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PuDLC WO�b PHTX• L' ✓ � I" J <br /> oatdt��.3�.�' B,,, o.,�._I997 6 <br /> Applir.ation For <br /> PUBLIC WORKS PERMIT PueTa�FNF� _ <br /> leu ADGt in P�q s <br /> Print or Type Only <br /> TO POSTINf �` � '��G °.'.°`.°". : z�- <br /> ��+'n��airr� 7t.tG � 'rl/4 A/ � �/"'` �3Ly1. J�e�ah�l a Gr � in � J��Y7– F�/i— <br /> Owner <br /> Me�Nng AtltlrBss ���1' � ��p <br /> • �Q M � City ZiP PhOne <br /> ApP��Ce�� , Mailinp Addrese <br /> ' 1 �„���. � T <br /> nP,i� e na w ^ o ! ^� �- I(� �.�,✓1 CN� n , � <br /> Describe PropaeeJ Work J <br /> �— � <br /> %O � /�G — �" <br /> Prolect AAdreas Iil known) r _ <br /> Atteeh lour(4)copiae ol pla�ie(or proposed work• Drew lo ecale and nute tha fallowing es epplicable: � <br /> • F.ot•erty Llnea • Cenlerline ol atreet <br /> • c>uN�nn end dimenalona ol ell axlatlnq and • Indicete North <br /> pr��nsa0 structure ��the lot • Show eny uropoaed prading chenges � <br /> � Ex'ei��p end Oropoeed ulllillee • Show meeaurements <br /> DO NOT WRITE BELOW THIS ItNE O <br /> PERMIT CONDITIONS � <br /> 1.All calle lor Inapectlon ehall be made 24 hn In advence•phone 2`. ?•8810. <br /> 2.All wodc abell be Oe�om�ed In eccordanr,e wllh thie permlt end cur.��nl Clly af Evere�t Oeeipn and Conetructlon <br />� 91end�rde end BO���icn�fona � <br /> I 3.Cdl Lxetlon Unenrom�nd Service 48 hro.belore you dip.TOLL FREE NUMBER 1•800�4245555. <br /> 4. ANY CH� JGE IN THE DRIVEWAY CL17 MUST BE (�FPr,OVCD O <br /> 9Y THE PUBLIC WOF.I':5 DEFARTMF_NT. <br /> S.LI�E FUPLIC DFl-�INAGE SYSTEM AS F'FO'lIDEL` FCR DOWN�FOUTS. <br /> b. ANY LOT GFADE CHANGES MUST RE AFFROVEO HY THE � <br /> PUBLIC WOFI,:� IIVEFECTOF. <br /> I �� 7.YEEF CIT`! STFEETS �LEAN AT ALL TIME3. � <br /> r <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF CQNDITIONS <br /> Thn undersipnad owner/eoDlicanl hereby aqrees to hold and seve harm <br /> leapnnees. or ce eesro`it ectionB hatm.'Y'arfeei becaue eoltlnalelletlo� <br /> �� �` ge end meinlenence ol Ihe Improvement or olhar rfght�vl•wey use here� <br /> � eODlied for and lurther agreee to remove same uPan notice I�om th <br /> ApProved for Con tructwn Date �Ily to roplece public Oroperty damapeA Ihereby. <br /> � .� � ,a( �..,,� � �, YY <br /> FINAL INSPECTION Date � Dele <br /> $Ignelute ol APPlicant <br /> Approved ae Conefructed yypRK AUTHORIZED BY THIS PEPMIT MU9T BE STARTED W�THI <br /> • everett PUBLIC WOAK9 DEPARTMENt 180 DAYS OF DATE PERMI f IS ISSUED AND TNEREAFTEH 13 T <br /> � 3200 Cadu 9lreet BE DILIGENtLV PURSUED TO COMPLETION.THIS PERIAIT MAY E <br /> Everott WA BB201 CANCELLED BY THE CITY UPON ANY STOPPA6E OF WORK ON TH� <br /> Phone:269�8B10 PROJECT OVER 90 DAYS DUF7AT�ON. <br />