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Date 7-�I-R / VUEpc Work�Parmlt• <br /> Biao Uep� • _ <br /> Applicn�ion For <br /> WdJBLIC WORKS PERMIT Pu�toieFeeFee , �� <br /> Leee�oU� Fee Vuq d�^j — , <br /> Bel�ncepua d J/ <br /> Print or Type Only ' I I <br /> R8�`1 <br /> I �}��rx���r��-h��� 9�2. i q�'�1v� �����r��- �37-i� I, <br /> pW�d� �� MailinBAdAiee�, City 2ip Phone ' <br /> ���,��c'.tll7�'TS o0 car�X l�8 /6,�/7' �'c� as8 -�`�� I <br /> AppHc nt Mefling Address Ciry Zip Phone I, <br /> DencrlbePropoend Wo�k � ���Nu�� L�, '�� `-���' __-- I <br /> L-- I <br /> --- ^ W <br /> Prolect Add�eae PI known) ��S � ��� ��f�� • S�- — ~ I <br /> A�tech lour�4�coplee of plPne lor propt eed work� Draw to scale end note��e following es appllcoble. � I <br /> � p�cperty l Inee • Centerli�e ol strael � I <br /> • Oulllne and dimens'ons of ell existing end • Indlcel+ Norlh <br /> proposed struclures on Ihe lot • Show an�.�proposed grading chnnges <br /> � Exist�ng qr,d propoeed Wfll!les • Show mePSwen��enls � <br /> �� � <br /> DO NOT WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. All r,elle lor InnpecUon ahe�l be mnde 24 hra. in acWance- phone 25g-8a�$. � I <br /> 2. All work ahvll be perlormed in eccmoenre wlih ih�a parmlt and current Cily of Everel�Des�gn rnJ Consirur,tion <br /> Stendertls end Spacificetions <br /> 3. Call Locetlon Untlerground f��rvlce 48 hrs. belore y� .,dig. TOLL FRF.t NUMBER i•900•424•555$. � <br /> "� yld� f ! I ( C�'N 1'�G� ( �/l( �C!/ ( /\_ - r 1 ' � r'i '�E{1�7`/czL ���')i�� O <br /> / <br /> 2 r��- <br /> � I <br /> � <br /> Q <br /> it��b:�53 a <br /> ACKNOWLEU�EMENT OF CONDITIONS <br /> The .inAer,�qne�l owneqapplicent hereby apree5 to hold and save hnrm� <br /> ---- --- less the �ity o� Everelt Iram arty nnd all elalms lor Amm�ges, r.osls, <br /> _.�� � � - eaponses, or ceuses ol ection t�ot mey erlse because ol Inelalletl,n <br /> ���� �,.ij�.� � and mAmtenence of the Improvemert or other nght-ohwey use liere�u <br /> applied for en�i further egreas to renove aeme upur. noticn Irom Iha <br /> rove 1 ' onst� tlon Dete Cily end to rer'ace public p�operty demeged thereby. <br /> , , 2�,� (_�- , ��, � <br /> FINAL INSPE ON �alo - - —�=1�_ `� <br /> AVproved ns Const�ucle ign ure of App ice De� <br /> —� O K AUTHORIZED BV TMIS I MUST BE SiAATEG WITHIN �, <br /> N�e� PUBLIC WORKS C�EPARI�MENT 1 0 UAVS OF DATE PERMIT IS IS ED AND THEREAFTEFl IS TO <br /> 3200 Cedei Siree� BE DILIGENTIV PUNSUED TO COMPLETION. TNIS PERMIT MAV 9E <br /> Evrrel�. WA 98:01 CANCELLED BV 1HE CITV UPON ANV STOPPAGE OF WORK ON THIS <br /> Pnune�. 259-BBIS pRC1JFCT OVFR 90 DAVS DURATION <br />