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DaleJ1�� <br />AppLcationFo� TO POSTiNG/-_1���--�.� <br />PUBLIC WORKS PERMII� <br />Print or Type Only <br />Applicent <br />iling Addrees <br />Dnacribe Proposed Wmk _�� L�� �p J-'' � <br />Pro�ect Addiess (il knownl �-Z-1 J%� �'� ��C <br />Aftech lour �4) copias of plena lor prpposed work � Draw lo scale entl note ihe lollawing es eppliceble�. <br />• Property Lines <br />• Oulline and dimennfc ..v ol all aM�stmg and <br />proposatl etruclures on the lot <br />� Exisling and p�oposed utililiea <br />Punhc wo.M. Gnr /jV/� l— <br />f3i�q OeO� • �/ ' <br />Pub�¢Wnrvefse � —"---" "�-� --- <br />lol�i iee _ <br />lsU �p01 f en Pertl i <br />Bednc� Itue { � <br />• Cen,arhne al street <br />• Indicele Norih <br />• Show eny p�oposeA grading chengea <br />• Shpw measurements <br />PERMIT CONDITIONS <br />1. All eelle lor Inepectlon ehall be mede 24 hre. in edvence • phone 259•8t31 Q. <br />2. All work ahell be peAormed In eccurdence with thla parmlt end current G'�y ol Everett Deslpn end Construction <br />Slentlerde end 3peclflcatlone. <br />3. Cell Locatlon Underpround 3ervice 4B hrs. 6efore you dip. TOLL FREE NUMBER 1•800•424•5555. <br />.�� l'1��� ! l-1 � -8� <br />App�ova Conslr �on Dete <br />i <br />FI AL INS E I '�g'e <br />Approved es Construcled <br />everrtl PUBUCWORKSDEPARTMENT <br />� 3200 Ceder Sireet <br />Everatt, WA 98201 <br />Phone:259�BB10 <br />ACKNOWLEDGEMENT Of CONOITIONS <br />W <br />� <br />� <br />� <br />� <br />O <br />� <br />� <br />O <br />a <br />The untleraigned owner/applicent hereby egrae! lo hold end seve herm� <br />less the Cily ot Everatt Irom any end cll cleima Io� damages, cos�s. <br />e�penses. or ciuses of action thal may ariae because of inelalletion <br />end mamtanenee ol the Improvamenl or olher nght�o4way use herelo <br />applied for and lurlher agrer.s to iemove seme upon notice hom the <br />City end lo replace public p perty damaged �hereby. <br />�-� � 2 f-� <br />Si9 alure Appli an DB e <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED Wt7HIN <br />1P0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE Dll IGEP.TI � PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />GANCi_lLEO t� V THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br />PNOJECT OVGf' 90 DAVS DURATION. <br />