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i <br /> � <br /> � <br /> � <br /> � <br /> � <br /> ��-8� �`'�;'J-%]�' '' <br /> Date P,��,��w�,�,��,m��. � <br /> mnn n�ni . ���_ ��I�. _ <br /> Application For + <br /> �C�'�'+a � __l_ �1_ al <br /> PUF3LIC WORKS PER�UIIT �°�����°"�°°- :, <br /> intal ine S — . . :I <br /> i�..s nnni re.r.nn S .� <br /> Print or Type Only r_,�;��,.n„� s �UT __ <br /> ������1 I��� I n� ��� �t �I�����. �/ ; <br /> OwnO� M311ing AtlAre55 C:iiy Zip Phone � <br /> - �".�30�.� ��� i <br /> Applicen� 'd2ihng AAdress Gly Iip Phoror ', �.� <br /> Describe Proi�Osrd Work 1MDA ) Jf-4"'� ������__L�'t( 1�.�7�.L—���.(� _______ � <br /> - - '/ �.,� - W <br /> Projnct Address Ut knownl —��l � ��� ���sF _...___ __._____ � <br /> Attach lour 14) copies ol pinns lor proposed work- Dr,w lo scal=and note Ihe lollowing as.pnlicahir i <br /> • P�operly Lmes • Cenlerlme ol sl�rcl /w <br /> • Ou�line and dimen5�on5 0�all exisling nnd • InAicale NorOi V� <br /> propo5ed s�ruc�ures on �hP. lo� • Show any proUos��A yraAinq chanyi�5 �. <br /> • Ezir,ting end proposed ulddies • Show measuremenls � <br /> DO NOi WRITE BEIUW IHIS Ukf: �i <br /> PERMIT CONDITIONS O I <br /> 1.All calls lor inspection shall be made 24 hrs.in advence�phone 25J-811�0 � I <br /> 2.,411 work shall be pe�lormed in nccordance wllh thls 4armil Anr����ren' Qty ol [ve�ell Desiqn�nd Construclion <br /> Siandards and Specihcatlons. I <br /> ^ Ga"�ocation Underground Service 4E hrs.belore y.��dig.TOLL FRE E NUMBER 7•8��0•424•5555. � <br /> 4.11�1�' CI IiINC;C I�! 71If C)RI�VEWAY CUT t1U'�tf I � ����I��� � - -0 � � <br /> HY THC f-'LIBLIC WOF�I,S INbPECTOfi. <br /> ,S. USG fUOLIC DkAINAGE iYiTEM A!i F'ROV1Ci I , fiiii�!- . `.� ; '. <br /> G.ANY I_OT GRADF CHF1NGf=S MUS'f EF Nr'FFO'•-� ' �"� � '' � <br /> F'UHLIC WOFtk:'� IN5PEC70F, j <br /> 7.KEEF C7TV STf�i�.FTS CI...�AN AT nI.J T1rIfC':. /w I <br /> B. IN�TALL WATF-R f'flxi ;r i �'�r,n' 1 iH! I P�i� � �� � ��, �'� i ! �� I li 'll V, <br /> '�i. MA1..0 SIIFE Df�:l '.'I Ll';��'� ��,i.l i �)I�If�I I � I I ��- i''.il �i I� I.! i [ilti� � I <br /> ��"�1Jlfdl�� � ��J Illlt�l � <br /> �11� <br /> � II <br /> �CkNOWLFDG[MENT pf COND�fIONS <br /> The undersipnrA owneir�pplicant heieby agrFes lo hotd'anC save hnrw� � � <br /> -- less Ih�� City o� Evcie.tt hom any and all claims �or tlemnges. co�ls. <br /> ezpenses. or r.auses ol aclion Ihal may ense ber.acse o� mstallafion <br /> .�/ � ., end n�,Wcnance ol the improvement or othcr righbubway use hereto <br /> —�l=,F,�: �"'t f�'-_—.L �! ..,Sh <br /> npplmd lor and �wlhi�i ayrecs to remove same r¢in nolice Irom the <br />� Approved lor Construcho� Date C��y;����� ���repl2ce pubhc prnne��y damaged therc6y <br /> ---�" ,� / i � �`/ ,7{� <br /> FINAL IN EC UN Dt+t� EY�V��� c��-z"�"�4'2^'� �QD <br /> Approved es ConStrucled �lure ol Apl�lir.anl �4� <br /> rvrmlt PUBLICWORKSDEPARTMENT I RK AUTHORITED BV THIS PEFMIT MUST BE START[D WITHIN <br /> � 3200CederStreel 1B0 DAVS OF DATF PERMIT IS ISSUEO ANU TH[REAFTER IS f0 <br /> Eve�ett.WA 98201 B[ DILIGENTLV Pl1R5LIED 10 COMPLF.71qN THIS P[RMIT MAV �E <br /> Phone.259�BBI0 CANCELLED BV THE GITY UPON ANY STOPPid;E UF WORK ON THIS <br /> PROJECT OVER 90 DAVS DURATION <br /> I ' <br /> � <br /> � <br />