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7-16-93 /STIIIU r„e���wo•un...n.�3/�_ <br />oe�e TO �r „ �=—IS'�i 3 aao.m. G1796 <br />AOOlicetlon For <br />pUBLIC WORKS PEIiMIT °°°,,:°�:". . -- <br />,.,.,�� �.. o..a : � <br />eu. �. o,,. f <br />Prinl or Type Only <br />Polk Buildere Inc 13901 Nnethervood Dr Hill Creak 9BO12 338-1664 <br />Owner MailingAetlrnss City Zip P�one <br />Ovner <br />ADDI¢anl MailmgAtltliess Gi�y Zip P�onb <br />�escri�e ProOosed Woi4 nev houae Lot 1 ehor[plet 8-93 <br />P�olec� Addrese Id knownl <br />Nllac� fow I41 copi05 al pl9ns lor O�opoSea woik � Draw t0 swlp anE no�o IM1e lollawmg as appL<d��o�. <br />• Pmperly Lina9 • Cenietline ol sbeet <br />• o�w�e a�e a�ma�:�o�� oi eu �.�si��e ��d • Intliwle Nort� <br />o�oposed struc�ures on tlie Io1 • snow aov n�000:ee e�aa��e ��a�ePs <br />• E.�[IinB an0 o�opose0 uLLties • Snow measuremeNs <br />PERMIT CO4�ITIONS <br />1. All eelU br inspection a�ell lre metla 24 hB. in aGvance � phona 2G9•8810. <br />2 All work nhall Ee pedormeG in eccorEante wil� I�ia permil antl current C!ty o� Everetl Desipn enE Conslmclion <br />Standarde and SpeciLcalions. <br />9. Cau Laalion UnCergmura Serviw 48 hrs �elore ynu dlp TOLL FflEE NUMBER 1•800•424•5555. <br />� <br />ApproveE lur GonsVuaion � �+`� <br />� /1-/��3 <br />PINAL INSPECTION Dale <br />Ano�ovee as CansliuctoC <br />�PUBLICWOFKSDEPARTMENT <br />3200 CeEar Simel <br />Emre1L Wp B8P01 <br />P�one:259�8810 <br />ACNNOWLEOGflMENi OF GONDITIONS <br />W <br />H <br />�w <br />_I <br />Z <br />O <br />H <br />� <br />O <br />a <br />T �c un0ersigne4 owneilappl¢ant M1ereby ap�ees ta �olU an0 save �arm <br />Iess �Pe C�ly ol EvBrell Irom any end all claim9 lor tlamaBes. costs. <br />C�pM5C5, Of CdUSC$ 0� OC�1011 Illd� lfl8y fllISB b2C81!]B O� IOSILIIB�iOp <br />antl mmntenance ol 11e imp�ovemeni or olher nB��'obway uae herato <br />oppbeA lor en0 Iurihei aqrcef Io ramovo same upon nollce IrOm I�e <br />City and lo replace Ou01�c Omperly tlamapeE I�ereby. <br />�P��A ;% I�CC�,I/ <br />Siq^a�um ol Applicent Dale <br />WORN AUTHOFIZED BV IMIS VENMIf MUST BE STARiED WIiMIN <br />IBO �AYS OF DATE PERMIi IS ISSUED AND TMEFEAFTER IS TO <br />BE DIIIGENiLY PURSIIE� TO COMPLETION. iH15 PEPMIT MAY BE <br />CANCEL�ED BY THE CITV UPON ANY STOPPAGE OF WORK ON TMIS <br />PROJECT OVEF BO OA\'S OURRTION. <br />