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� �� <br /> 0 <br /> ryy <br /> ��� 9 11 91 �' (Z"'�"� r„ni�c wa�t�Pn,mn• ��, IL_---. <br /> 081e umu oen� • 91/27680 <br /> n HpPhcnhon fai <br /> ��� PUBLIC WORKS PERMIT �°""`w°,",`.. �� <br /> �ouir.e <br /> i�•s��i�ci �ee N��e 6 � <br /> na�,.�.o„� S / ll � <br /> �d ro POSTII�G �/�' 4'- — ----- <br /> O H Print or Type Only <br /> ��g <br /> p• C'� <br /> �H 7tS a h,tu_Lii c.iwxaLt---3AZ03 CIIv ZiU Whnne <br /> y y wner Maihn9 Address <br /> ryH <br /> nll 98012 491-8866 <br /> �,,,,� Lea61eY ConSt. 18204 HOthe �Vt Hwv �t2—_9Qth C'Y Z�p phonc <br /> C ApPlice�t Mailing Atldress <br /> �ti'� – — <br /> y tn donstruct new SFR <br /> p W Describe Pmposed Wak <br /> W <br /> Project Atldross P�known� <br /> 107 Barb--- T' e — � <br /> �� <br /> pAach fow(4)�opies ot plens lor proposed wak- Draw lo scalre and nule tho�ollowing as apphcable�. � <br /> • ProPEr�Y Lines • Centerline ol s�reel <br /> • Indica�e North <br /> • Oulline end dimension�o�all eaisting entl � ghow eny proposeC^�atling changes <br /> proPosed 51rucW res on Ihe lol � $how measurements � <br /> • E�is�inq and p�oposed utiliGes <br /> DO NOT JJRITE BELOW 7H15 LWE +,t';].'i' . �.5.'� � ... '�.tl] �"r � <br /> ���� � PERMITGONDITIONS 'C. �"7fJ�,�� q <br /> 1.All calls lor inspeclion shall be made 24 hrs.in advance � phone 259•8810. � � <br /> 2.All work shall be podormed in eccordance with Ihis parmit and currenl City of Everell Drx��n a�id Cons6Gttlon���.� � <br /> 1 ! S�andards end Speu���ations p� <br /> �_ 3.Call Locelion Undergiound Service 4B hra.be�ore you dig.TOLL FPEE NUMBER 1•800�Z4•5555 � •,❑ � <br /> � ' � 1:C'.'.'' O <br /> :i .' 1;8516 � <br /> i ._� ;`cl 5;0.�': <br /> ��� � f1�50,:', � <br /> „',))74:; <br /> ...,:�;;;�- .:.-� � VOiD O <br /> 1 t_1 _ �_�n 0. <br /> ' ��.� 1 <br /> � nGhNOWLLDGEMENI OF CONDITIDNS <br /> ��\ TePenses.`or ceuses olaact��on �hal�Y�aseme uPon notlre Irolil*:,'n,� <br /> i __—.--_ � rc.ts <br /> ��,1� �_.._ ____ Ir,ss Ihc CdY ol Everoli Irom an <br /> llion <br /> T� � <br /> �� IC�� � pnd ma�Nenence ol Ihe im rovemenl or other n hbol�v�ay use hei�lu <br /> �O ' 1�'.J1 i ih�• <br /> —��� app�ir.d lor entl lur�hcr a9rCe5 lo <br /> qpproved br CooslrycUun ���e City end to replace public pro0edy�amae�etl ihereby <br /> / <br /> .������:��� <� = �� _� `- :_ �il, /v -�`�� <br /> FINAL INSPECTION Da�e Dale <br /> $iqn;ilure ol hcanl <br /> qpproved as Construr.ted <br /> � WORK AU A�1LD BY THIS PERMIT MUST 8E STARTED WI I <br /> 'V� PUBLICWORKSDEPARfMENi I80 DAVS OF DATE PERMIT IS ISSUED AND THEREAFT[R IS TO <br /> 3200CeAerSireel BE DILIGENiLV PURSUED i0 �OMPLETION THIS FERMIT IdAV HE <br /> Everell.WA 99201 CANCELLED BY THE CITV UPON ANY tiTOPPAGE OF W0�7Y.UN IHIS <br /> Pnone 159-Od10 . PROJFCI OVEH 90 [1�1Y� DUR�TION <br />