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' Q n /�.vt� �'�"''� 9�yrhi f��'� p Q / <br /> �8�6 / 7/ hEik Wan�Pnmtl• 1� `�'�� <br /> Applieallon For ewo.o•o��• �'g — <br /> 9./ 27G90 C <br /> PUBLIC WORKS PERMIT �°�W°��•• <br /> .a�f.. s <br /> Uu�YW FN PNd / <br /> PrintorTypeOnly TO POSTING FEB 0 5 2001 �.�.��.o�. • 3s=-' <br /> 002-312 -YD-ooO-/7-9.�/ <br /> ��t (3oE�� 4 Ga. ,G_ � ' 07 .SrS',4-tlC� , l�4. 9�/Zr 3yZ--S'�7p <br /> Owner MeiNng Atldreea Clty Zip Phone � <br /> S �+'I`ll� /�s O�vN 'Lr�J— <br /> Applicent Mellinp Addreee City Zip Phone <br /> Describe Propoeed Work !sG/'�aCP 4no� Sc,6-Su�f ce Do�eLifien � <br /> 4iJ0� o i'nolno ��/' t/e y�— -�S 4nc� y�_ 36 6u�Lo�in�oS <br /> W <br /> Prolect Addrees(fl known) —' � � �d � <br /> Alfech lour(4)coples o�plany lor proposad work-Draw to acele and note Ihe lollowing ae applicable: � <br /> • Property Linee •Centerlina ol etreet � I <br /> • Oullins and dirtienelona ol ell exletinp and • Indicale North <br /> proposed elruclures on the lot • Show any propoaed predlnp changea <br /> • Exletinp and propoeed u111itiea • Show measuremenle � I <br /> L I L O <br /> PERMIT CANU�TION3 <br /> 1.All cells lor inepection ahell be mede 24 hra.In advance•phone 25�8810. � <br /> 2.All work ah�ll be peAormed In eccordance with thle pe�mlt and curcent City ol Everett Deelpn e?d Consttudlon <br /> StandaMe and Speciliptlons. <br /> 3.Cell Locat�on Underpround 3ervlce 4B hre.belore you dip.TOLL F11EE NUM�E111�424�6666. � <br /> � O <br /> . l�>:.�'.�, �. o nr�. �a�..,�,.., c�/�% ,,.� �� �� .�� <br /> ���`tL,c lu�nl� ���f c.—>t �_15-^�f/ <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDOEMENT OF CONDITIONS <br /> The underelpned owner/epplicant hereby epreee to hold and eava herm• <br /> lese the City of Everelt Irom any and ell clalma lor demeges, costc. <br /> � exDenaea, or causea of acllon that may arfse because ol Installation <br /> t and maintenance ol the impravement or olher riphPol•way uee hereto <br /> � ��f`` ''✓ �'7 epplled lar and lurther apreee lo remove same upon notice irom Ihe <br /> Appr ed Conetructlon Late Clly anr�to replace public propeAy demaped ihereby. <br /> � �! /L. G��,�'�' 9��i <br /> FINAL I SPEC I � le <br /> Approved ae Constructed Sig ure ol Appllcanl Da�e — <br /> � pUBLIC WORKS DEPARTMENT ` WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITNIN <br /> 3200Ced�rSlrast 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everot4 WA BB20t BE DILIOENTLY PURSUED TO COMPLETION.THIS PEHMIT MAY BE <br /> Phons:26&BBfO CANCELLED BY THE CITY UPON ANY STOPPAQE OF WORK ON THIB <br /> . PROJECT OVER 80 DAVS DURATION. <br />