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;,; ;� <br />� <br />TYPE OR PRIMf ONLY <br />/�Nc�l�a, Fa , :. <br />PUBLIC WORKS PERMIT <br />�.Ac.`r.1�0�� <br />PUBUC WORKSDEPAHTMENT�� <br />3200 Ceda� Slrael �.11 <br />Eve�atl. WA 88201 259-8810 1 <br />�s ��;� �.� <br />WbNe Wakr PertnN N � <br />Bulltling PermN 1 <br />Pubik Waks Fee = _ fi�. <br />�� <br />„ ' <br />Appflcent Malling Addrese ' � <br />". �. � . I _ CflY Zip Pha�e � <br />Descrfbe Proposed Work ���' �_ <br />8� �- r osi" st s.` <br />PROJECT ADDRESS Qf known) <br />AHech fnur (4) cophs al plene fa piopoeed work � prew Ip ecale end nole tM IWbwlnp M eppllceWe <br />7R perty Linee �Outline aM dirnennbne M sll exletlnp end proponed etructurse on Ihe bt �Exbting end propoeed utllNbe <br />�Cenlerline of eheat Nndicate North �Show eny propoeed greding charwee �9how meaeuremente <br />Tr <br />PFRMIT CONDITIONS: <br />1. All col�e for Inspecllon shell be made 24 hours in edvance - phone 259-8810. <br />2. All work shall be perfo�med In eccordance with this pem�it anc; current City of Everett Desipn and <br />Construction Standerds end Specificatlons. <br />3. Cell Locetion Uriderground Servlce 48 hrs. t�efore you dlg. TOLL fRE'e NUMBER 1-800-424-6666. <br />!t <br />J <br />� <br />i�2�v�de ��+�x;or� c'�l�-b-al z+t -�� d;�;t�cr of �'he �,blzu�a-Kg <br />M s r'��''• <br />KP�i� G�� S�/'GCt�S GI�✓1 �ttC11� tir.k;y <br />C ICzs�,hq t� �da+G ',n A widnnG,� �,'F�i w�ll not ;vnPa�'t. SurrLv�dirJy <br />G��ai�cc„bl f�ro���ti'4:��5 <br />!-/ <br />y,�/� <br />.t.,....._JCe..._�w_-1� �.?'23-� <br />FINAL IN3PECTICNJ <br />ACY.NOWL.EDOEMENf OF CONDITIONS <br />The undtnlpned owner/applkan! herebY e9reee to hdd end eeve hertnlsee <br />Me Clty of Everell han any eM ell cleime Wr damagee, ca�te, erpenese, rn <br />ceueee ol ectbn thet mey erlee bnceu�s of Inetelletbn end melntenanca of <br />Ma knprwert�ent «oMw right-M�wev ues hsrMo eppbd ror und lu/tlier apaes <br />lo rertave eame upon rqtke hdn IM Clty aM lo roplecs WbNc propMy <br />dmneged thereby. <br />�,e � � <br />I ApproveG as Conatructed <br />� <br />9lpneturs of AppUcant pnte <br />WORK AUTFNIRILED BY THIS PERMIT MUST BE STARTED WfTHIN 1B0 OAVB OF Q4TE PERMR 19 ISSUEO AND THeRFAFfER IS Tn BE DIIJOEHTLV PURBUED T6 <br />COMPLETI04. THIS PERMIT MAY BE CANCELLEO BY THE CITV UPON ANY 8TOPPAOE OF WOfil( ON THIS PR0.1EC7 OVER BO DAVS DURATpN. <br />