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� <br />TYPE OR PRINT ONLY <br />ApplicebOn Fp <br />PUBLIC WORKS PERMIT <br />PUBLIC N�ORKS P��ApTMENT <br />32L0 Cedar'„treet <br />Everett. WA9B201 ,$$g;8fl10Q <br />1'1AK '1 � <br />�iijtil��1 <br />Date 6-23-97 <br />Publlc Nbrks Pertnit N / �� � <br />BuilOinq Permit k $S 718 <br />Public VW�rks Fee S ��, _ <br />Welch's Conetruction 6332 76th Dr SE Snohomish 98290 337-3528 <br />Owner Malling Adtlress �� <br />�Y ZIP Phone <br />Owner <br />Applicent Melllnp AOOrees Clty Zlp Phona <br />Describe Proposed V1'ork _ new <br />07-01-97 8:31lW <br />PROJECT ADDRESS (if known) <br />Attach four (4) copias o' plans lor pro�osetl work - Draw to scele and note the lollowing If appliceble: �� +� � <br />•Property Llnes •OW lina and dimansions ol ell existing and proposed sVucturos on Ihe lot �Existin �IVEIA4Y �,� <br />8 * P P��ed utili�9 <br />•Centedine ol shret �Indicele North •Show any proposetl g�vding chengae �Show meaeurert/1p� 1��� <br />��� _ <br />W <br />� <br />♦�A <br />VO <br />� <br />� <br />� <br />PERMIT CONDITIONS: 1��R 70.00 � <br />1. All calls for inspection shall be made 24 hours in advance - phone 259-887pILITT DEV <br />2. All work shall be performed In accordance wlth this permit end current Cit�n[F�r tr�}qr� and O <br />Construction Standards and Specilicetions. 8Q'Q a.w R� <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL fREE N4�IA�R 1��}-6656. EK <br />CH <br />^ �M 723 IA <br />{ r•�� rm hr •�. � Iran al nll luuc: <br />e wl� � u,i, i au�i •id:��;JA w ili: pl:d ;u� ucw ;wd uwlaius� cd. au� danr,n e tlicicli� .Ir,JI Lr �eplaied ai <br />h urUau �.I �L: I'o1,6c U'oil. In p;cl��i <br />Hi� cli�nrr in Ilir diwrwm eitl wu:t br nppio�•rd by ihe 1'W' In�pccln� widlh m piop luir Imntcd c� <br />�,i>I:u!� a��i���p widlh <br />��I�q+l N' it�l I�OCC� ro�•rnd•• at ^qd M cpi��huehnfl <br />I1,��'c1Y8T'•. <h�di b: complei;•h� emrd bc(nir dmm�� un Iheni <br />R�� �Rop �6:uua^. ,Icill b• di �hnn rd in Ih; .il:' tnnn di;nn � I� m <br />if� 7 <br />,�"_[! N � <br />FINAL INSPE•^,TION � <br />APP�a�ed as Canstrucled <br />� � � Ll__ <br />ate <br />_ _ �� % <br />Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tha untlersignetl owner/applicent hero6y Bgreps to hold end save hermless <br />Ihe City ol Fverett from any and ell claims foi tlemegns, costs. axpenses, or <br />causes o1 e[tion Ihet may anse baceuse ol Instellatlon end meintenence ol <br />Iha improvemenl or othvr rlghl-of-wey use hareto epplietl for entl further egrees <br />to remove same upon notica from Ihe Clty and to replace public property <br />tlemagaG fhereby. <br />���. � ��l,cJ�l 'f / �97 <br />Signature 1 4ppllcant e e <br />WORK AU7HJRILED BV THIS PERMIi MUST BE STARTED WITHIN 1B0 OAVS OF DAT[ PERMIT IS ISSUED AND TH'cREAFTER IS TO BE DILIOENTIV PURSUED TO <br />COMPLETION iHIS F[RMIT MAV BE CANCELLED BV THE CITV UPON ANY STOPPqpE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />