Laserfiche WebLink
—, <br /> , „-, <br /> � <br /> � � �' <br /> . <br /> � ., „ <br /> o:,i� _1_,1�� �� � � -� '� �� '; ..,...� � �� <br /> �:�� , :,,, . . <br /> ��,l��? <br /> PUB�IC WORKS PERMIT ' °� °�."" --- <br /> 5 --- <br /> ,.. .., ,., ,. , � _- -- <br /> ,., . .. :_ <br /> Pnnt or Type Only ' <br /> � H (/J��� ___'____ . '___—_--_ , <br /> y "�,—1 - MaJmy Atltlr�.s•� l:�t�r Iq'� PhOnC <br /> Own?t _J <br /> C M <br /> 9 H t/i <br /> H �3 - --- -- --- — �----�— - _ . <br /> F? M AVPlir,anl I.tailmq AdArr�,S __. ._ � C�IV Z�P Phnne , <br /> " Hz ----}}���, �7f� //���\ _1 � \ I �Z-' <br /> "i) H�il ni�sr.ribi� {'�o�nscd Work 1 1 l�y_lL.'_�__L.t�l -������.����- <br /> V1 N <br /> � 2 <br /> °�d --- — —-- --- --- W <br /> ��g -- __�y��2-.�'---c�,�1/�t,l�—��-- � , <br /> PrnR`ct Addres5ld knoWnl '�'----" <br /> � y� Atidth IOW 141 coP��s ol plans lor propos�•tl wo.k � Du�w In �.r.d�. .�ntl notc In.,fuilowm4 ati aPVbr.;�hh� � <br /> H�] • PropPnY L�nes • l:�,nlrrime ol sire��l ,A <br /> � y • Outl�ne and d:mensions ol all c.i�Un9 anu • InA�rale Nn�th �� <br /> n �y proposetl slructures on Ihe Ini • Shpw anY PropntieA yiarlmq chnrurs '. <br /> � • E�isbn9 am proposed uiddirs • Si�nw mensw�mrnis M <br /> y� 00 NOT WRITF BLLOW TH�S LINE O <br /> O t/i <br /> PERMIT CONDITIONS � <br /> 1.All calls br inspecllon shell�e made 24 hrs.m advance�phone 259•8810. � <br /> 2.PII work shail be pedormetl in ecco�tlance with this parmil and cunent City o�Everel�Design and Conslruction <br /> Stantlards end Speciliwtion;. I <br /> ?.Call Loce�ion Untle�ground Service d8 hrs.betore you dig.TOLL FREE NUMBER 1•BOO•42O•S�JSS. � <br /> i <br /> � 111��- ��C�.�i ��1� � '�� <br /> _ _ <br /> �� � ���/'/Y-�a � <br /> '� � �ww <br /> ! _I I <br /> ' ' O I <br /> - - a <br /> �--,, . <br /> ACHNOWIEDGEMFNT OF CONDITIONS <br /> The undef5igneA oWnevlpP����nl hpiPUy a9ree5�0�old and STve harm� <br /> � � . — --- less Ihe City ol F.vereV Irom any and all clairis lor tlama9es. r,osts <br /> r+pense5. or cam:e5 0� aclion ihal may an5e Lecause OI m5•alla�icn <br /> and mamtenance o� Ihe improvement o� other ripht�obway us�• I+erelo <br /> � �'� _ applied lor and lu�lhei agrees to remove sxina upon nol�ce Irom �1+e <br /> �=1 AppruveA lo�Cunslruction Dele Cdy ann lo replace pubLc pioperly tlamo9eA Ihe'eby. <br /> • � fIN1. INSPE::ibN ���� Datc <br /> pnProvc�Ts ConsVucled SiUnalurc N APPhcanl <br /> WORN AUTIfORIZED BV T111S PERMIT MUST BE STARiED W�TNIN <br /> rvrrM,' PUBLICWOPKSDEPAFTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> J -�200CederG'reel DE O�UG[N1LV PURSUED TO COMPLETION THIS PERMIT PAAV BE <br /> f_verelt.WA992D1 CANC[LLED L��iHE CITV UPON ANV STOPPAGE OF WORK ON TH;S <br /> Phone 259�BB10 PROJF CT OVER 90�AVS DURATION <br /> ' —_—'_' � <br />