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� i <br /> C [' '�0 nun��cwo��sr..�mn. _/2..�Q9m'— II <br /> b � c Date 3-13=,�'- TO POSTI��G._z-��3-- o� Qo�o� . �s�s9— , <br /> � y N AVPIiCd�ian r�� -- <br /> ~ � � R KS P E R M I T '"°"`""°"'"° 5 <br /> y � PUBLIC WO `°�a,"° <br /> K � �cssnon�r.�c r:e 5.-- <br /> O S O Oaianee Oue S Z� I <br /> �p N �V <br /> N M <br /> � � � Print �r Type Only � <br /> R�ndv Clark 258-1503 or 11 <br /> p � Rq Select Homes 237 Elm Ct t'veLetC1�'LA�$�03 Zn pnonc 348-1320 <br /> � H �[ Ownoi MaJ�n9 AtldrBsS <br /> y 2 <br /> � y Phonc <br /> b N OWReT — CiIY Zip ��' �� <br /> � Ma�lin9 Atldn`ss � � <br /> O N qpplmaN <br /> � � N <br /> O y DescriUe Proposed Wo�k _ <br /> new construction Lo: 17 Manle i1107 <br /> l <br /> —�p ��� — � I�'. <br /> � �sT p2 SE — <br /> Prolect Atldress 1��knownl — �� <br /> Atlach tour(A)COpieS 0�PIanS�or proposed work-Draw lo scale and nole�Cen1tedine ol Ir�eel`t � � <br /> • Property Lines p Indicate North . <br /> • Outline antl dimensions of oll exislinp and � qY�w any proposo 1 yc.Cing chan9es <br /> proposed s�mc�ure5 or�Ihe lol � ghow measmements M . <br /> • Eristin9 and p�oposed�IililiCs W <br /> . . pp NOT WRITE BELO\N THIS LIMc O '� <br /> � ���, <br /> I <br /> ' �� PERMITCONOITIONS � <br /> 1.All calls tor inspection shall Ue made 24 hrs.in advance-phone 259•881�. I <br /> � 2.All work shall be peAormed in accortlance with this pennit antl current City ot Evere��Design and Conslruction I <br /> 'I '__ Standards and Specificalions. � I <br /> 3.Call Location Underground Service AB hrs.bebm you dig.TOLL FREE NUMBER 1•800•424•5555. . r i L�,� <br /> ��� �1 Install r�r,k rnnatrum i�n Pntr;�nr�� b�hinrl �lrivew�-'R I't ir. l nrl:s � <br /> stan�l�rn 1120f' an�9 :,rr � inn �amt.rnl �i r1ir�:ri.er3 },�� O ; <br /> Tnspe�:tor. , <br /> F . K��P r.it.>' street, cl.e�n at all t,imes � . <br /> � �� anY�]dama�erthPrF�to sh�l l be reFlaced atPt,heWdisrretaonaof {t i��� <br /> Publir, Worke inspect�r. � <br /> � 7 . Anv chan�e i.n Y.he drivPwav cut must. be aFPrnved bY the PW 1 �� � <br /> �, i spectni•. width ai, proV l.ine l.imited tn existi.n� aF7'�'n widt.h . <br /> ,9. Conn�r,t all roof. yc+r: and driv�wav drai.ns to s`orm drain � <br /> syatFm prnvide�l t�� ln��. . <br /> � 9. Ad.iust wat.rr boxes to erarle at, end ot r.onstructinn. �� <br /> v.� <br /> 1i�. Drivewavs �hall lie complat.elY curerl heYore drivine �.�n Lhem. <br /> � � IOWLEOGEMENT OF GONDITIONS <br /> i The undersigr �er/applicanl hmeby agrees to hold aiA suve h�rm� <br /> I 1� _ <br /> i _� —� Iess Ihe City ' -relt Irom sny and all claims br tlaTages. costs, <br /> exper.ses. o� .as ol aaion Uiat may arise because o� inslallalion <br /> \ q i. �nd mniNen ' of Ihe improvement or olhe� iiahPoi�w�Y usr, herelo <br /> � M �Kq,� 3— `�—�Y� ,�N�ea +or anA iwiher a9recs lo remove same upon notice Irom Ih� <br /> � —t� / Date Cit .Otl to rep ace Pubhc proPe�fY damaged thereby. <br /> Approvetl for Consiruction / Y � <br /> _/ � � /� l�'��' /�� '������. ' � A�lG�� _ .7 <br /> ��tJS!�- ���' 7 <_ �C"0 f�l. L/ �f, � �_ ���..�' - .� <br /> DatC — ! / 1� l 1—�ate <br /> FINAL INSPECTION . Si9naW�e�a��� <br /> ApprovedasConsiructed VJORK AUTHORIZED BY THIS PERMIT A1U5T BE S7ARTED WITHIK <br /> � PUBLICWORKSDEPARTMENT 18� DAYS OF DATt PERh11T IS ISSUED AND TH[REAFTER IS TO <br /> 3200 Cedar Street B[ DILIGENTLV PURSUED TO COMPL[TION.THIS PERMIT MAY BE <br /> 'cvcretL\YA 98201 C�NCELL[D B�TH[CITY UPON AN�STOPPAGE OF WOFK ON THIS f <br /> P�tO.IECT OVER 90 Dr1YS DURATION. �1 <br /> phon¢250�FietO _ <br />