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� M <br /> N ' <br /> . .,_ ' _' "'. ' _. ... __. - � --__..__...___-_ l-' <br /> p y _ _ <br /> m <br /> C M <br /> Y � N �a w�,..ve�mn. <br /> � P r.e„ <br /> � Dete ��`!� /_a�� l <br /> M � n�,�, o.�� . —LL`� `�- <br /> �2 APPhcalion Frn <br /> °y � �[� PUBLIC WORKS PERMIT ";'°���;'��:"° s ----- — <br /> p7 y� �j ��...anni rre i+a�n S — <br /> !tl « 60 <br /> H tl n.+�.� a m,. S_ <br /> M R Print or Type Only <br /> � , � <br /> � H <br /> I <br /> M <br /> ry� M �,�, ef Mni1ing AAdrbss City Zip Phone <br /> O N <br /> � � J L��' �'�'� _. <br /> � y �pplicant � Mailing Addiess Ci�y Zip Phone <br /> DesCrihe PropaSed Work _., '���� � � � �� — � - <br /> _ W <br /> Prolec�Address Id knownl � L ���"✓/`,�'�— ---� � <br /> pttach four(4�copies�I plans br proposetl wurk� Draw to scale and nole ihe!followiny as apphcable: � <br /> • Property Lines • Centerl�ne ol s�reel ♦A <br /> • OutGne end dimen5ion5 0l ell Ca�slmp and • IntlicFlte"arih V� <br /> /-� . proposed slruclures on ihe lol • Show any propoSPd 9rFlAing chan9es <br /> i • Eristing and p�oposed ulihlies • SP,ow mcaswemenls M <br /> C� DO NOT WRI1E BELOV/T1115 LINE O <br /> 1 � PERMITCONDITIONS , <br /> ._� 1.All calls lor Inspection shall be metle 24 hrs.in edvance•phone 259•88�0. � <br /> i�I 2.All wo�k shell he pedormed in eccordnnce wilh Ihis pe�mit and current City ol Everell D�si9n and Conslruclion <br /> S�enderd5 end Specilicu�i0ns. <br /> ' 3.Cell Localion Unde�ground Service 48 hrs.before you dig.TOLL FNEE NUMBER 1•800•424•5555. � . <br /> I __ ��'i 1 L /`� . -'l,la..i" �(� . . . ,... , , � . ..- , . - .. � l .. ' O , <br /> . . , . , ' (_ � 1 : � '� <br /> tii� � r - " � - � <br /> � ..�.w. , , 'w <br /> � �/J <br /> �� �'� i " �`1 : . . _ . � . � � . � � . ' ._. ,. � � �. � , i.l <br /> � L'1�.N1 I'�� O <br /> � _ <br /> �'_� ' .-`" N, 1-. _l..l:_ �\'�� :!_�'. � �t. .t-1 i -', ' . . ' ' � ' ' � � <br /> I �-, �_i._. � � (. �. l_ <br /> � _ �� <br /> ��'� ACKNOWLEDGEMENTO�CONDITIONS <br /> The undersigneA owiier/epplicanl hereby aqmes to hold and save harm� <br /> less Ihe City o� Everell t�om any and ail r,laims lor damn{�es. cnsts. <br /> eapenses. or cnuses o� ac�ion �h0� 111Ty AlISE bPC0lI5C ol inslallat�on <br /> nnA mainlenanr.e ol Ihe improvemenl or o�her righ��ol�wny use hereto <br /> enn��ed io� nnd luith�r ayre!es lo remova same upon nohce hom Ihe <br /> Approvetl for Conslruclion Dete �dy nnA to i�plar,e U��hhc property damx9eA Ihereby <br /> FINAL INSPECTION 0'���' pale <br /> Approved as Constiucted 5�9nnWre ol l�pphcanl <br /> WORN AUTHORIZED BV THIS PcRMIT MUST BE SiARTED WITHIN <br /> ' ��p�pp PUBUCWORKSDEFARTMENT 1B0 DAVS OF DAiE ^FRMIi IS ISSUED AND TNEREAFT[R IS TO <br /> � 3200Cetler5Vice1 BE DILIG[NTL1' PUf.,, cD TO COM^LETION. THIS PERMIT MAY 8@ <br /> Everell,WA§8201 GANCELLED BV THE CITY UPO'V 4NV STOPPAGE OF WORK ON TFIIS <br /> Phone�.259�8D10 pROJC.CT OVCR 90 DAVS DUR4TION. <br /> 1 <br />