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Dat � �' �� � <br />.11�plicelion For <br />PUBLIC WORKS PER11611T <br />Print or Type Onl; <br />SAmE <br />qpplir,ant <br />Describe P�opos^d WOM <br />Mailmg <br />Y Z�L <br />� •� <br />� ���,�., „�,,.�,���.,,/�, // cJ'n - /iti <br />Rp14 Pnp� � `{''/ 1���. <br />Y <br />r <br />n�Uec warafert _—___. --_.—_ _ <br />r����... s — <br />Le•.e Ann� ree Po�e � _� /.��—. - . <br />Pa-enr� �un S _F_' V �• _ <br />Phone <br />Meiling AddrP.55 'Gry ____ __. .- ?�p . .._ Pnoni� __._ — __ _ <br />CG7U.,iTif'(/C% S, �.�'___ ._._...___ _-. <br />._'— — �. C' �e' <br />ProjeCl Addres61i1 known) _� �__� <br />Aflech �our �A1 copie5 d plens lor proposed work - Drnw lo ,�ttle �nA note �he lollowing 0s apPhceble� <br />• Proparly Lines • GnMnAme ol s�reel <br />• Oulline and Almensions ol ell eeisting �inc1 • Indicalu Norlh <br />proposed stmctures on Ihe Wt • Show nny proposrA q�ad,.�p cham,irs <br />• Exishng end proposad uliGties • Show nr.at�uremenis <br />PFRMIi CONDITIONS <br />t P.II calls �or inspection shall be mzde 24 his m ndvence � phone 259•881 5 <br />2 All wu!k Sh011 be pBr101mBd in nccvAance wdh this permi� nnA r�i�rrrd Cily ol I-verelt Ursiqn a��A C.onslrudion <br />Stantlards anA Specihcations <br />3. Cail Location Unde�g�ound Servlce 4B hrs belore yuu dig TOI.L FREE NUMBER 1$00•42A•5555. <br />4. ANY GRADING DONE ON THIS IAT SHALI; BE DONE SO AS NOT TO IMPACT THE <br />SURROUNDING LOTS WITH RAINWATER RUN�)FF. <br />5. ANY WR6 & GUTTER OR SIUEWALh DAMAGED DURING CONSTRUCTION St;ALL BF. <br />REYLACED BY THE APPLICANT. <br />6. DOWNSPOUTS FHOM TIiE IIUUSL•' ARE TO f3� 'PIGH7-GINED T� THC DRAINAC;i S <br />`�).l � ,l�-'e-oe�'�— �o? �, AL <br />ApP�OVP.A lof ConslruClion Dale <br />, <br />; <br />�', ' `�\M� 2���t7--- <br />FINAL IN£?ECTION Uatc <br />Approved as Const�ucted <br />�.�������� PIIBLIC WORKS DEPARTMENI <br />� 3200 Cedar Sireel <br />Everelt. WA 98201 <br />Phone: 259�8815 <br />A(:hN�.�vil FC)t;f MF 1!I �L GONDIT�r)NS <br />� <br />O <br />� <br />�hrr unU��s�q,�ed uwnuu;iPGht.��nl hrrrhy a9�eos lo h�dd :md save Ir�nn <br />less Ilie CiIV �� ��P�elt Irom any antl ail r.lmms loi Aamnyes. �osts <br />e.penscs. or causes o� action Ihal mny anse be�ause ol Instnll;,n��n <br />And m�inlennncr ol Ihn �mprovement or other nUhl�ol�wey use he•ieto <br />qppLe.tl tor nnd li,�ther aqrae•. Io remuve same upon nohr,e from Ihe <br />QtY �^� lo re lio• pubhc pro rty Aa�ed IhPreUV <br />��l�f�'_ti0 �_���.--�-3-�Y�-- <br />Signaiure ol Appl r.anf L1aL, <br />WORK AUfHOR17EU BY TNIS PERMIT MUST BE STARfEO WITHIN <br />1B0 DAVS OF DATE PENMIT I.`i IS9UED ANO TH[RcIPTER IS TO <br />BF DILIG[NTLY PURSUFD TOC(�PAPtFTIqN THIF I'ffi611T MAY BC <br />CnNCf11CD Pv !NF C�1V Uf'ON ���JY Fr(1f'PAGf- Of l-VOR✓. Clh THIS <br />f'ROJECI OVE179[` DnvS [�Uf7nTi(�tJ <br />