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�'"'� <br /> , <br /> Palo6c WarV Pmmil y ��� �� - � <br /> 7 <br /> i-3nH Detel/..990 :i:, on� • 90/23803 <br /> x C'� Applic��ian For � <br /> C^C�1 <br /> ��H PI��LIC WORKS PERMIY '"°"""°""Ce <br /> Tola�Feo 5 <br /> a H C/� �essaoa Fee va�e 5 <br /> r — <br /> H ��i pai;, r�ue $ G-� �I <br /> K z n Frini or Typr_ Only � <br /> H�1 <br />� � m H Select Hom�s P.O. Box 708 Ffa;cilteo, Y7A 98275 827-8196 I <br />' h �� Owner Mailin9 Adtlress City Z��'. Phone i <br /> H c7 I <br /> p H Same —_ I <br /> ��� ppplir,ant <br /> Mailing Address C�ri Zip Phone <br /> H <br /> i <br /> i a y New Single Family Resider.ce� Lot 3� Glenhaven fteiqhts I <br />� t'' H y Describe Proposed Work � <br />� <br /> I O �H 1 <br /> I o t�cn — � I <br /> � �'tr-ti —_ � <br /> y o c�'n �CC'2. 1 C'� `C-H �-- �--� E=>T — � <br /> Prolect Address Iil known� <br /> � <br /> Aitach four(4) �oP��s o�P��ns�or proposetl work� Draw to sr.alr antl note Uie lullovnng as app�iwbla � �, <br /> • Property Lines • Centerline of streel <br /> • Outline aad dimensions ol a��exisLny and • Indicn�e North <br /> - . proposetl structwcs on�ne Ioi • Shov+any proposed gradinq chan�es <br /> • Exisim9 anu proposed uh�ibes • Show meacurements � <br /> DO NO7 WPITE B[LO�'�THIS LIN[ � <br /> _s <br /> !.� P[RMITCONDITIONS <br /> 1.All calls lor inspection sha���e made 24 prs.in advance�phone 259-8810. � <br /> 2.Atl work shall be pedormed in acCOrdance:-�'��his perrnit and r.urreni City ol Ev��relt Desinn and Construclion <br /> ��� Slandards and Specifiwlions. <br /> i� 3.Call Location Underground Service 4B hrs.nefore you diy.70LL FREE NUMBER 1•S00•424•5555. � <br /> �� 4 . ANY C[{ANGF. IN THE D�IVEWAY CUT MUST BG APPROVED � <br /> ��++...� HY THE PUBLIC WURKS INSFGCTOR. <br /> narnic -�i�SL� C. i��C�.IFI/\(:.L. .._1 :f�IL�. � <br /> 5 .CONNL+CT DOWNSPOUTS TO THRB=SHim—n=m���• i - <br /> ! 6 . KGEP CITY STEiGGTS CLEAN AT ALL TIMES. <br /> I j d 7 .ANY DAMAGE TO THE CURB AND SIDSWALK WILL BE REPAIRED p^ <br /> TO THG SATISFACTION OF THL� PURLIC WORKS DEPT. 6� <br /> �� <br /> i�s � <br /> ��� �'�-u�,�•;i [_or:��rat �ir or cnnoninr�s <br /> !hr undnrs�jnr[I own�:d;i0l�bcnnl hompy a�pecs lo I�oIA an�sdvu hainr <br /> �� - -- - -- I I��ss �he Ciry ol Everelt Irom any and ;�II claims for damaqes. cosis, <br /> .—.__ —__—._.- -_._.. <br /> c,penses. or cnuses of ar.Iion that may arise Uecause of installation <br /> 2 ( � and maiin�enance of �he improw�ment or other ri9hl�ot�way use here�o <br /> �2 y� ����y�.. � appiied lo� :ind Wriher a9�ees w remove same Ron nolice from �he <br /> Approved lor C9�struclion- Date City and lo replace pu6lir,proPerty dama ther+6y. <br /> � / <br /> ��Cl�'.%�i/�i �� �,� �� i/ i � S �p �/� <br /> FINAL INSPECTION Date ��� <br /> Approved as Constructed <br /> s��naw�e i nnni�c„�,i <br /> WORK AUTHORIZ[D �Y THIS PERMIT M 5T BE STAR7ED WITHIM <br /> I���«�,�� PUBLICWORKSDEPARTId[NT 180 DAYS OF �ATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200CedarSlreet 8[ DILIGENTLV PURSUED TO COMPLETION. THIS PER�d1T MAV B[ � <br /> UEverelt WA98201 CANCELLE� BY THE CITY UPON ANY STOPPAGE OF WORK OIJ THIS , <br /> Phon¢259�f3�10 PROJECT OVGR 90 DAYS DURATION. <br /> 1 <br /> _ � <br /> __ . — � <br />