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_. _.._ . . ..__ , , . __. .. <br /> PUBLIC RKS PERMIT °"•�t <br /> �e��!� PUBUC WORKS DEPARTMENT Publie Vlbrks Permil ll <br /> J200 CeOar Street <br /> Everett,WA 98201 259-8810 BuNdirp Pertnfl N <br /> TYPE OR PRINT ONLY ���F�s-- <br /> Plan Ch�ck No: B 57300 8tPA <br /> 1�pp11c�t.0at�s 12/03/97 ' <br /> �1ef Job 1144r�t 916 PACIiIC 111I� p�qne <br /> Own�rt P6MC <br /> T�n�nts sLTH11N1! <br /> PropO�W U�fs KUR3IN6 NOME <br /> ��"� O�O�NCVLRfION rlROM NOSPITAL TO 11tlR8IN6 HOML �O"° <br /> Describe Proposed Work _ oastce SLT JO! 6CP � <br /> APPRVD !'OA PtRMIT� DATt_/_/,_ BT � <br /> � <br /> � <br /> PROJECT ADDRESS(if known) �y� <br /> Attach four(�)wpies o1 plens lor proposed work•Orew to ecak and note the folbwing if�ppllceble: `�� <br /> �WopMy I.ines Ykrtline and Cimensione o1 ell exl�ting antl proposed stnicturea on the bt 'Exlstinp and proposetl utllRies O <br /> 'Centarilne of street •Indkete North 'Show any proposed grading changes 5how measurertxnta � <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 performed in accordance with this permit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-424•b56S. � <br /> � <br /> ��'l` � ` � 0 <br /> t.•l%C� /- /�t ✓i>�r J /76f ��.�^-c d <br /> '" aG..�l¢Ss c/i�r„Jrr�r �o �ir. �n� ,��-'j <br /> � fi� *.-� � � cs oc�ur- <br /> �.G' /Z-S'�7 <br /> ACKNOWLEDGEMENT OF CONDIT10N3 <br /> The underoipned ownsrhopNan�heieby�9nas ta fwW�nd uv�IwnNer <br /> tM Cky of Everett fian sny�nd atl clelma fa Aamrp�a,oosb.�r�a,a <br /> ApproveA for Construction Data �Uf°f o1°�1O^�^��`�fe�°uae d InstalMlbn anC m�kde�wc�d <br /> Me knproverterri a other rqM-of-way usa hereto p�lbd for rW lulhr4w <br /> to tertave same upon notke hom 1M cn> >+W to�rapl�ce P��P�1�/ <br /> damapsd ihereUy. <br /> FINAL INSPECTION Date <br /> Approved as Constructed <br /> Sipnrture M Applicenl aM <br /> MlORK AUTHORIZED BY THIS PERMR MUST BE£TARTED WIh11N 18�DAYS Of DATE PERAl1T 181S8UED AND TTIEREAFiER IS TO BE d,LIf�NTLY PURNIED TO <br /> Cp1,1PLETON.THIS PERMI7 MAY 8E CANCELLED BY TNE GiV UPON ANY 3TOPI'MiE OF WOAK ON TlNS PROJECT OVER 89 DAYS dJM110H. <br />