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n <br />r <br />��� <br />>yrn <br />�� <br />H g� <br />� ._. N <br />� � � <br />N <br />H ' <br />Zo <br />H d <br />��g <br />HV �] <br />Zy <br />�yH <br />g�� <br />��� <br />!�� <br />i1 !_��i <br />\ <br />� <br />Date � "3� -9� <br />_> - �4 -z�,-4 I <br />r" • <br />anni�cai.,o���.� 1� f�Sl�NG._ ��-`�`q� �I <br />PUBLIC W�F�KS PE.i�MIT I� <br />Print or TyPe Only � <br />�,n �. . ��. a � � � [P <br />b� M <br />��Mfr� c: ar «=51a lc 5'���' Il 7 l� i'1��f�E E <br />Owner MOIlirqiAddress �� � .,_ �� �, ;CikY <br />. � ;�� <br />', rn ' (� � � f� <br />��i i �Y: f lU <br />-- O tt � u . � �l f .t r u� _ <br />Appllcanl Meiling Address .. <br />c� <br />r��ne.:wnn�rs,mn. �'/�Z¢2S—___ <br />n,���o.o�. ,1 �%•l—��_..__—_ <br />r„nica�on�ve. s_--- <br />rnnir.e -- <br />� ee� nom ree r.�a a_. <br />l <br />i r� �r o <br />L - �i� n: c�i <br />U O ♦ M <br />.. .� <br />�' � Q`� ��P. � � � <br />— Z�p <br />Oescrlbe Proposed Work �f�/ �✓����f. rdW� � �a �S.��w'ICC <br />�� o � � � <br />,n '::; m ... <br />�A . i <br />'� � -_3�£� <br />anaN��, : <br />�,.- _ �. <br />� � IJ <br />�lt 2� -y tt• <br />Phono <br />Prolec� AiAress lil knov•nl _ � u'1- "'ti'� -� �—�� � —� SC ------.-------I <br />Atinch lo�r (4) copie9 0l p'vns for proposed wark - Diaw lo sr,nle antl noto Ihe lollowinp as apohcol�h•� <br />• ProP�rty Llnee • Centerhne ol sVre� <br />• Ou�lin5 and dimensions ol .dl e.ishn9 and • Indicnte Norih <br />proposed alruelures on th lot • Show eny proposrd yrad���q �han{�eti <br />• Ezisling and propoxod uuhties • S�ow mxnsurements <br />PERMITCONUITIONS <br />1. All cells lor inspection ahall be mndn 24 h�s. in advence- phone 259-8810 <br />2. All work shell be pedormed In BCco�tlance wilh Ihis permi! nnd currenl City of Everelt Oesiyn nnd (,onsVuclinn <br />Standerds end fipecdicntlons. <br />3 Cnll Location Unde�grouM Service 48 hr,. belore you dig TOLL FREE NUMBER 1•800•424•5555. <br />�{• INSTA� 12'� Q�EiNF02c-E17 Gc�NG�E-"fiE Gv�-v�lz-T <br />IN O�TLH AT p2�YE\vA�( LOGAT�OPJS. P��C JW��-�-- <br />gr� �n1Si �-�-�ei� so A.s �� Noi GE�E+�'rE ��D�t.k-,, <br />J . �i�\VC—\YA�i S 1-�P�LL [3c P��� -rO ��-�E ��F �,�.��.�E� ]I' <br />1 fJ R.O��/, <br />'-��%� ---- <br />_��..e, �v1 � ��. ��- � �- 9 � <br />Approved 1 �onsiruclion �Tlr <br />r !__!/�d _/ <br />� . l'S ! �r � � �� . I <br />r—�Nn� iN, ecTioN = -- n� ��, <br />�Pn�oved ns ConstrucleA <br />�PU9LICWOi7NSUEPARTMCNT <br />:120J Cetlar S�reel <br />Gvcit�ll. WA �fl7r�l <br />�'ho�m 75� PP�'i , <br />Z <br />O <br />�r^ <br />V♦ <br />O <br />a <br />n� �-r�nw<<ucr�+i •��i ni �;uNrnnoras <br />The undrrsylnetl uwnri/�ipPl��. ����'��"��'I�Y �yrres �o hold anJ eave hai...� <br />less Ihe City ol Evure�t Irori any nnd all claims �or tlnmapes, r.o;1s <br />eMprtnses, or r.ausos ol action ihat r.�y r,nse brtcause ol ins�nl'alio�� <br />nnd maintonxncu ol f� � improvemenl or o�her ri9hbol-Way uae hercln <br />q�)�11iPA IO! nnd IurlPe� ayrces lo remove same upnn noticn hom the <br />Cdy anA to re�pinr.•• �m.; ic p�onerty damngnA Ihereby. <br />�} -"'� - <br />Siqnalurn o! AnPli nnt _'_" __ Do�e <br />WORK AUTHORI7FD BV THIS PFRIdIT MUST Pf: STARTED K'ITHIN <br />I110 UAYS OF DATE PEFMIT i5 ISSUED A"IC 11��.RfAFTF.R IS TO <br />nf DILI�ENTLV PURSUFD TO COMPLFiION THIS PENMIT MF 9E <br />�.�NCELLED BV iHE CITV UPON ANY StOPPAGE OF WORK ON THIS <br />i�i�n_mct nvrn �n onvs our�n noN <br />