Laserfiche WebLink
€��� <br /> � '�� _ , <br /> y �� Datc I -�� , �, TO POSTING._ �� .�, �r .,�g- .;�-- <br /> „a � �,,,._ ,�,.,.�,.,,,,� . �7 /r�r� <br /> nnnlication For o�.p,o�.oi . .�.�'_51�'_I`7i7J - <br /> '��'� PUBLIC WORKS PERMIT <br /> C� Pum�cwo,xanr -------- <br /> � � Tat�l fpn S._ <br /> ��� � ������oni «ene�a S <br /> p� �� Print or Type Only ns�e�«o�. s a0—��-- <br /> H Cv <br /> py r <br /> �,T y ��.�-�k�-r �� �� � � �►�Et� ��L� �. �1�-�11 �-1 s�,-�9 <br /> t+ �� Owner —� Mnilinp A�Aress CitY LP Phonc <br /> H <br /> �, N ' - _ <br /> C�it7N � <br /> � Appll[an� Mailing AAdress Cily Zip Phnno <br /> y �� Describx Proposed Work ����� � c�n� <br /> Proje:tAtld�eesli�known) __��i� — �9(�y '���_ � <br /> ,dtir.h lour(4)copias ol pinns for proposed work� Drnw to scatn and note Ihe lollowmg as appllcable� � <br /> • Property L'nes • Cenlerllne ol str•�et � <br /> • Outline antl dimensions ot all e�isting and • Indir,ole Ncrth <br /> Proposed strutlmes on the lol • Show nny proposntl gradmy changes <br /> • Feisling an�proposeA u�ilities • S0o/+mpesuremen�s <br /> � DO NOT WRRE BELOW THIS LWL � � <br /> �C�i PERMIT CONDITIONS O <br /> . � 1. All calls b�inspnr.tion shnll be made 24 hrs. in advance- phonr, 259•SBl S. <br /> f 2. All work sholl be perlormed in aceordance with ihis permit antl currrnt Cdy d Evrrell Devyn and Consh uc,hnn � <br /> S�antlards nnd Specilica!ions. <br /> . �� � 3. Cntl Location Underground Sarvice 48 hrs. helore you di� TOL! { ' .:E iVUMBER 1•800•424•5555. <br /> '�' � 7 �QitJSTi�'UfT �r2 � <br /> I 1/L✓f'4GS� �h: /}LYi�'-.TC�F� .i�'� O <br /> � - i14/_.{"�-�r�,r�' <br /> I � � <br /> � �•'9 � C'FJ.s; 7�'0�/ iP..vG .9.vv ��:v6� �o.e s...v. <br /> SftdS�:' �'!`Si'n/!'L.7S Sf/9!_G 4'l 2t1S7LILLE�U �T LO.`P>,�.v.f � <br /> � � � �L///l��'f ��A�tr/� A9C(lS (_L.E.a.�'-_'C i /i /�',�['�lL <br /> � c� t c /��: � <br /> � <br /> i �-�' � <br /> � <br /> � 1 � ACKN(�NLCD�iL61LNT Of CONDI�IONS <br /> �`'�� —._'__.___ _.. . _ _.. . lhcuntlei,iyneAownuaPVlicanthcre6yayrecstohold:mAs�v.ha�ni� <br /> __'--._ _'__..__ <br /> Icss the Oty ol (verell hom any and all clnims la damay�. . r�eds <br /> � rt �` t-�P���•ses. or cnusr,s ol nc�lon Ihnl mpy nnse becauee ol in;tall,itinn <br /> ���,�_;��j�� L ' ��/�� antl n�ainlenance ol ihe imprpvpment or othr� riyhbpl�wny use hi�ri�to <br /> ACP�OveQ.l�r Conslruc�io�i---73e �PP'i��d lor and Iwther a�rees �o romove same upon nolice hom thr <br /> / , 7 Dale Gly.u�d io replace pubhc propertY�1�ma9eA thereby. <br /> /^ <br /> ��-'_,� /I�%�, �_��f_ � �', ; <br /> FlNAL INSPECTION �� ��i i/ �, � <br /> ApproveA as ConslrucleA ' — ��F� — <br /> oa�e G ��� <br /> _ Srt nVi ��ul ApphCanl Dale <br /> ��v�l PUf31.�f,W017K5i)FPARTMF.NT ���9- '�1� ''���'��'7CU PV �HI: P[RMIT MUST BE S7ARiF.D IVI�HIN <br /> 1 32U0 Cetlar Slreel ' � � • Uf OA�E P�R�11T IS ISSUED AND TIIER[AFiCI� I6 70 <br /> CvaroiL WA 98201 =1C �1,1 �GFMLY PUHSU[D TO COh�PLGTION THIS PfRIdIT 1.1A1' L3E <br /> Phnnn 25�-t1R IS (:,1hCLLLCD 01�iHC CI1V UPON /�NY iiOPl'AGL Of lh'ORK ON 11115 <br /> PNOJF.1:1 OA'f N 90 11AVS DUHAI ION - -� <br />