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D a t e_7��.G��R C �Jf�-' . <br /> � r�.n•�r vra,ti,n�.,� i. . �, .�i <br /> AnDli[�ticn Far i;��e� o,.�i . _S��_�'1 j�_S�� <br /> . <br /> PUBLIC WURKS PERMIT ��.�����W�,�.FCe -- — <br /> io�M Fee S . . <br /> lesf�pPl f!!Pa�� 5 <br /> ro <br /> Print or Type Only o��.�«o�� S �: �•--- __ <br /> �» ��� 1-6r-.s'{rr,! 7,i�z.d -.�Grh I`�- 1� E✓erptf Q�Z�'r 337- ylas�/ <br /> Own r Madmg AdA�ess C�ty Zip Phonc <br /> �cia� e --- <br /> ApPhcant Mailing A�dress Gty Lp Phonc <br /> Descnbe Proposed Work ��i.� �a,r�.1e�_—La-F � � ��GC/� �� ���/P��✓ ��/ ���1111/ �c > <br /> � � _T_ ` <br /> Proled Address 1d knownl /y'e y _9 �; - i�nun ,��� _ W <br /> , � <br /> AtlaCh four�41 topie5 0l plan5 lor propOsed work- D�Ow to '•caln ��d nolrz ihe followmg a5 apPliwble � <br /> • Property L�nes • CeniCtlme of 5ireel � <br /> • Outline anA dimensions of al1 existinq arh • Intlicate Norih <br /> propoSeC S�ruCtureS on ihe l01 • Show any proposed grad�nq changc; <br /> • Ekis�mg and prcposed ulddies • Show measurements � <br /> DO NOT WRITE B[LON' THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.AII catls br inspection shall be made 24 hrs.in advance•phone 259•88�0. � <br /> 2.All work shall be performed m nccordance wlih Ihis permit and wrrent Ci�y of Everen Desiqn antl Construction <br /> Standartls and Specillcations. <br /> 3.Call Lotation Under9round Serv�cn AB hr; Lefore you d�y TOLL F9EE NUMBER 1-BOU•�{24•$$$$. � <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ,:r:.r.o;;�rr�c[ !+�r�r or C��NoitiOras <br /> ThC untlersigncU c�.�nevapplican�hei[:�by agree'lo hold and Savr. ha�rn- <br /> �,rf less Ihe Cdy of Everetf Irom any and all claims lor tlam:,ges, cos�r. <br /> b 1,��� � // /� J expenses. or causes ol actlon that ma�� anse because ol mslo 'ai�r <br /> .']YC,,�/y,� J� /�_ p � and ma�n�enance ol the �mprovement or other nghbol�way �so cerrio <br /> �� � �� l �J l 0pp�iCd fo� and Iwther agrces to rcmove same upon not�ce Iron v �� <br /> AUPrQved lor Construction Dato �,�y�n. tu i lace pubhc property tlamaged Ihereby. <br /> ` ,: <br /> �i�'��' l-- .?-�?(i'%U �- �(/ ��-�—f <br /> FINAL INSPECTION Oaic <br /> Appwved as Constructed S�gn 1 e ol ApD � D:+Ic <br /> rvc���t PUBIIC WORKSDEPARTMENT WORK AUTHO IZED BY THIS PERtdIT MUST BE START[D WITHII� <br /> � 9200CedarSueet 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS ?O <br /> Everelt.Wh 99201 6E DILIGENTLY PURSUED TO COMPLETION. THIS PERI.IIT IdAV p[ <br /> Pnone E59�F78t0 G`JC[LLFD BV THE CITY UPON ANY STOPPAGf O�:,r7RK 01J THIS <br /> PROJGCi OVER '30 DAYS DURAiION <br />