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� . . .;JY�`Jti. ' .'_ '__—?T!,�.�civ-.-f^a.-• -�r.-� P�"+-.. ;,.i:, . . -:;f!-w" - ,� _ . <br /> _.J '/! l,'`�� ..' ,�. `� / j � <br /> �A�(' 1 .7.. � . . � �✓ <br /> y n,�ne�wnn�ref�l��_ <br /> APP6cyllcr For ' Pwq Den� • � .�._.. <br /> PUBLIC VVO�KS PERMIT ����,�;;,w�;;�°--s— �qg � - -_ <br /> .. i�sn nmu r n.re�it Q <br /> Print or Type Only _ � ', e.,"�,.n,. t_ 1— '¢'��— <br /> �;_ ; i � �'S ' <br /> �'. .� <br /> M rO I <br /> � <br /> I ; (I � �: lfI Y ��' F�-E'C J,�J�IL L-2! `'� �f f c�'���►1 ' ��..�'� <br /> (iwner M6ihnB(��IG}�Ss '� . C�IY 7.ip Phone <br /> � �l�.�.(/�� �. �� ���1 r.� �� ��/� �F!`� � � 3� � / 1h / � � ��( '�. %�I � I <br /> � q - I�cnnt "+ki-f!-`-�-1�--a.v-� �1_. __ _ <br /> PP Meding AAdrpgS GI <br /> Y Zin Pnonr. <br /> Drscnbe P�oposed Work r _ {" F 1L�� �� � - <br /> Prnircl AAdress Id knownl ���l�1 �� .�� �"� ��..� ________ — � <br /> Altach four 141 copie5 0l pinns lo�proposed wo�k � prnw lo scnle and note the lollowmi�as apph��ald. � <br /> • Properry linr.5 • Cenlerhne of streei � <br /> • Ouihne�nA d�mensions ol all e.isling nnd • Ind�wte North <br /> (IfOnOSPA SIIIIC�UfES Ofl th0 101 • Show any proposed yradm9 chanyrs <br /> • Fusdny anA pronoSeA uttldirs • Show measuremr,nts � <br /> JO NOT WRITE BELOW Th11S LINE <br /> PERMIT CONDITIONS � <br /> 1.All calls for inspection shall be made 24 hrs. in edvance�phone 259•88�0. � <br /> 2.All work shell he pr.dormed m accordence wlih ihis permil nnd curent Citv ol Everell Design antl Construchon <br /> Stnnda�d5 and SpecAications. <br /> 3.Cell Locntion�nderground Servlce 4B his.before yuu dig TOLL FREE NUMBER 1•800•424•5555. � <br /> � � � � � <br /> . � %.��i'Y (7/J�.JI �' `i Q' �� �i+ .' %�".,�,:'� , ' J �� � <br /> // / <br /> � I <br /> O . <br /> a � <br /> ACKNOWLEDG EMENT OF CONDITIONS <br /> ,______ ihe und�.�riqneA owner/apphcenl hereby ng�ee5lo hold anA sTvc harm- <br /> --- less Ihr Cdy ol Eve�elt Irom any and all claims br Anmayes. r.osls <br /> __�"` �� e.penses. or causes ol aclwn Ihat mxy anse beceuse ol inslallnt�on <br /> " , �_ � ��/�/� enA mamtenance of �he impiovemenl or olher righl�o��wey use he�elo <br /> apPlird lor end further agrees to remove 50me upcn nohte from ihp <br /> APProveA Ioi Con � uc � Dale C�ly and(o repl�ce nubhc Property damaged thereby <br /> _' � -,- <br /> �/ r / /� <br /> PINAI INSPECTION Dnte � t,-.�:��'�Sr'��.;�,�-f� �_ . � � � <br /> Approved a5 Cons�rucfeA SiynaWre ol A���t p��N <br /> rvrrrtl PUBUC WORKSDEPARTMENT WORh AUTH�12E0 BV THIS PE�.MIT MUST BE STARTED WITHIN <br /> � 3200Cetlar5lreet 180 DAVS (.� DATE PEFMiT IS ISSUED AND THEREAFTEri IS TO <br /> Everetl WA98201 BE DILIGENTi_V PURSUED TO COMPLETION THIS PEFMIT MAV 6F <br /> Phone:?59�BB10 CANCELLED BY THE CITV UPON ANV STOPPAGE Of WORK ON i HiS <br /> PROJEC7 OVEfi 90 DAYS DURATION <br />