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^-�sr� <br /> �� � I <br /> A ?7x <br /> C, H <br /> �� hN / <br /> H �� �"1- LL`�.5"i_ <br /> PuEI•L\VO�kE PLl�llil• <br /> Date�➢131/90 <br /> � H C+�tl oi,.p o�oi . 9�/25925 <br /> � H� Appi�cation For <br /> y�' � PUBLIC WQRKS PERMIT Nubbc\PorbFeo <br /> z TolalFeo $ <br /> lrss Pppl Gae PeN S�—� <br /> HC <br /> TO POSTING �'"�LeO�� 5 �� — <br /> O H — <br /> �y�g Print or Type Only ��'��_�9_� <br /> �Y �] <br /> �y� Oniverse Const. Inc. 2529 - lE9th St SE Bothell 98Ji2 481-336G <br /> H y Owner M2iling�ddress City Zip Phone <br /> N y� <br /> H <br /> Cd N OWtlet' _, <br /> �j�� Appliu�nl .blailm9 Address City Zip Phonc <br /> zHrn <br /> HOCp . <br /> DCstrihe PropoSed Work .�one rnrt ney._5j„p9],+Lf^ '.�T_._5'a027C^ -- <br /> � <br /> c� �3ti - zti,�2 � W <br /> �ioier.t Address 01 knownl �t 97 - Ridgeu%7d Tetrace � . <br /> Attach fou�i41 copies of plans lor proposed wo�k-Draw to scale anc' nole the following as apphcable. � <br /> • PropErty Lines • Centedine of street ,^ I <br /> • Outline a�tl dimension�o�au ex�slm�cnn • Indlcale North V� <br /> propused atrur,�ures on Ilv, Ioi s Show any praposetl yiading chunycs <br /> • Existin9 and proposed ulihties e Show ineasuremenK M � <br /> W <br /> � � DO NOT WRITE B[IOVJ THIS LINE O '� <br /> I �� PERMITCONDITIONS <br /> � , 1.All calls for insp?etion shall be made 24 hrs.in advance�phone 2594�810. � I <br /> I2.All work shall be pedormed in,ccordance with�his permit and cuneN C!ry of Evereu Desi9n and Construdion <br /> . I�� S�andards antl Specifications. <br /> ��� 3.Call Location Undergwund Service 48 hrs.belore you dig.TOLI FREE NUMBER 1•800•424•5555. � <br /> A.ANY CHANGE T_N T_HG DRIVF.WAY CUT MUST BE APPROV�D <br /> 'i/ I <br /> i .�,� BY THG PUBLIC WORKS INSPEL'TOR_ <br /> 5.CONPIECT M�WNSPOUTS TO PUBLIC DRAINAGE SYSTEM. � ', <br /> 6.KEEP GITY STREHPS CT�EAtd AT ALL TIMF.S_ <br /> 4 7.ANY DAMAGE TO PHF. CURB AND SIDEWALK WILL� BE Rl?PAIi;�iD <br /> .�,�� TO 7'HF. SATTSFACTION OF ':Hi? PUBT.IC 670RKS DGPT. O I <br /> �� � <br /> �� <br /> �� r('�:raOWLEUGt:r.t[��t(�rGOND�i�or�; <br /> � _ 'lC I he untlr.rs�q n oc�neqaPPhi:nnl hci'�b/.�q�ees�o hold an�5ave harnr <br /> � � % <br /> � Ic:;s Ihe Ciq � verell Irom any and all claims lor dama9es. co:cts. <br /> expen�vs. o� s ol aclion Ihal may arue because of mSIallciiun <br /> � C I � _ I��_C�� anA rt�ainiei f Ihe m�provemenl or other n9h1'ol�way use herolo <br /> _�, ��, V✓� �ee. � �ppp�� to� - ryier a9rc�s to remov.: same upon notice Irom ih� <br /> Anproved lor Con;�ruction > Date ��ty;�nd to�� �� : P�������- Peiiy damag�d Ihereby. . � <br /> � � _ � <br /> �i �.-• 1�:��__-- �/S � <br /> I'INAL INSPECTION —7 C��� � �'`� Date <br /> Approved a5 ConStruCind Si9iti� ii�01 Applicanl <br /> WORK AUTHORIZED BY THIS PERA7IT MUS� BE START[D WI7HIN � <br /> evprel� PUBLICWORKSDEPARTIdENT iE10 DAYS OF DATE PFRAIIT IS ISSUED AND THEREAFTER IS 10 <br /> � 3200CedarSlmel [3[ DII.IGI�NII.Y FURSUED 10 COt.1PLETIJN. �iH15 PERh11T MAY �fl <br /> Evereli.WA98201 C�NQL�.CD RY TIIL-CITY UpON�1NY STOPPAG.'OP AVpRIC ON THIS <br /> Phone:259-F3810 1'�u[iJ!_Ci OVLf��ii� D;��'ti I)UHi,TII�'J <br />