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�J�� { e � � ' ,i <br /> �i�8�1_4l._. 1� D � ^ � 0 nn �j PnU�¢Wnr4�Pwrmil� _�,� � � <br /> �� Y �` oinn ow� • —__ I <br /> A lica�ion For v � L7 -- '--- <br /> PUBUC RKS ��� » � D �,,,,,,�W�,,.�., ---- <br /> r ta�.��.� ¢ <br /> ......... less�npi fn�Pa�n S <br /> ............................................u n... <br /> = 8 8 5� S�CITY Of EVERE A•�r^����„� s 6 3 -� <br /> Print or Type Only a TT <br /> .. $ �i o�' r�'BIdR. Permit Counter <br /> N [� <br /> �� � / N N M M � � <br /> n�iti� �ccoc�nlQc_ .� '�h Ave.4',� 2�D�Quue � qg004- 454-R9�_ <br /> Ownei n , �, i �Y C�i, Lp Phnnn <br /> L1 <br /> �c�wc� Assoc;�e��_ �1�,_��e._S�E.�2.1� �ell�ue 9gOp4__95�_$9D�- <br /> qpphr,nnt �'.,�i.,:.� �lridi„v, G�v� Z� Phone <br /> Describe Proposrd Work _�„"`(�,�`Q.VQ,�10�. _�_l�`.1_LA1�-I.H_S ,. <br /> -- _ ._ __ _ --- ----- <br /> - - �) //� - - T/ //� p -,,-�,-1,-�J 7'-- W <br /> Pfolect Address 1�1 known! ___�Q�V.. L/�� �����. ��/ . �L�J�CG(1 .!�__.__ � <br /> Al�BCh IOUf (4)COPI(!5 OI Pldns loi piuPnswl H.r. fl�.�v. t:� _, m.� .��.f m I., �hr 'i�qi„�my .�b:tDl'Air.a6h• � � <br /> • P�opP.f�y Unes • Cr^���rlinn nl stre��t � •. <br /> • Outhne nnd Aimrnsions ol �II c.��!c�q :in�t • Ir�U�;il�r Nnrih � <br /> i <br /> proGosed slructures on ihc I�.,i • �nrnv any rnonosed qnhmg channrs ' <br /> • EMis�ing nnd D�opoSeA ltlililie5 • Shnw mras�neinenls � i <br /> DO NOT WRIIE HLLOW IHIS LINE <br /> PERMIT CONDITIONS O <br /> 1.All calls for inspeclion shall be matle 24 hrs.in advance-phone 259•881 O. � <br /> 2.All work shall be pedormed in acwrdance with this permit end currenl Cily ol Everett Design and ConsVuclion <br /> Standards and Specifications. <br /> 3.Call Locetion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800•424•5555. � <br /> �, f�'..�r a�Or-�� �/ �d� 7- �9 •9�¢ Q <br /> i� <br /> �"' <br /> � <br /> � <br /> a � <br /> AC.KN06VLCOGCPdFN� OF CONDITIONS <br /> i�,�..r„7..�-� ina�ownri-aPnbcnnt ni�rebY a9rees to hoiA anA sae�e ha�m. � <br /> --- --- '-- '" --- '"-.. .-- -- � i��.,�. :'�.� I.dY �•1 FVPfCII ItOm Any dnd dll �I111T5 IOf AdrilTql'ti. f.0515 � <br /> ` � r��a��1S��5 Or Cp�SPS O� :IChOf1 �hd� rtl�y df15? bCCiIOSC O� If15IBIIT(IOn I <br /> ,u�.f maintrnanr.e n� thn imprmemen� or other nghPof-wey us� hereto i <br /> .i:��Y..��,: rnr and li�rihPr aqreCs to �empve sdm�• uPon n011c/ fro� <br /> A veA lor Cp iuct� n , � . �.�, i: '� ��:,I tn re�ulau•rnibhc pione•ity damageA Ihereby. y� � ; <br /> /3 _�e� "'-----// 7 0/ , . o <br /> fINAL INSPECTION Ditr <br /> — � <br /> Approvetl as Construcled I Siynatur�of A ihcant Date � <br /> �� PUBLIC WORKSDEPARTMENT tVO1;K AUTHO IZED BV THIS PERMIT MUST BE �TepTED WITHIN <br /> 3200CeGarSireel 1H0 DAVS OF UATE PERMIT IS ISSUED AND THEREAFTh� IS TO <br /> Everett.WA 98201 I �E DIUG[N1LY PURSUED TO COMPLETION. THIS PERMIT Mi.V BE <br /> Phone.259�OB1U ; ��"�CELLtI) BV THE CITV UPON ANV STOPPAGE OF WORK ON THIS <br /> � PRO.IEC1� OVER 90 DAVS DURATION <br />