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<br />Date__3-13_-92
<br />TO POS?!Pl.r,
<br />qpphwimn (or
<br />PUBLIC WORKS PERMIT
<br />Print or Type Only
<br />Select }lomes
<br />Ownet
<br />Owner
<br />AppLc2n�
<br />pescribe Propns�d Wa�k .
<br />Proiecl Address UI knewn�
<br />237 Elm St Evezet[
<br />Alailinq Atldress
<br />new conetruction
<br />Lot 88
<br />,.iiy
<br />- i �. .��.I'�..... i • �� /I�O
<br />i
<br />_. �,��: i,..,,� . . 75966 . _. ...
<br />r,�o�, w„n.r,.. _._. _ ... _ _ --.
<br />f�aa�fni. S -
<br />i...�ovi r.�,r«�� S. _-
<br />n.�i.,,, �m,� t ZD ___ ___.._
<br />98203 Randy Clnrk 258-1503 or
<br />7��� � Phonn 348-1320
<br />_ _—__Zln .-- —_—.Phnne. ____/ ��,.
<br />� � :
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<br />Manle
<br />q�lni.h Inw i41 ropie5 0� P���s lor proposed work � Draw lo sr.:de , ntl note I�e follOwing as appliC�hle
<br />• P�JpClly LinCS • CCnlAdinC OI SIfCC�
<br />• Out6ne and tlimensions o� an rr�stmg and • Indicatc North
<br />proposed slruc�ures on Ihe lo� • Show any proposed p�aAiny changes
<br />• cnshng and proposed utilit�es • Show measuremrnls
<br />PERMI� CONDITIONS
<br />1. All calls tor inspeGlon shall ba matle 2� hrs. in ativance � phone 259•8810
<br />2. All work shall be pcdormod in accordanr,e wilh this pmmil nnd curreN Gly o� Everelt Design and ConslrucM1on
<br />SVmdaitls nnd Spetihcalions.
<br />9. Cau Location Undergmund Servlce 48 hrs. belore you dig. TOLL FREE IJUMBER 1•800•424•5555.
<br />4. inst�.al I r�,�-I=. �nnssYr>>�t,i�,n �nt.ron���, I��,hinrl r{�.ivrw=iv r�z �.�r ,,ir�,
<br />>:t.nnr�nr�l q:f��F1 �vn�i ��rn��inn rnnt.rv,l ;ir� .{irr-•�-t.r�ri hv I'nl��lir 41nrk.-
<br />1�1FPrrtn�'.
<br />!•. Krap citV t:tPnrt:, �-�IF;an .it:. q]1 t.ime'�
<br />i�. i"'urb P.»tter nnrJ nirS�Nalk in t,he F�Iat ,-�rr nrw �viri undamo2e.1.
<br />:mv �i'+mnaF thrretn 9h•+71 },r �epl��rPrl at t.he rlisrret,i�n nP th•.�
<br />p��},��� Wnrkn Tnr���rct,cr.
<br />'7. Anv chanee in t.hr ririvewav rut, mu �t F�r HFVrnvPd hv th�� PW In-
<br />aper,tnr, widt.h :�t, prnF� lin.- limit.F,d tn exietine :+r.�r�,n i•;;�i�h.
<br />R. ('.nnn�rt. all rnnf, v�rrl �n�1 drivew:�v rlrain» t� �t.�rm �ir:,ir.
<br />NyAt.rm Prnviri�ri to lr,t..
<br />1-1. A��l.iu:;�. w�LFr 1-�r�:tr�r; t.n erai�le �t, eri�i nf rnnstrncfi"n
<br />1�) ��q�ivr-wr�v:* :�h'il I i,r� ���,n�i,��°��•lv rnr�-�rl hnj��rr ririvinc �u �h"m.
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<br />�c�,�- V1 `"�-- 3 —z°- � Z _
<br />Appioced lo� CnnnhuGtioi� �'�t�'
<br />v i
<br />���,��-li 1�— � —_ b� ii ? �-� —
<br />FINAL INSPEC110N �''��
<br />Approvnd ns ConslruUcd
<br />�PUBLIG WORKS DEPART�dENT
<br />,V�9200Cetlar5lraet
<br />Everell, WA 9d201
<br />Phcac� 754A910
<br />�
<br />O
<br />ACKNOWLEDGEh1ENT Of CONDITIONS
<br />lhe undmsy���'A owneiinPPlicnnl he�eUy ayrees lo hald and save haim�
<br />les5 Ihe Gly ol 6ve�rtl I�om any antl all claims Ipr tlamages, costs.
<br />repe.nses. or causes ol acbon �hal may a��se brcnuse ol mstallation
<br />and maintenance ol Ihe improvement or other nghDo4way us� her�to
<br />ap��,lieA lo� and Iwihei a9�ce5 to �emovn same upon nolice hom tlin
<br />Cdy n d 10 �eplacfe puUhc propm(y Jama9ed Ihereby.
<br />/�C����u�l/l..l �%LL�:�
<br />C� r i . 1 �� � 7-�� 1--
<br />Signutwv ol�� Jalc
<br />WOHK AUINORIZED BV THIS PERMI7 MU;T 6[ Sif.filED WIiH'M
<br />1B0 LAYS OF OA7E PERMIT IS ISSUED AtJO THEFEA�TEH IS TG
<br />O[ DILI�]GNTLY PURSU[D TO CONPLE�IJN. THIS PE7MI71AAY BC
<br />CANCRL6I1 �� ���C CI1 V UPON ANV STOP�AGE OF WURH OP; i,i��4�
<br />PROJ[C1 OVLR:-i00A1'S UUHAilO1J
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