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i <br /> �� <br /> ; <br /> ' . <br /> Date�, �, ��. <br /> �� �� �. ,•;..�..��,..,.,,f� ��'1� �� <br /> m��,. �y., <br /> 'S , <br /> APPlicn�.�n For � ;�.a.�'�' ��y <br /> PUBLIC WORKS PERMIT �����,�;,�;��U s — _ <br /> LecR�1p01 �reRn�f S ._ _. <br /> �. (��'. <br /> Print or Type Only o.�+��.n,�» e� �c - _ _ <br /> �A� Y? �'_���:�f I���l 1 �� (r�7 `� <tt I��'�If'1DY,�'� �j��� _. <br /> Own�� Mailing AAtlress Cdy ' Lp Phone <br /> L / P ��L_l�li\� <br /> Applicnnl Madin9 Add�ess City Zip Phone <br /> Dc:'�crlbe PropoSed Work � '� ,�j� 1 �� ` 1 / �.�n�2.C�/'-,�____ <br /> ProlectAdtl�esslilknownl /��� — �����L. .SE' �______..__ .__._ . .. .. ._ . � <br /> � <br /> Attach four 1�I Copies of plans lor proposed work� Drffw lo scale nnd nOte ihC lollnwmq Fls apphr'ahle �R <br /> • Properly Lmas • CeMedine at street /�, <br /> • Oulhne anA Jlmensions ol all existing nnd • Indicate North V� <br /> prop05ed sliuclures on�he loi • Show any piopos��A�P���:���y r,h;mges <br /> • Exlsting dnd UropoSed i fihlles • Sho�:measurrm�nls � <br /> �� <br /> DO NOT WRITE 9ELOW THIS lIN[ O <br /> PERMIT CONDITIONS <br /> 1.All calls for Inspedion shall be made 24 hrs.In advence-phone Z59•$8�O � <br /> 2.All work shell be performed In pccordance with this permil and curreN City nl Everetl Desion and ConsPuction <br /> Standards and Specifi�ations. <br /> 3.Call Locallon Undr,rgro�ind Service 4B hrs.beforr,you��iq.TOLL FREE NUMBEfi 1•800•424•5555. <br /> I 4.AhIY CHAMGF f1�1 1lIL" DRIVEWIIY Cf�l MU'�T �+E (iF'f RO'.'re z <br /> BY THE f'IJBI_1C WC7F�:1::!: INS�ECT01�. O <br /> 5. USE FUF�LIC DI�IlINF10E SV;TEM ��� F�.;O'JIDED f"0� DOldh�!' ��OUT_�. <br /> 6. ANY LOT GF(1DE CIIANG[� MU6T RF AI'ff::OVED C+Y il-ii <br /> FUPLIC WOkf'S IM�FCCTOR. � <br /> 7.f;EE:P CT'TY STI;EFtS CL.EAN AT AI_L 'fIhIES. <br /> fl, INE;T�IL :JAT[R PDXES TO GRAD� AT TIIC EhD 0� r�pl,if;UCIIOP� //\ <br /> 9. �9/�I::E S11RE �R 1 :�CWi1V`l ARC Cf�l�lf I f.�:TGL Y !'.l i�C� P�fT i��..I� FJ� <br /> D�ti'JTh6. fll�.l THf'hl. � <br /> a <br /> nChNOWLEUt,F MLM OF CONDITIQNS <br /> I n�•un�irc.�,�n��d uwnrnapphaant hereUy ngrees lo hold antl seve harm� <br /> — ie,s u��� Cdy ol Eveielt I�om any and all claims lor damapes, costs, <br /> eMpenses. oi causes nl aclwn Ihat may arise Uec.��sc ol ms�allation <br /> '� �> and mamtenance ol Ihe improvemznt or o�her uqht�cl-way �sP ���erz!to <br /> ' �' �/'T�'�T`�'" -- /9 appl�ed Inr and lurlher nyrces lo remove same upon nntice 'rom �he <br /> Approved lor Consiruction Onte City nnd ro replace Oublic ro rty tlamageA thereby <br /> FINAL I�N � Date - � �7/ <br /> L�('_��� <br /> Approved es Cons��ucled � .�i9�, re ol �pl Pa�e <br /> rvr�rll PUBLICWORKSDCnAqTMEN7 WONK AU HO ZFD BY I1115 P IT MUST BE STARTED WIThIIN <br /> � 3200CadarStreel 1H0 DAV Of� DATF FERMIT I �SUF� AND THEIiEAFTER IS TO <br /> Evxretl,WA98201 BE DILI 1 Y PURSUED TO COMPLC110N THIS PcRMIT MAV BE <br /> Phone.259-BB10 CANCELLEfi BV 7HE CRV UPON ANY STOPFAGC GF WOF7K ON THIS <br /> PFOJ[CT OVFH 90 OAYS DURATION <br />