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Date <br />� <br />„�;f�. <br />�� <br />Applicelian For <br />PUBLIC WORKS PERMIT <br />Pfin�OfTypa�nl! pLn Ch�ck Noi C 4]1B1 6EPA <br />�ppllut.D�ts� 09/28/93 <br />Jab AAdr���� 6D05 M BF.LCH eT <br />Oun�r� OPPIE fiAYNE <br />T�nentt <br />Ptopo�ed U��t SINGLE PAMILY RESIOENCE <br />Qw�s� Doec. ot Mork� <br />�ODITION OP PAMILY ROOM� BATHRN� DININC PN <br />�,k,.,.....�.. _ <br />eao o.x . <br />wuswan�lh ' -- <br />�a�i n� <br />in.�w� r.rm f <br />e.urc.o�. � <br />Zip PhOne <br />OPPIC6 66T JOB BLT Zip Pnone <br />Applitcnl <br />11PPROVED POR P6RMIT� OATE_/_/_ BY_ <br />DascrlEe ProposaG N <br />Projacl ACtlwu (il known� <br />, APeC� lour (A� copie! al 0���� �o� O�opneetl wO�k � D�aw 10 �cele !ntl nate I�o lollowin9 ea applicable. <br />• Propnrty Llnee • Canle�line ol eVeal <br />• Ouillne B�d O�mensions ol �II a�isllnp enC • Intlitale Nori� <br />pr000ee0 eVucturee an Ine lo� • Show eny proOuaeU p�eEinq chenpes <br />• E�iellnq end Oropoae0 ulililiea • S�ow meawwmm�te <br />PERMIT CONDITIONS <br />t. All celle lor Inepecllan ���II Oe mede Y< �re. ln etivence � Oho�e 25B•8810. <br />p. All worM enell be pedormad In eccorJence witn Ihie permit anE current City ol Everelt Deeiqn �nd Conatrvclion <br />StenderE� end Specilicetlone. <br />7. Celi LxeUon UnaerqrounC uervice 4B hm Gelara yov aiB TOLL F'REE NUMtlER 1•800•424•5555. <br />PUBIIC WOqHS PERyIT <br />NOT qE0U1qED <br />BY , /; <br />DAT� <br />�""'�� <br />•ppmveJ lor Con�iruCUon Oale <br />iINFL INSPECTION �ele <br />�PP�ove� as Gm�IrvcteC <br />�PUBIIC WORKS DEP�RTMENT <br />7700 GEu SIroe1 <br />Ewnq WA BB301 <br />P�one:7`FBB10 <br />AGNNOWLEDGEMENT Of CONDITICNS <br />W <br />N <br />� <br />� <br />� <br />O <br />a <br />T�e undarf ipned owner/eDV���a�t �ereby eprees b �oIC �nE uve �erm- <br />leen Ine Gry ol Erervll lrom �nY ena ell cleime lor a�mapen. caala <br />e.nensee. or c�uses al eclio� Inet mny �nse �eo��ee ol inet�ll�tlon <br />enE mmmenence ol lne lmprovemenl or umer npn4ol�w�y uce �eroto <br />apPbed lor enA lurther eqroes lo remom ume upon notice Irom I�n <br />C�ly anE b re0�aca pubhc pro0eiry C�mepe0 ihereGy. <br />Sipnature ol pp01iun1 Oete <br />WORY AUTHORILED GY THIS PERN�IT MUST BE STARTED WITHIN <br />180 �lAYS Of D�lE PEPMIT IS ISSUEC AND TNEREAFTER IS TO <br />PE C�LIGENTLY �IIRSUED TO CUMPiETION TNI$ PERA7IT MAY BE <br />CANI;ELIED BY TNE LITV UPON ANY STOPPA6E OF WORK ON iHIS <br />PROJECT OVER 90 DAYi �4RAilON. <br />