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�81@�_� ' z� I <br /> � /- �� 'iioi�c Wor��oe�mn• <br /> Appllcetlon For mop oem.. <br /> PUBLIC WORKS PERMIT P°�1i0Wp1��F�� -- <br /> To1el Fae S <br /> llf��opl F��p��Q $ <br /> Print oi Type Onty o.�.�.�o�� s _ <br /> Owner plan Check No: 8 45824 SEPA <br /> Appllcet.Dai:e: 10/11 94 p�»�p <br /> Job Addreee: 1410 � CASINO RD <br /> Owners CHRISTIANSON DENNIS <br /> Tenents <br /> Applicant Deecp�ofdWork; SINGLE FAMILY RESIDENCE Phone — <br /> ADDITION <br /> Describe Proposed Work _ <br /> OFFICE SET JOB SET <br /> APPROVED FOR PERMITs DATE_/_�_ gy -- <br /> Prolecl Address�II known! � <br /> Attach Ipw(A)copies ol pinns lor proposed wmw � Dmv.• In sr.ab�a�,y nete ihe loiluwing as apuhr.abie. � <br /> • Properly Lines � <br /> • Cenle�line nl st�eel � <br /> • Oulline antl dimenaions ol el1 eaishng and • Indicale North <br /> proposed slrucWres on ihe lot • Shew any r,r000seA g�. :.chr�ngez � <br /> • Ezlsting and proposed ulililies • Show measurements <br /> DO NOT WRITE BELOW THIS LINE � <br /> PERMIT CONDI fIONS O <br /> 7.All cells lor Inspeclion shall be mede 24 hrs,in edvance-phone 259-8810. <br /> 2.All wo�k shall be peAormed in accordance wilh this permit end current Clly of Eveielt Design end Constiur,lion � <br /> Stenderds end Specllicalions. <br /> 3.Cell Location Underground Service 4B hrs.before you dig.TOLL FREE NUMBER 1•800�424•5555. <br /> � <br /> p���. <<,�,�i�,,�,�.,.:�- �,�� ����.�,�.o O <br /> � <br /> i��� y� � <br /> � <br /> a <br /> ACKNOWIEDGEMENT OF CONDITIONS <br /> __ _ The untlercigned owner/appGcanl heieby egrees lo hold and savE harm� <br /> � less Ihz Cily ol Everell I�om eny end all clalms lo� tlamages. cosls <br /> � expenses or ceus.e9 0l BCtlon Ihal mey erise beCeuse ol inStBllation <br /> � and mninlenanCe o! Ine imprpvemenl or other right�o6way u5e herelo <br /> proved lor ConalrucNon Date I d�n��e�7 �or and lurther agrees to remove sar,�r upon notice Irom the <br /> � C�.y.vir lo rep�ace pu6hc property dameged Ihereby. <br /> i <br /> lAL INSPECTION Da�e <br /> �roved as Conslrucled S�gnatwe ol Apphcanl Uate <br /> �� PUBLIC WORKS DEPARTMENT WORK AUTHORIZEO BY THIS PERMIT MUST BE STARTF.D WITHIN <br /> 3200Ceder51ree1 �90 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTEfi IS TO <br /> Everell,WA98201 �E DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT �dAV 8[ <br /> Phone:259�BB10 C4NCELLED BY THE CITY UPUN ANY STOPPAGE OF WORK ON i HIS <br /> PAOJECT OV[R 90 DAVS DU�InTivN <br />