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; <br /> c= - �-�z'=. `._- <br /> - - TO POCTING ;�. "� `�L�z <br /> -7-9� �, �:,,,.,�, .,�, �S <br /> Datc_-�---- .-.il��-- <br /> r,,.��i osoi . _ 37277_ . . _ _ _ _ <br /> Apnlir,abon Foi <br /> PUBLIC WORKS PERMIT ' ''°`w°„°`.' - -- -�� <br /> ,�,,.���. s <br /> .��,� �,,.�,,., s------ <br /> y � ���. ,. . ,,,.. g ._.��%---- <br /> -- <br /> � print or iype Only --- - -------- - ----. . .— --- <br /> .O x � <br /> C M <br /> C�y l,yle E. ftlnnk PO Uor �2G6 livcrett WA �$5,03 355-4715_—.-------- <br /> j ��H OWner MaJu�y Atldro55 C�IY ZiP Phonn <br /> �! f) <br /> H� <br /> O x0 (haner - - . <br /> 'tl F�`d - - — --�--�- Phone <br /> fAH AP�Lcan� MadmqAdd�ess City ZiP <br /> � �� Describe PrenoseA Work new SFR __ —.--� -------- -- <br /> ty <br /> O F+ , <br /> �^ �g - - - -_, , <br /> YH•� � ■ <br /> 1"I •� ' <br /> Zy . <br /> � riH 6���� ��__ Lo[ 3 SP llll-92 _ � �� <br /> Cy N Pmiect Add•ess UI known) 1 � <br /> n �y Attar,h lour 141 copie� M plans lor proposed work - Draw lo sc.Je anA note Ihe lollowing as apP��r.ahle � <br /> �,, • P�uperly L�nes • Centerline ol slreel ♦A <br /> � y y • Oullme �nA dimension5 0l all e.�st�ny�mA • Indicate NOnh V� � <br /> y p y proposed snuctures on Ihe lot • Show any proposeA yrndmr� chnnges <br /> • G.�slu�y anA proposeA utilihes • Show mrasuremenls � � <br /> f <br /> DO NOT WFITE F3ELOW TNIS UNE O i <br /> i <br /> PERMIT CONDITIONS <br /> � 1.All cells�or inspnction shall be maAe 24 hrs.�n:�Avance�phone 259�88�0. � � <br /> 2.All work shall be pedormrA m nccordanr.o wiln�his pr�mq antl cunent City ol Everr��Design�nd Conslruc�ion <br /> Slandards end Specillcahuns ' <br /> � � 3.Call Location Underground Sorvire AO hrs.hMme you di9 TOLL FREE NUMBER 1•BOO•42O•S55S. �) . <br /> ' _' � <br /> � ' <br /> t-� ; � <br /> � <br /> � � � � <br /> O <br /> i— , a- <br /> ACNNOWLEUGfI•1LNT OFCONUIilONS <br /> .� �' ln�•wid�.�v.inrJoxn�iieUPl�c:�i�ihriebYaqrcestohalAandsnueharrtr � <br /> -�-------------------�-�- - - � . .� Irss In�• Cd� ol Evmeu Imm any antl .dl daims lor clnmagrts, cosls i <br /> / �/ r.penses. c+ causes o� ac�ion Ihat may anse because ol m5tallalion i <br /> �ti ' � �j'�'/,/ (�'''J 9 <br /> /,�A �� �� anA mainle mnce ol ihc immovement or other ngh4ol�woy usn heio�o , <br /> /r '`/[_j�L� C / �'. " � �pp�u,J �p� anA lur�her a9ree^ In u•move same upon no�iee �iom Ihr I <br /> . -t __.__' .. - _ _. <br /> APProveA lor Consi�ti�n ---� � �,�I" City inJ to ieplace pubhc n���P��ly damaqed Ihereby <br /> � �.� _- � / . � <br /> \ i_ , f�y ����� �� <br /> y l:' f. '—"_ � �� I'�,'.�t�J`�- �" 1 <br /> =�--- _ -- — - - — — (' r --�=`-f-FL---- <br /> f IN�11 INSPECTION �'��" � DaIC � �I <br /> anrro�ed as ConSpuc�eA Su i.t i�'ol APPLc.ant <br /> Wp hUT110RIZflD BY THIS PEF7MIT MUST E3E SThFtEO WITNW , <br /> � PUBIIC WORKSOLPARTMEN7 �p OAVS OF DATf P[RMIT IS ISSUED AND TNEFEAFTER IS TO <br /> 9200CedarStreet OC DILIGENTLV PUHSUED i0 CO�APLETION THIS PERMIT MAY 0[ I <br /> J �_�.�.��p,y,�qpAp01 CANLF.LL[D OY TIIE CITY UPON ANV SiOPPAGE OF WORK ON iHP + <br /> Pnnnr. ;59 nNtO pqflJl�'-1 OVEf7 40 DAV� DUH,111f�N 1 <br />