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, TO POSTING "u� i 9 Z000 j <br /> „�,�„�. '-- 9NI1SOd 01 <br /> PUBLIC WORKS PERMIT °°�'°=�q�Q� <br /> . <br />� PUBLIC WORKS DEPAFiTMENT Public Nbrlm Portnit• ' "�3Z� <br /> 3200 Cedar Street � rG'� <br /> Evere'•.WA 98201 259-8810 Bulldirq �Ae mR N�1Jp2� <br /> . � <br /> TYPE OR PRINT ONLY _ .0 � u l_.�����f,�� ��,W°�Fee S �� / � <br /> iL .a, �n r��_� r�., -.� �.i� r•� _ • .i :_ �� .. <br /> Crw� Uc�(o�ne.,►� ►� P,r�c ti�� � � ` �`� il/� �'�`` ���1� �`�� -3rai <br /> Owner MaiBng Address CRY Z�P - �°^8 <br /> i <br /> r � , �o � <br /> ��, - ��) iii : - � 1-,' <br /> Applicant MaI1ingAddress .", _. " :c-u; ::. iCnYi. ,- �'' _ .�Zip ._� Phone <br /> Describe Proposed Work �A/ ��'� J��� S� . W <br /> - � <br /> � <br /> � <br /> PROJECT ADDRESS pf known) Z�2 IG tG�+ M <br /> Attach tour(4)copies of plans for proposed work-Draw to scak end note the folbwing it epplicable: ,i' <br /> �Property llnes 'Outli�e and dimensions of all existing and pmposed stn�ctures on lM1e iot 'Exlsting end proposed uNlHies O <br /> 'Centerline of street `Indicete North `Show any pioposed gradii,g ehanges 5how measurements � , <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance-phone 259-8810. O <br /> 2.All work shall be performeci in accordance with this pertnit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5666• � <br /> q. �s p-� �Pp�,,�� P ��Hs ��+� �o/�����. � <br /> � <br /> a <br /> � <br /> � <br /> ������ <br /> l lY 98 P'°'x'de"'°"e°owr�x,.PP��Y�9ree,to hok,and,�va hwni�, � <br /> tha Ciry'01 Everett hom arry arM aM claims for drnepes.eoata�expsrn�s�a <br /> causes ol ectlon Mat may a�ix beceuse of kaLNstbn and mafnMn�nce W <br /> vedfor ruct n � thelmprovementaoMerripM-d-wetiuseMrtoe�pNWlarmdluNr�qess <br /> m remove sartie upm notke han the Ciy and to raplece P��P�P�Y <br /> l� �'- �-z -�� <br /> FI I SPEC ON Date �� /) ,� ' <br /> Approved as Con„Iructed �f��"� / <br /> �R� <br /> S�90f� MP��ant � I <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STAFiTm'MTHIN 180 DAYS OF DATE PERMR IS ISSUED AND iF1EAEAFIER 13 TO 8E DILKiENTLV PUR�1�TO � <br /> COMPLETION.THIS PERMR MAY BE CANCELLED BY THE CfTV UPON WY STOPPAl�E OF!NORK ON 1t1�3 PRWECT OVER 90 DAYS a1MTI0N• <br /> 9 giG-C:�Q <br />