�ett irom any antl all claims for damages, costs. � i <br /> �expenses. or causes of action Ihat may arise because ol installation � <br /> and maintenance ol ihe improvemenl or ether righPobway use hereto , <br /> applied br and furth�ar agrees to remove same upon nolice Irom the � � <br /> 4ppwved for Construction ' Date City and to replace public property tiamaged thereby. . <br /> � <br /> =1NAL INSPECTION �ate i - ; <br /> 4pproved as Constructetl SignaNre of Applicanl Date I <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN � <br /> PUBLIC:'rJRKSDEPARTMENT 180 DAYS OF DATE PERMIT IS !SSUED AND THEREAFTER IS TO ` <br /> 52e�CetlarStreet BE DILIGENTLY PURSUED 70 COMPLETION. THIS PERMIT MAY' BE � <br /> cveretl.WA 98201 CANCELLEU BY THE CITY UPON ANY STOPPA�E OF WORK ON THIS � <br /> Phona 259�BB70 PROJEC7 OVER 90 DAVS DURATION. <br />