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.�.__ _......._. - -_. _... . <br /> Date � v„o��r wo,�,v�,m��. <br /> Binp DeO� • -- <br /> Application For <br /> PUBLIC WORKS PERMIT vuei,r.wo��sfee - <br /> To�al�ee � --- <br /> LU��Oui Gne Pa�O S_.---_ • <br /> Batanu Oue 5 <br /> Print or Type Only � <br /> Plan Cheek Noi F� 44926 SEPA ph���� <br /> Owne� ppp 11cat.Detet 117(15[94 <br /> 3ob Ad�ners HENRY jICEY AVE <br /> Tenent: --— pnone � <br /> Applicent DeecP�ofaWorki C.�PORT <br /> CARPORT FOR RV STORAGE <br /> Describe Proposed Work _ —� <br /> OFFICE SET JOB SE7'��__ ______ <br /> APPAOVED FOR PElUtITs DATE_/_I_ BY _ <br /> - W <br /> Prolecl Address Id known! .----�------'--"--------� '-- � <br /> Pitach��ur 141 COP�es ol PIan51o� proPUSeJ WU'4 � DITV. 1;1 >i,ii••.m�i nc;d Ih., 'Gtl�winy �5 dPGhc2b�e � <br /> • ProPerty LineS • Cr.n�e�line nl Slreel <br /> • Outline and dimens�ons o� all e+�shng anA • I�tl�cal� North <br /> prOpoSetl slruclures on Ihe �o� • Snew any r,ronosed yraainy cnanges <br /> • ENsting and PropoSed utiliGes • Shnw mr.asurements M <br /> W <br /> � O <br /> PERMIT CONDITIONS � <br /> 1.All calis lor inspectlon shall b � �peyign and Construclion � <br /> 2.All work shall be perlarmed ir �/" <br /> Slendards end Specificetlons a' <br /> 3.Call Lowtion Underground Si � ��`� �?e S •800•424-5555. � <br /> � � � �`�V <br /> ^(��1� O <br /> 1 ' u <br /> 'pSPECTION P�A��S �' <br /> �N171A� CAK6 Eo V♦ <br /> PAUL McK�E PUB`NO Y1R�OV1P <br /> —^..�..�' O <br /> DA7E -�' �'� /' ii. <br /> OA�L��� <br /> ACKNOWLED('iEMENT OF CONDITIONS <br /> fne�.�^d?rv��ned ownei. appi¢an�ne�eby ayrees to�old and sace harm� <br /> —'-- -'"`--��� 1e55 :he l,dy o� Eve�ett Irom any and all �IaimM1 for tlamages. Gusis <br /> ; f�U?n5C5 O� causes of aclmn tn3t may arise because ol �n5i311dhOn <br /> � ��- and mi�ilenance nl Ine imprO�Cmen' 0�o�he� i�9�-obwey u9e heret0 <br /> �ppi.n�, lor antl lurtner agrees lo remove same upon nolice I�Om (hB <br /> Appioved ta Conslruchon �a�� I Cdy.l��A l0�eplace pubhc D�operry damage0 Ihereby. <br /> I <br /> FINAL INSPECTION �a�e Date <br /> qpproved as Conslructod S�gnalure ol AppLwnl <br /> ��r�e` WORK AUTHORIZEO BY THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT ig0 DAVS OF OATE PERMIT IS ISSUED AND THEqEAFTER IS TO <br /> �A � 3200CedarStreel 9E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAv BE <br /> =9•�%• Eve�elt,WA 98201 CANCELLED �Y THE CITV UPON nNV STOPPAGE OF WORN ON THIS <br />