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� <br />TYPE OR PRINT ONLY <br />Appkathn fu <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPAflTMENT <br />3200 Ceder Streel <br />Evarett, WA 98201 259-BB70 <br />L1sa Lafor.d 1520 112t1� St SW Gvcret <br />Ownar Mallinp Address <br />liuzz the Tower Eapreseo Stend <br />Describe Proposed Work <br />oa <br />drive thru eapreesn etand <br />PROJECTADDRESS (if known) I520 112th St Sw <br />388�8 <br />��d�� ' �'� <br />� <br />��e I-19-99 <br />ryblk Works Permlt N �Z <br />TlL <br />H�Ilding Pertnfl N 61400 _ <br />U <br />� Pub�: Wnrks Fee S �5�� <br />B,C <br />�353�5789 <br />Atleeh lour (4) copks ol plena for pmposed wark - Draw to ecale entl nole tM lolbwinp N epplleable: <br />•Property Linea 'O��tline end dimenebne ol oll exlating and propoeed atructures on the lot •Exlsting end prvposed utllitles <br />'Centerline ol ehaet Mndkata North 5how any proposed pretling changee •Show meaeurementa <br />PERMIT CONDIT101JS: <br />1. All calls for Inspectfon shall be made 24 hours in advance - phone 259-8810. <br />2. All work shall be performed In accordance with this permit end current City of Eveiett Design and <br />Construction Standards and Speclfications. <br />3. Call Location U�derground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4:t4-6658. <br />� / �"lA� � �9 <br />Approv lor Construction D <br />�' � <br />/ <br />,�� -- �J-��-��� / 5 9 � <br />FINAL INB CTION Dete <br />Approved as Caiatructed / <br />ACKNOWLEU(3EME� T OF CONDITIONS <br />The untlerapned owner/applicant MreDy eqreea to IwW and seve hwmlesa <br />the CNy of Eve�ett Irum eny end all clelm� for damagea, conts, expanees, or <br />cauaes ol ection that m.oy eAx bscs�se ol Installatbn end malnlenence of <br />the Improvement a other ripht of-wpy uee haeto applled for end IuAher aprees <br />to rertwve eame upon rwticFl from Me CMy end lo replace public property <br />demegedt y. // <br />� �/ ` <br />�+ nn� i-�o-�`� <br />ol AppU � Date <br />WORK AUTHORIZED BY THI3 PERMIT MUST BE STAHTED WITHIN 1 BO DAVS OF DATE PERMR IS ISSUFA AND TNEREAF �ER IS TO BE DILIOENTLY PURSUED TO <br />COMPLEf10N. 7HI9 PERMR MAY BE CANCELlED CY THE CITY UPON ANY STOPPAOE OF WORK ON S111S PHW�ECT O� iER BO DAV3 DURATION. <br />