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Dat� /;,' , <br />I_ " "..." � ; <br />Appliwhon For <br />PUBLIC WGRKS PERMIT <br />Print or Type Only TO POSTING dUG 0 9 1996 <br />, , � � <br />i. ,. . �i�.�,i;.u��e: _,iii ...��r'r�,��_ �.�. � . . .. �90-iNln . ' , .. �. <br />Owner MaJ�ng Address � Cdy �_ .;� Zip� Phone <br />. . .. � � '� , i.. <br />r <br />� i� )-� � .. � . . . . <br />nunec Worwe Permn • � I <br />9i09 oao� . 4' �� 1'. � I <br />Public Worxe iee <br />Toleliee s <br />l�ee �ppl Fee Pe�O S <br />e.,,r�pw� o '� <br />AppliCant <br />Describe Proaosed Work <br />Melling Address <br />Projett Address �if knownl /�� � C�C--���1 ��_r. <br />Zip Phone <br />Inl , F;��nt'. �'�.�t 44 <br />Atlach fow 14) r.opie5 0� plens fur propo5ed work � Drew IO 6te�o and note ihe following as npplicabie <br />• Property L�nes • Cr.nterline of streel <br />• Out6ne and dimensions ol ell exisimg and • Indicale Norlh <br />proe osed structures on Ihe lot • Show any propOsed g�a,.ing changes <br />• Ezisting xnd proposed ulllitles • Show measurements <br />PERMIT CONDITIONS <br />1. AC calls lor Inspectlon ehell',e made 24 hre. In edvence - phone 259•8810. <br />2. All work shell be peAormed in eccordence with thle permll end current Clly of Everett Deslgn end Construction <br />Stendarda end Speclficatlons. <br />3. Call Locellon Underground Servlce 4B hrs. balore you dig. TOLL FREE NUMBER 1•800•424•5855. <br />i. <br />�� <br />� <br />p <br />4 <br />� �1 <br />i <br />� �� , <br />� <br />� =1..�..- � <br />Approved�� oi <br />W <br />� <br />� <br />� <br />.lil! -Y�r��fl' 1�bl Ib1111����lh�li •Itliil �i' 1•Ilq'.,'r 11'�r� q: �1'il�r 11 itcl. ...�,p��r. it `� 'll' I�Illdli .�lqi � <br />ulaN,7ilu11 �)�� LNI�c�� ((� J ���fl(dld�� I��i ��c-41iALn��. <br />K^er c�n !+reer� cl��en et aD �i�nc. <br />',�llfh 4111fU elld 51�1 9k ia die plm Wc ncN� i�n�1 �I�i�l ���. n.ii�.� �r��i µ � � �.���. , �� ,�� ni •;�L�� �� . I.�,� � <br />di�crctiau ol tlrc Pubtic 1ti'orks Imp��toi. <br />Atly Chenne In dte dtivrwev Cm n,n^r br e��Etrnve•1 Ay [he PW Insperim. u�Jlh a! p�op (io�• hmned in ::,.n„�, N <br />�itun �ndU{. A <br />,1dji�st wet�v b�•tes to ���fe x� end n! conarocfiou. �I <br />:�df fnices nnA�ni mhcr rrusion tnnhnl mexnn�s shxl! he mMalled by tlir i�w�dei ei tl�r dttrcOnn nf thr ��d�� � <br />�L�JfI(i IIIa41P.��41. <br />t�'i.�RbP f�IYWMn• `IINA bG lil?l'�1ll�rt+d.1�11U�S0�1: '_01' Ill�i�l L•• r��^fl �1•�r ��,II�I�.I�)I tll` AL'•9 „(r!r h-r�p �� �.��m <br />Cots l. �i k?� I�ONiti'[ 10 fIl¢ plRf's eltlfm AINIf1 3V Trw. �i �i�,ia �� m���ri�•d n� di�. n�oc ���r�. � n <br />I 01; I._ 1. •/ P y' t.OM. �.' I:� III: 4,I . nld.. ���r,� �. • �1 p��K�NU�Jt���E�t�iJ�O� �ONO141�N$ <br />The undr.rsigneA owneqappllcenl hnreby BO�Qes to hold end save harm� <br />less Ihe Cily ol Everell Irom eny end all cleims fo� Aamages. cosls. <br />eMpr.nses. or causes o� eclion ihat mny erisa beceusa ol inslalla4on <br />�/���� — . �,,�- anA mainlenence ol the improvemenl or other righl-ol�wey use here�o <br />epplied �or end lurther egrees to remove seme upon notice I�om ;he <br />��truction � Date Ciry and to replace pubhc property dameged thereby. <br />Approved 05 Cunsirucled `" <br />PUBLIC WORNS DEFAR7MF.'dT <br />3200 Cedar Slreel <br />Evarelt. 1VA 98201 <br />Phone� 259�B810 <br />i <br />/� ' > <br />Signelure � Applicam DBte <br />WORK AUTHORIZED bY THIS PEFMIT MUST B� STARTE� WITHIN <br />190 DAVS OF DATE FERMIT IS ISSUED AND THEREAFTER ;S TO <br />BE DIIIGENTLV PUR6UED TO COMPLEiION. THIS PEFMIT MAf BE <br />CANCELLED BV iNE CITV UPON ANY STOFPAGE OF WORK ON THIS <br />PFlOJECT OVEfi 90 DAVS DURATION. <br />