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Gate 1� '3''lL /'� f� . ��:.�,:,�.,,.,�,..m,�..p_�_p�2����_.__ <br /> �U 1 O��I I. ��-� o��ae oeo�•_��/ ' /-1-- . — <br /> ApPlicalion Far --' <br /> PUBLIC WORKS PERMIT '°°;o:�«o`°° : - <br /> ina�om.rsa a+�a S <br /> oro���u�� 5�__— <br /> "rii:l or Type Only — <br /> I o � ��� �asblak::_.^,�€+�z�c �ca�le �v� °�1a� <br /> Ow r Mailm�qddress Ciry . Zip Phono � <br /> w�l <br /> Lor� Pc:arGc: 2:� '�JG98 ___ <br /> ppplicanl Mailin9Atldre55 City Zip Phone <br /> �esribeProposeU�'fark _ ix/-��� �Z�' – ^�µ�—�^ � --- — <br /> _' _ � <br /> Pioiccl Atltlress pi 9nnwn) �d� ��� P� ���3 ---� � <br /> Allacli lour�4�copies o7 plans lot pmooSeE wo�k�Oraw to swle ana nole Ne lollowing as a��catle: � <br /> • Pmperty Lines •Cenledine ol strc vl /�l <br /> i Outllne and dimensions ef all eaisling antl • InGiwle Norih V� <br /> proposed slmcNres on Ihe lot • Show any pro;� eed nratlin9 c�anges <br /> •EKc.ling and propusetl utili�ies O Show mea;a�:ments � <br /> n <br /> DO NOT WAITE EELOW ThiIS LINF � I <br /> PERMR CONDITIUNS <br /> 1.All calis ior inspection sPbll be matle 24 hrs.in advance�phone 259•8810. � I <br /> 2.All�aork shall be pedorrqed in accarCance wilh Ihis Vermif and current C.ly of Everali Design antl ConStmciion <br /> Slandartls and Specilications. <br /> 7.CaIILocationUnder9iound5ervice48hrs.beloreyaitlig.TOLlFflEENUMECPI•800•424•5555. � I <br /> 4. Install rock construction entr-ance r�ahind driveway as per city , <br /> standard q208 and erosion control e� directetl hy Public Works � <br /> Inspector. <br /> 5. Keep city streeCs cLaan at ali '.imes � <br /> b. Curb gutter and si�ewalk in the plat are new and undamaqetl, <br /> any damaye thereto shall be replaced at the discretion of the � <br /> Public 4:orks Inspector. <br /> 7. Any change in the driveway �ut must he approved by the PW In- � � <br /> s�ectur� width at prop line limited to existang apron width. <br /> 8. Connect all roof, yartl and drivea'ay drains to storm drair � <br /> system Frovide�t te tot. <br /> 9. AdJust water bor.es to grade at end of mnstruction. <br /> ]0. Drivei•iays sYmll he �cmpletely a�red before drivinq on th=m. <br /> ACKNOWLEOGEMENT OF GONDITIONS <br /> The wefersigncd owner/applicanl nereSy aprees to ho1J and save harm� <br /> --� Ies, I�e City ol Everel! Irom any an7 ail ctaims Irn demages. cosls. <br /> eRpenaes, or wuses nl aclion Ihat may arise because of installalion <br /> /? 1+r�( �/_ ,/ 1 7� I 7._('p ari,1 maiNenanCC OI IFe imD�ov¢rt.ent o�olhCr�iy:iPobwdy use hemlo <br /> ' Y �� 1—�+�L� �� ����— ap�lied/or antl luriner aprees lo renove same upon notice irom Ihe <br /> %.p4�uve�for Constmction Dale City and b replace Public propeity oamaged Ih._reby. <br /> .Y./�a�� /a.���iJ ��N�/ <br /> FlNAL INSPFCTION Da1e <br /> Approvbtl ns Consiructed Si9nanrte ol APpi¢ac' Da�e <br /> I�� FUBLICV�09KSDEPARTMENT WORK HUTHCMIZEO BY THIS PERMIT MUST BE STARTED WIIHIN <br /> lE0 DAVS OP DAIE PERMIT IS ISSUEO AND THEREAFTER IS TO <br /> i 3200 Ccaer Slreai OE DILIGENTLV PURSUE�TO COMPLFTION.THIS PERiAIi MAY 8E <br /> � Eve:eltWA9B201 CANCELLEDBYTH[CITVUPONANYSiOPPAGEOFWORKOMTF'IS <br /> ?hone-2548810 PqpJECT OA'EA GO DkVS DUMTIO�' <br /> � -- — . . te o�:,, � x�,-.,�_ .. . . <br /> � �. . ._ . : . . , � __... �._ <br /> =�Ff�':_ �+- yE'�"- <br />