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/ <br /> r�N�c�vo,ASPr�m�i. ���z38— <br /> Da�e G-29-92 \A� ' �j S �Z 9 ' �' omu o�w . 37186 — <br /> qppii[alian For <br /> Puu maiFerPoc S <br /> pUBLIC WORKS PERMIT L,SSpoo, CeP„as <br /> � � e.,.��.00 � s 2�_ <br /> � a y Prinl or lyPe Only T� rn�T��v� .. ��. _4_y�}. <br /> A � � <br /> �i y y 3514 Erondway Evere[t 98201 258-4331 <br /> H �� Beam Construction ���Y Z�p ahonc <br /> H H Ownrr tdading Atld ess <br /> �C C� <br /> H �t <br /> � H� Owne=__, CiIY Zip Phone <br /> N�"� Applicanl Mailin9 AdtlrCss � <br /> �� � C/ <br /> C <br /> Descnhe Proposed Work new construction SFR <br /> H �S _-- — <br /> �>V � <br /> z y - - SP /207 -z4-��� L�I�I <br /> r H y Zt�Z�. v��� GP�S"�' AV� Lo[ 7 Seaview Hei¢,hts � <br /> y pm iect Address 1�1 knownl <br /> H — <br /> �C�. d❑ � �ttach four I4)Copies J�PIBnS bf ptOPOSed wofh-DrdW lo`Caie and note IhC IOIIOwin9 a5 apD liC�b le' � <br /> 3 L'7 t'� • Properry Lines • CeNcrline of streel <br /> �i� � • Indicate Norih <br /> z y � • Outline and dimensions ot all exi;tmn�nd � Sho���any proposed qradin9 changes <br /> H O U� pwPOseA slruC�ures o�Ihe lot � Show measuremenl� M <br /> • E�islin9 and propo5ed ulilities W <br /> � DO N07 WRITE BELOVJ THIS LINE � <br /> I <br /> ' pERM1T CONDITIONS � <br /> 1.All calls br inspection shall be made 24 hrs.in advanc^�Phone 259•8810. <br /> �_ 2.All work shall be pedormed in accordante wilh this p m�it and wrrent City o�Everetl Design and Conslruclion <br /> 1 Standards and Specilications. � <br /> � 3.Cail Localinn Under9round Seroice d8 hrs,belore you di9.TOLI.FREE NUMBER 1•800•424•555 . <br /> ' ' _ , .. ,.,_.. , . O <br /> I r= r_ .�. ': _ � o ,- � .-� "' � <br /> ... quttei- and sidewalk. �in thc � <br /> . .. damzaae the�-tc� sh�ll he rei�'� � � � <br /> ����� I '��iblic ��)or-ks Insncc'�o'-• <br /> , � ��:ny �_I��n4e in the dri.vea�a�y c��r mnst be appr�ov�d by tl��. � <br /> _:pect.or, width at. nrop line limi.ted i�.o n::isi-v��7 �4r��n '�� <br /> .-:onnert �:ll ronf, var-d -,nd drivewx,: �lrau�=, � ^ •.tn-m �r <br /> ��y�,li �n F�rov�dEd t.n l01'. a <br /> ` 1- . , i . . 1 �I',iri: :i' nrh:t 'tt' Cql�, <br /> I �.rl i�i - ��i <br /> � <br /> �� r� ,.,'.iNUWLFDGG6t[NT Or G�IND.rIONS <br /> �� �. �1�� Thd undursigr :•,��eUaPPlicani heiehy a9rees to nold ai�d snve harm- <br /> � -- Iess the Cdy � eretl twm any and all claims loi A:nna9es, costs. <br /> e�pen;;es, or � � ol aclion Ihat may arise Uecause ol installatioi� <br /> � �'�� e �_ ^ and mainter� � Ihe improvement or other righl�ol�way use herclo <br /> —� h_�.�. ��-9 Z ��p1ieJ �or � . :ther agree5 to remuve same uUon noticc Irom �he <br /> qpprover,lor C�nstructi0� / Date City acd to� '� e puSlic pwperty dama9eA Ihereby. <br /> I G. , � ` <br /> . j"�.i//.�'.:'t_-- .�7_..�. / �/,� ��i r�. c�...� �.2`I � Z-. <br /> FI':AL INSPEC710N Oale ate <br /> Sign�'AP hcant <br /> ApUrovedasConstrucleA WORK AUTNORI2ED '3Y THIS PERMIT MUST BE STARTED WITHIN <br /> PUPLICWORKSDEPARTMENT 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFT[�7 IS TO <br /> � 32UOCedarSlrcei B[ DILIG[NTLY PURSUED TO COMPLETION.THIS PERMIT h1AY �[ <br /> EvcrelL CiA5Ei201 CANC[LLeD BV TNE CITV UPON ANV STOPPAGL OF WOPh ON 1HIS <br /> Phone 259�BE710 PROJECT OVfl�90 DAVS DURATION- <br />