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Date..3�y�5' <br />n�(}„�I��NG (. IC'+J <br />PUBLIC WORKS PE� <br />PriM or Type Only <br />r � . wo�.. �,.,� P� .�. .7;i-//'i - <br />9�,p D.m . —UO�� � - - <br />v„mK wom r.e <br />mi.ir.. S <br />�...eoo� re.reu 5 .a� <br />e,i.��sma 5 <br />cen,,. �„ �qi�/ q�3�l�` #.c� c��fle. 98ifi3 s��-sa.rz <br />Owner 1Aailmg Atld�ess City Zip PM1one <br />SQ `n a _ <br />� qoPfiwnt Ma�linB Atldiess Gry Zin Pnone <br />DescnbeProposetllYaik nPeJ .C�%Lj&.yll��P.�i�n(P �rriol�_7'��y1'(.��1J — <br />Proiecl aaaress Gt wnownl <br />Altac� low �A� copies ol plans lo� pmpose0 wo�k � Oraw to swle and �ole Ihe tollowing as apP�icable <br />• P�opmly L'mes • CeNertine ol sbecl <br />• Ouibne antl o. nensions ot all e.�isting and • Intllcate Norlh <br />p�Op05pC SI��CIOfPS OII ���C Ipi •$how any propose�l Hr;�Oing c�an9es <br />• Eusiing ana pmposed uliLhos • Show rneasmemenls <br />PERMIT CON�ITIONS <br />1 All calls lor inspection sha�l be ma0o 2A hrs.'�n advance - ohone 259•8610. <br />2 All uork shell be Oednrmetl In accortlenca wilh Ihis permit antl cwren� Cily ol Fverell Desiyn nntl Constmction <br />sinnaaias ona sneciM1aafons. <br />3. Ca0 Lotation llnaergwund Service 48 �ra belao you tlip. TOLL FREE NUMBCI 1•800•424•5555. <br />4. Use driveway wr6-wts provided or get aoproval from the Public Wocks <br />Inspector :or relocation. My new driveway shall be installed per Ci[y <br />SWndazd N107. Onused drivewaya shall be taken aut and replaced with <br />full height curb and �utter. <br />5. Use storm drain sy;tem for down-spouts from roof top. <br />G. The aPPlicant shall be res[wnsible for replaci.ng any curU, gutter or <br />sidewa'.k broken during the construction process. <br />G :��� / <br />l�^f'�= .�,�= � .7� <br />Appioved loryCon mctipn alc <br />�L p / <br />�t�� / i <br />FlNA 1 7 O Dale <br />App�ove� n� Cons'mr,led <br />������.�� i'UBLIGWORKSOEPARTMENT � <br />� 3200Crear5ireal <br />Everelt. WA 98Y01 <br />P�ono�I59N910 <br />ACKNOWIE�GC!d[NT Of CONDITIONS <br />Z <br />O <br />� <br />M/ <br />O <br />a <br />The undeisnnrd owner/applican� �eieby agree5 io holtl 2n4 save harm� <br />loss Ibe G�ty ol LverMl hom any and all claims lor damages. cosis. <br />CrpC�5C5. Of CdlISPS 0� .lC�i00 ��d� rtldy dlISA bPC3U52 O� TSldlh�liOn <br />anC maintenance ol Ib^ improvement or o��er n9h��ol�way use nerelc <br />appheC lor , nE �urt�er agiees lo �mnove same upon noLce imm me <br />Gily antl lo mpla'a PWhc propei�y damaBeC ihereby. <br />��� Y� <br />8gnalwe ol Appbcanl Datc <br />WOFF AUTHOR4ED 6Y iH15 PERMIT A1UST BE STFFTED WITMIN <br />180 bAVS OF OATF PERMIi IS ISSUF.D AND TMEREAFTFR IS TO <br />BE LiLIGENi�v PURSULO 70 COh1PLETIUN. TMIS PERMIT MAY DE <br />CANCELLED BY iHL CIl Y UPUY ANY STOPPAGE OF 1YOPK 0Y iM15 <br />PROJEGT pVER 90 DAVS DUPATION. <br />