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OBte-11%�✓ TO POSTING I f /= t, ^wn^.�-m•. 90 <br />I 'r ga /� sT o <br />LUpncilme foi �eM•"'1- <br />PUBLIC WORKS PERMIT <br />1... AW I.. P.. / —�p— <br />k.a.r.Dr. <br />Print or Type Only <br />E i ,cam /T4/n•"-e o/a✓[.ri .7�.2.Y- Z�nvr ,�nrrufr 9fiti vvP- 1 2JL <br />Own,.,4gAddress Cdy Zip Phone <br />-' Anx✓___ <br />rcnm Mailing Address City Zip Phone <br />_ <br />DPscrrbc Pmpneed V✓nrx_'— Gfa.c�Nouar //+fvcP e••/[OiNC3_ __ <br />Project Address 411 known) >� f !J " A fi <br />Attach lour tat copies of plans for proposed work - Draw to scale and note the following as appbcablo. <br />aaaa� <br />• Property Lines • Centerlme of street <br />/ A <br />• Oullme and dimensions of all existing and • Indicate North <br />v, <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measuremenis <br />Y <br />DO NOT WRITE BELOW THIS LINE <br />O <br />PERMIT CONDITIONS <br />1. All ostbfor shell In made Za it advance •Moos389.881 o. <br />aa� <br />llbedion <br />Y. All work shall be performed In accordance with this perm)) and current City of Everett Design and Conatrudlon <br />a <br />I <br />Standards and Specifications <br />Cell Location Underground Service 48 him before you dd g TOLL FREE NUMBER 1-8004 249995G: 3:1`11 000"•1 <br />A�7. <br />�7 / ly- �/!tl %;� •�� <br />Qn�/E"""'' ��If9 <br />DPT.2d599 <br />i fMM.08 <br />Q <br />DIENC <br />LTIEtx: tnrJ Ec6:.LL <br />1'sass, <br />U) <br />O <br />a <br />A s dl W4,r n /PlIts,� <br />FI AL INSPECTIO Data <br />Approved as Constructed <br />e Mett PUBLIC WORKS DEPARTMENT <br />3.treet <br />ExeOCedAr 8201 <br />Everett WA gB901 <br />Phone 25ORBIO <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The underaigned owner/applicant hereby agrees to hold and save barn — <br />lose the City of Everett from any and all claims for damage& Coals <br />expenses, or causes of action that may arise because of Installation <br />and maintenance of the Improvement or other right-oLwey use hereto <br />applied for and further agrees to remove same upon notice from the <br />City and to replace public property damaged thereby <br />.4W4�6 7/9/90 <br />ign a of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED BY THE CITY UPON ANY STGPPAGE OF WORK ON THIa <br />PROJECT OVER 90 DAYS DURATION. , _' <br />