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Datc,_��- �`' f'�I <br />nr.,hi:;,�ion r ui <br />PUBLIC WORKS PERMIT <br />Print or Type Orly <br />, . ,. .. ��)/�('��, <br />� , �,,, • E'`J�� ,.:�,,�� <br />r.n�i�, w�,�.xi�:t.—.�.._ . <br />,�,�A,��� -� -- ---- <br />i•.,•. np�n n. rn�e S <br />nn <br />n.,n,.. m�� S � �" _ <br />_ ) �� � �-h �t �I �c; ��C�c�_i��z �V�t.c-fil— 9('r'c�� 7�� ���n <br />OH�nei MaJiny AAdross Ciry Z�p Phone <br />11 <br />icanl <br />Drscribc Proposcd Work <br />MmLng Addr��tis <br />Gd)' Lp Phonc <br />--L..: i=._%,C� ���JZ —_ —__ <br />P�olecl AdAress UI knnwnl _ Z! L� ��%�' ��� � � ____ <br />_L� —_ L__ -�L __ - _ <br />Attach low I�I copies o� p�nns lor ��OPUsed work � fhav; In sr.de:mtl role Ihn lollowiny as apphnbh� <br />• PropertY Lines • Cenlerl�ne ol slrr,r•t <br />• Outline a�d tl�mensu ns ot all e.islinp and • Indir:ate Norlh <br />pfOpa5P0 S�IUCIUres m Ihr Ini •$how l��/ Prz,pUs��d U',Iqmq chanyo5 <br />• Fustmq nnd proDosrd itliLl�i�ti • Show m��nzwrmeniti <br />PERMIT CONDITIGNS <br />1. �II calls for inspeclio� shall be matle 2A hrs. In advance � phone 259•88i O. <br />2. All work shall 6e penormed in accurdance wi�h Ihrs permil and current Ciry ol Everett Desiyn and ConsVuction <br />Standards nnd Spec M1r.ations. <br />3. Call Localion Undenpound Service 4B hrs. belnre you diq. TOLL FREE NUMBER 1•Fi00•424•$555. <br />-�. �M��rn��_ -,��� Fr�.�.c= r.� �n�� ���rx= ,�i� c �;ti; �rn <br />'ir �' . 5. � �} C; �`r � i 17. i �_tit�� Z - <br />PI�Vf� �, r � �� _� C�.-Fcti.� <br />L�`���_�if.;f, `Ti= 1'�'t'iZ�_j D�:AitiAc,C INTC tir�.h1����T <br />i �.° r�� t ��,, � � + -+ �-^ .�-,E �✓�-r��.L�•� . <br />_ GA��. Zn—s_� c�sc:4'c.�. ��.,-.� �: ir ` r r.� �c �c_. � �, <br />, <br />�r�>�,n���_ATiU.�.l � o��'_ �xnc--� Lcc.,aTic�r.. . <br />1 ��ittl�l ��� tl nc�4� <br />� ��v �.:���iJIA14, b1�jCi7�A�. C��'-l�.'hSTI <br />t.,�1�}iA,' �,�'� � CF <br />—___—._ — _ '._ __ <br />_._=i�-_._— - =y�_, <br />� i _ �/ <br />�PU��vy��crConsVufa ry � <br />: � � . i'�� �///,� i <br />W <br />� <br />� <br />� <br />0 <br />�JL,—����j ACKNOWLEDGCMENTOFCONDITIONS <br />The undersignr,A owneVapC.�can� heieby a9�ees �o holA and save hanm <br />— less the Cily ol [verelt Irom any and all r.laims lor damages. costs <br />// rzpenses. or causes o� achon Ihat may �nse oecause ol installat�on <br />�_ and mamlenance nl Ihe improvement or other nc�hl-ol�way use herrlo <br />,.(_ / applied lor and Iwll�er agrees to remove same upon nohce Imm tnc <br />� Cdy and to replace puhlic property tlama9ed IhereUy. <br />�/ �j� ., ��/� / ,�/J/�_ _ fj�/� S� � (,� <br />FINAL I�'� 1'ION L"�� —f� uaie <br />APProv�:� �s C��nstiuc(ed <br />��vrre9t PUBLJC WORKS D[PARTMENT <br />� 3200 Cetlar Sireet <br />Cvcict�. WA 98201 <br />Phn��r ?50�0[I10 <br />�., �f / (�' <br />.�.�' v"/�:�, -I,�i ���' _. <br />&n����ne o� nnn��cnn� u,v�� <br />'�WORK AUTHOR17[D dY THIS PERMIT M11UST �ti SIARTEU WIiHR1 <br />1Fi0 D�VS OF DAT[ P[NMIT IS ISSUED AND THEREAFT[R I5 IU <br />�[ DIUGCNTLV PURSUC:D 10 COMPLETION. iHIS PERM1IIT MAV HI <br />, CANCLI L FG f3I THE QTV UPON A�J1" S70PPAGL OF WOF7M. ON Tlliti <br />� 1'I,��I((�.11l�'Eii'�OIIA'l:IIUHnIIf)N <br />