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Date_1Z-1i-92 <br />Applic�tlon For <br />PUBLIC WORKS <br />Print or Type Only <br />Bill Guetavson PO Box 2702; <br />FO P�STING °� 10 �ae <br />PERMIT <br />liA 98036 788-6920 <br />,��ry <br />waKwe�..w,mn. 93 Z9/ _i <br />eao o.m.. 9005 <br />NOIIC WOM� FN <br />Tot�l i�� { <br />L�u �ppl F�� 0�10 / � <br />s.u�. a. t 20 �' <br />Owner <br />Applicanl Mellinp Addreas Clly Zlp Phone <br />Deacribe Proposad Work new duplex <br />Pro�ecl Addrese (II known) <br />- .� , rs <br />Allach lour �4) coplea ol plene for propoeed work • Orew to ecale ena note the lollowinp ae epplicable: <br />• Property Llnee • Cenlerline of etreet <br />� Outline end dimeneione ol all exinllnp end • Indicete Norlh <br />proposed elructuree on ihe lot � Show any propoeed pradinp chenpee <br />• E�Istlnp end proposed utllitiae • Snow meeauremente <br />PERMIT CONDITIONS <br />t. All calle lor Innpection ehell be made 24 hre. In edvance • phone 259�8810. <br />2. All work ahell be peAormed In eccordence with Ihla permit end curcent Clly ol Eve�ett Deelpn and Construdlon <br />Stenderde end Specllicatlone. <br />3. Cell La:ation Underground 3ervice 4B hro belore you dlp. TOLL FREE NUMBER 1-800�424�SbSb. <br />� �...4.,rn.L�c• /-"�t<� . y� �,Qp�yw �tKl✓a.c-I .Cs+ ih.�7 �LO i/7+yp.c,cl <br />, � � •/ �/ / <br />ad�,�s..�� �09��t,L�: nz cc.�.y ,1'�/,� -o� t+lay. c,(�nut.,�'d'' <br />(/ / <br />CJ�Z.�-�,, S+icU•-.. m-� P.(',e,,.. 7-»ny -�"u� ,nt 2��e�K.a�e J CQmduLi <br />O <br />l✓Z.t'�(i �..1'E.c LUm�d.- C.vyJ'Jte�iv �.e�� ��I,-�'�S�'. <br />l/ <br />e- �?'/��7l�a>a-� %//%7' <br />Approved lor Constructlon /�- <br />l: i � �� /�/O/� /1��( /� - rllf <br />FINAL INSPECTION �— <br />Approved es Conslructed <br />�PUBLIC WORKS DEPARiMENT � <br />3200 Ceder Bireal <br />Evere�l, WA 98201 <br />Phone: 268•8810 <br />W <br />� <br />� <br />� <br />ACKNOWLED6EMENT OF CONDITIONS <br />The underaiBnaA ownar/applicant hereby ap�eee to hold end eeve herm� <br />lesa the City ol Everetl Irom eny end ell clalms lor tlamapea, coele, <br />e�penses, or caunee ol actlon that may erlea bacauee ol Inalalletion <br />end malnlenence ol the improvement or othe� ripht•ol•way uee here!o <br />app�ied lor end lurther apreoe lo remove eame upon notice Irom the <br />C'�i`d to replece publlf,.A�oporty�Taped thereby. <br />WORK AUTHORIZED BV THIS PERMIT MUST BE !iTARTED WITHIN <br />180 DAVS OF DATE PERNIT IS ISSUED AND THE�REAFTER IS TO <br />BE DILIOENTLY PURSUED TO COMPLETION. TMIS PERMIT MAY BE <br />CANCELLED BV THE CITV UPON ANY STOPPAOE OF WORK ON THIS <br />PHOJECT OVER BO DAYS DUR,ITION. <br />