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� / <br /> ��r� �°m ca�w�F« 3/5/99 <br /> PUgLIG WORKS �ERMIT °�'° /� / <br /> PUBLIC WORKS DEPAf7�MENT publ�Works PartnH II "1-1 /� <br /> 3200 Cedar Street —'.7 <br /> Everetl,WA98201 25A-8810 BuiMing PemiH M C61769 <br /> TYPE OR PRINT ONLY TO PO STI N G � � 4 7non p�a�yy�e Fee t� <br /> WELCH'S CONSTRCCTION 1507 49TH PL SW EVEREYT 98203 425-258-5000 <br /> Ownnr Malling AdEraes Gty Zip Phone <br /> Appllcant Malllnp Addrese CMy Zlp Phone <br /> Desc�iL�Proposed Work __ NEW HOUSE – BASIC 2015 ■■ ■ <br /> W <br /> — — � <br /> � <br /> — — �--- (n <br /> PROJECT ADDRESS(if known) __�Q� l OBTH� SE __ S60RT PI.AT 5-97 � <br /> Anach lour(4)eopbe oi plans far propoaed work•Drew to eceb and note the tdbwkp II epplbabb: <br /> Mroparty L1nea 'ONline entl dimenabna of all exlatinp and propoeed ntnictu1ee on tha bt 'Ex�etinp end p,opoeed utllNbs O <br /> 'Cmtaline ol etreet •Indlcate NMh '3how any propoeed qradinp chanpea 51row msawremente <br /> � <br /> DO NOT WRI?E�f=LOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls far Inspection shall be made 24 hou�a n edvance-phone 259-8910. Q <br /> 2. All work shnll be performed In eccordtnce wit��this pertnit and current City of Everett Design end <br /> Conctructlon Standards end Specificatlonc, <br /> 3. Call Location Underground Servlce 48 hrs. before you dig. TOLL FREE NUMBEH 1-800-124-6666. � <br /> � <br /> O <br /> a <br /> _!`�� ACKNOWlEDOEMENT OF CONDrtION3 <br /> TM underolgned owna�/epplkant hereby apreee lo holA end seve humMes <br /> ��' � � tM Ciry ol Evarett han eny and all clalmn fa dame{pa,eosts,e�penses,or <br /> veA I structlon --- �e �����e^that mey erlse becauee ol InetellMlon and meintanenca M <br /> tM knqovament a oMier ilpht�ol-way uae hefMo epplbd fo�and turNier epses <br /> � �`�� /��� � Z 3 � lo rertrova eame upa�notka hom tM CNy end to repleee pudk property <br /> G � ._�(�S demeged therehy. <br /> FINAL INSPECTION Deb /I�\ , <br /> Appmved es Constructed ��1 ,o A�Mx' � ?//b / <br /> �-�----- - � F9 9 <br /> Slgnatu of ApplkerY, Date <br /> WORK AUTHORIIED BY THIS PERMIT MUS?8E STAqTED WfTHIN 1B0 DAYS OF DATE PERMR IS ISSUED IWD THEf1EAFTER IR TO BE DIUOENTLV PURSU°D TO <br /> COMPLETION.TNIS PERMR MAY BE CANCc'LLEO BY THE CfTY UPON ANY STOPPAOE OF WORK ON THI3 PRW ECT OVER PO DAVB WMTION. <br />