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Da�B I Pu01ic WOr14 Y�rmN• <br /> Applieatlon For ewo.o•w.• <br /> PUBLIC WORKS PERAAIT ^�W��wF� <br /> TaYFw � <br /> LIM ApDI FN P�W � <br /> Print or Type Only a.�.�.o�. s <br /> Owner Plpan CMck No: C 3/939�49 gEp� Phone � <br /> �pJobcl ddri��e 21048Ap8yS 1�yg <br /> Ownor: DIEDRICH SUSAN <br /> APDlicant T�nant z P�one <br /> D�ic�otdWork: BINCLE FAlIILY RBSIDENCS <br /> FAMILY A00!l�gATH/DHCR 11pDN <br /> DeaeriDe Proposed Work . <br /> OFFIC6 SET JOB SET � <br /> IIPPROVSD FOR PERMITs DATS_/�/_ BY —. <br /> W <br /> Prolect Atltlreas(il known) � <br /> Aftach four(4)copies ot plans for Oroposed work-Draw to scale and note tne followinq as eppliCeble: � <br /> • Prooery Linea • Centerline of atreet � <br /> • Outline and dimensions oi all exisdnp antl • Indicate North <br /> proposed atructu�es on the lot • Show any proposad prading chanyes <br /> • Existinq aM propoeed utilities � Show meaaurements � <br /> DO N T WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS � <br /> t.All ciils fw inapectbn shall be made 24 hrs.in advance-phone 2S9$810. � <br /> 2.All work ahall be perfamed In accord�nce with tMs permH end current Gty of Evecett Dssipn and Con�tructia� <br /> St.�ndartle and 3pacifkatlons. <br /> S Call Loeatb�Underyround Senice 48 hra before you diq.TOLL FREE NUMBER 1-80P424SS55. � <br /> PUBLIC WapK$ PERMIT O <br /> , NOTVREOUIRED � <br /> BY '�� — /w <br /> DATE �-/-93 V/ <br /> O <br /> � <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The unEeraiqneA owner/applicent�ereby�pnes to holC anE s�w�arm- <br /> 1 less the Ciry of Evarotl I�om any �nd all daNns fm A�maps�, ewta <br /> e�penses, pr ca�sea of action Mat msy Mw baeauw ol Irotallafion .. <br /> anC maintenance of I�e improvertisnl tx other rlpM-of-w�y use he�eto <br /> applied fOr anE fuhhlr aqreet t0 remw� l�nne up(in noti:e from tM <br /> ApOroved lor Conatruction Date CitY anA to rmplaoe DuDlic propsrtY Gm�psd thlroby. <br /> FINAI INSPECTION Date _ <br /> ADProved aa Constructed Signature ol Applieant Dats <br /> � iUBLIC WORKS DEPARTMENT WORK AUTHURa2E6 BV THIS PERMIT MUST BE 3TARTED WITMIN �, <br /> 3200Catler3treet 180 DAVS OF C�ATE PERMIT IS ISSUED AND TNEREAFTER IS TO <br /> Everatt,WA 98201 BE DILIGENTLY �°URSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Phons:259-8810 CANCELIED BY 7hi,E CITY UPON ANY STOPPA6E Oi WORK ON TIHIS <br /> PR(IJECT OVER 90 DAYS DURATION. <br />