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� <br />AND <br />PHONE: <br />PUB�ic woRKs <br />PERMIT <br />PUOIIC WORKS DEPAFTMENT <br />3200 Cetlar Slreel <br />Evemll, WA98201 <br />(425)257-8810 <br />�.c;Ff". J��cF'=.F. <br />li�l•I VIRGi';':?. <br />E�JEF:E'I'i <br />y_i,)5_55Q4 <br />TA% PApGEL 1 D M <br />��n <br />Dale ` _ , -.)�-�=. <br />PubOcWorksPermit# :��'.'F'i5-'�-� <br />dwlding Permil k <br />Planning Refeience ++ <br />Public Works Fee S <br />— Guaranloe S <br />APPLICANT NAME <br />ANDADDRESS: <br />��" �1 <br />PHONE: <br />PRQIECTADDRESS' <br />1_=�19 'CIF�;"!'.; <br />�ESCRIPTION OF <br />PROPOSED�YORK: '.�''1 D�'l�Z^f'tD '::itjV•i:'; <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accoMance wi�h �his permit and current City ol Evercl� Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service a8 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />.. . ..._. ,__ ...._.:1� :1•".:._ 'tc -- '- .,=:!:, __.... <br />t.i< <br />."iii��- �__,.t[ac'-:'c :au:.= m•_.�t w__h tii�� Yubii�_ W.;eks in�p..._r,c to di:�_�t::. �:_�r�:nt•.3:. <br />�nagr rautinn pcix�r to t�•;iinn5ng the pcnject. �-� G7�_� <br />. In�Yall erosion contrel mwaaure.^, aa detecmined 1?y the Yuhlir i7oeAs i�rs��,,rtoc�,s�i�i� <br />.._ S11C fence, stra«� bsle�, SW31B3� OL' erosien k�13IlI:?Y71. -�.�cn.. .�� � <br />�. F:emu�� eio3ion contrcl mea�uce� u�o n�-�' -: <br />�� F n c��mpleticn of the pi.�je�^t py�c�e�s>=�ns;' <br />;•revai ��f the pecait. " �? <br />.�io diic, mii�i, ro•:�ks or debiis to bF trncked onto CO8C�1.1�1}�. �T <br />. Pave drivevay fer.•m the reo�?ecty line nut tn the alley paving. `�"�' <br />�. <br />r _ <br />... _ . .__. " "_. .. ..�, .. . . .... _ : _�!�� _ �r . ?? ,f f"� r�" <br />L•J <br />::� <br />�_,� , �:, <br />TO POSTING ��� ``' � ���f � <br />I , 1 � //.� <br />I L`C�—tf^' `/�: C <br />i AVOr �.tl or Constmclion � a�o <br />. /// <br />a <br />L �// _ <br />�--� � f'-� -� <br />�I 1-1NAL INSPEOTI N <br />ApPmved as nslmcted Dalc <br />i <br />ACKNOWLEDGEMEN` OF CONDITIONS <br />Thc untlersigned owner;applicari hereby agrees to hold and <br />save harmless the City ol Evere;t irom any and all claims ior <br />danages, costs. ezpenses, or causes of aclion that may ariso <br />because ol inslallalion and maintenance ol the impmvement or <br />ether righbof-way use hereto applied lor antl futlher agrees to <br />mmove snme upon notice Imm Ihe City and to replace public <br />propeny damagnd thereby. <br />�.C✓�u,K%��,-Z�n.I��( S -� [% �� �,.� <br />✓ <br />SignatureolAppLcant Da1e <br />170RK AUTHORIZ[D UV THIS PERMIT MUST 6E STAqTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUF.DANO THEflEAFfER IS TO BE DILIGENTLV PURSUED <br />7U C�)IdPL[TION. THIS PERMIT MAV �E CANCELLED �V THE CITV UPON ANY STOPPAG6 OF WORK ON THIS PFOJECT OVER 90 DAVS DURATION. <br />U'14P i�Abl OAiAOAR, iNG. <br />W <br />� <br />V/ <br />W <br />O <br />Z <br />O <br />� <br />O <br />a <br />