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.� <br /> C� � /{Gl- _ <br /> r„m�c wn��.nermn. <br /> Date � >� � , � ' � I ��1 /� 7f 9Z <br /> Binq n.n' �_ � <br /> p.pplication For � <br /> PU B LI C V�/O R KS ����I�� _ � [� � r�mm worw�ree <br /> � �` Tolelfee a— <br /> 1\ <br /> Lee+�on� inn PeiU S <br /> , : r � LEeiance�ue S ,�, <br /> PriM or Type Only � ' <br /> � <br /> � �,,� r < k� L � i.i^���1�_ ��� l:',C n �_.'__ ; l= vc k'�CZT ��/r�. `�'�.Y'-- <br /> ONnar MailingAddress . ' C�ly , ;.ZIO, ; Phone <br /> , � � <br /> � ', - �� <br /> ... , �. ." .. . � .� . , .. . , � _ .. ,_� '- 7�' 1 � <br /> . . Apolicanl �dt.iGng Address City 2ip Phone <br /> Describr Proposed WorM <br /> —J.��. .1 -�t' I` t�I� I V l..\�/h�y' _ _ <br /> __' '— � <br /> Prolecl Address(i1 known) ����r`� - � �� � l� � <br /> Attach lour(4)cnpies of plens lor proposetl work� D�ew to scale nnd note ihe lollowing as npplicnble: � <br /> O Property Llnes � Centerline of sireet � <br /> • J�tline and dimenslons ol all e�zisting nnd • Indicule Norih <br /> propo5ed slructures on�he lot • Show any proposed nradiny�henges <br /> O Existing and proposed utilities • Sh�w measuremen�s M <br /> W <br /> DU NOT WRITE BELOW TNIS LINE O <br /> PERMIT CONDITIONS � <br /> 1.All cells lor inepection shall be made 24 hrs.In edvance• phone 259•88�U. <br /> 2.All work shell be perlormed in eccordence with this permit and current City of Everett Design end ConsVuction <br /> Standerds end Specificatlons. � <br /> 3.Cell Lacation UndergrounA Service 4B hrs.before you dig.TOLL FREE NUMBF.p 1•B00•424•b55rJ. <br /> - (. 1 � ,� � �,,� �:AY ' > hi,�i_� P7E � '-��e1.'� i-c=���-I C=J [��,L ��T= O <br /> � '/�.��L1��1Lt�1T ln) ��Cw T� I 'i�C+�-r1�T`�' LiNc- .Cr'���J�r1�,N� <br /> 5 , 11.)ST�1U, CONS`�'ucTir?�)i-t�r�� G �''j' Z3VFFfif�- l� t�C, � <br /> � <br /> � <br /> PJOTE: This slte plen not reviewed � <br /> � zoning code re4ro ed rPlane <br /> See Eulldlnp App <br /> AGKNOWLEDGEMENT OF GONDITIONS <br /> ���./,�/ The unde�si9ned owneUepplicent hereby egrees lo hold anA save hann� <br /> �a <br /> �� IeSs the City of Everett Irom any end nll clnims lor Aamages, cosls <br /> _.� _ expenses, or ceusas ol nction that mny anse because ol inslallation <br /> �(�, (\ 1 ` �� ` Z_ - i_ � ��� '1 I and mnintenance ol the imorovemenl or ather nghl-of�wey use hereto <br /> i ��� \ 1 nnplied lo� and lurlher agrees to remove same upon notice irom Ihr <br /> qpproved f n:,tructio� Dete City and to r�place public property damaged ihereby, <br /> / <br /> � � / / <br /> � D01B 4/ l� � '_' <br /> FINA IN P C ION �' Signafure ol ApPhcan� Date <br /> Approved as Constructed <br /> WORK AUTHORIZED BY THIS PER�dR MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTIAENT 1B0 DHvS OF �ATE YtFi:IT IS ISSUED AND THEREAFTER IS 10 <br /> 3200 Codar Street OE DI_IGENTI.Y PURSUFD TO COMPLETION. THIS PERMIT MAY PE <br /> Everelt.WA 98201 CANCEIIED BV iHE GTV UPCN ANV STOPPAGE OF WORK ON THIS <br /> Phone�259�BB10 PROJEG'OV[R AO DAYS DURAiION <br /> L <br />