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�y ,,�,�.,b„Fa oe�s 8-19-99' _ ` <br /> �!�� PUBLIC WORK� PERMIT P„bi�w��e Pem,n r LSCo <br /> ;J�•• P'1BLIC WORKS DEPARTMENT <br /> 3200 Cedar Street <br /> Everett,WA 98201 (425)257•8810 Buildi.ig Pertnll N C9908-016 <br /> TYPE OR PRINT ONLY - • JAN 2 2 2U01 Public Worke Fee S _T%7J <br /> . � ^OSTING _— <br /> US Buildere 620 SE Everett Mall Way Everett 98208 42i-353-7405 <br /> Owner Meilinp AdCreae Clry Lp php�e <br /> Owner <br /> Applicenl Malllnp Ao�ress Ciy Zlp pryp�e <br /> Describe Proposed Work New Houee - Baeic 2056 � <br /> — � <br /> � <br /> � <br /> PROJECT ADDRESS (II known) 21 11 o P ot eridian Meedowe W <br /> Attech lour(4)copiea plene lor proposed work•Draw lo scale eM note Ihe Idlowing II applkable: O <br /> •Property Llnea •OWline and dimenslons ol ell eKlslinp end proposed etnxlurea on tlfe bt •EKlstinp end propoeBd utllides ' <br /> •Conte�line ol etreel •Indicate North �Show eny pioposed prading chenpas •Show moesuremenla <br /> DO NOT WRITE BELOW THIS LINE Z <br /> PERMIT CONDITIONS: O <br /> 1. All calls lor inspection shall be made 24 hours in advance • phone (425)257-8810 <br /> 2. All work shall be perlormed in accordence with ihis permit and current City ol Everett Des(gn and � <br /> Canslruction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. belo:e you dig. TOLL FREE NUMBER 1-800-424-5555. /A <br /> I E'^;•�, rit�� �lirrt� rlr:m al 911 ti�n;•c ���� <br /> t ( IIIIi �9ficl 111u� :I�ICR:II� 111 IIIC �1I81 ;IIC IICW ;UI(� UO(IIII118E1CII, aIM1'�81t1A�!C IIICII'10 SIINII �7;; IC�IIBCCi� IC <br /> di�cirhon ollhr, fl,hlic N'ork� In<perfnr , <br /> �� Ain cl�anR'C III IIIL' IIIIVL'K�' l'lll Illlltil IIC approvcd by tlie PW Inspecloi. wirilh al ptop liite IirnilcJ U a <br /> C;I�1111� 9��IM1 K'1f�1�1 . , . <br /> ' Adlii:l KAICI I)nKCS 10 !'lll(IC UI Cp(I OI 1011511UC11011. <br /> R Un��rwrrt c �1is11 he rompletely rured h�forr drivin� on them <br /> 9. Roollop diuiici��e shail be di�chtut'C�10 ICti1lICflIINI ti1fICW8IR lllillfl(1I11U•{IYV tllUlfl�. <br /> ., +�..i�� . <br /> �' :�'.,' <br /> 5EWEfr 70.. <br /> ;i�1� ...f �^.. . <br /> � ACKNOWLE0f3EMENT Of CONDITIONS <br /> � / The undereigned owner/������reby ep�eoa lo hoM end seve harmleae <br /> ��q9 tl�e CI1y ol Everen Irom eny aM e11 clalme la demapes,cosp,e�penees,or <br /> p�o e or �ns ruc ion e� caueeo ol ectlon tt�et mey erlee because W Inelelletlun entl malnlennr�ce d M�a <br /> Q / Impmvemenl a olher rlphl�ol•way use hereto epplled lor end lurther apreee to <br /> �J .�cj �W'i.,,,�- .7 ' 7'00 re eme upm ratkb hom Mre Gry ena b replace publb propery tlem. <br /> _ pUd Ihn by. <br /> FINAL INSPECTIO� Dete <br /> Approved es Constructod ��Q�� <br /> p re o e <br /> VJOfiK AUT}pR�BY THIS PEP.'.'T MUSi BE STARTED WfT}11N 19D DAIS OF W1TE PEWdff IS 59UED Mp TFEFE/1FTER IS 70 F!E DIIJ(3EMTLV PUR3UED l0 <br /> COI.PLE710N.TMS PERI,MT MAV BE CANf�UED BV THE pTY Uf"OIJ ANY S7C)PPal3E Of WOl1(ON TH9 PAQECT OVER 80 DAV3 OUFiAT10N. <br />