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�C� <br />� �� <br />Date'%L�,�*� TO POSTING <br />Apphf.atian (nr <br />PUBLIC WORKS PERMIT <br />Print or TypP Only <br />qppOcent <br />yk <br />City <br />M�din9 AdAress C�ly <br />Pulrir WOrA� P�rmn � � I��� ' <br />„�,,. �,.�, . �, ��a�_-- <br />r�,. l„ wma �a. 8— <br />n,uiree <br />� �,..�,�� ��. o.,� s — <br />a,.�,�,. n,�. 8 �_- _-. _— _ <br />Phom� <br />Phonr .-.. . . .. . <br />�; nr�1P_%m�1y— !�'.t��l�, .� L�f !0 � �• n I �_ <br />Desr,rlbe Proposed Work _—�'Q� _ <br />�}• �2— — ���+ `J`r S� <br />ProIPclAAdressl�lknown) _ � -- — --�-�-��—�---- <br />nua��.L Iour i4i conies ol Plens lor proposeA work � Orew �o Rcxlr nnA nulep C notedinr. nl s n'�II� :,1�I,• <br />� p���perty L:nes <br />� O�tllme a�d dimensions ol all exishn9 nnA <br />p�oposed slructures on Ihe lut <br />O [nsting and proposed u�iLlies <br />• InA�wle Norlh <br />• Show anY O�oPosed yr,u4ny nn.im,lns <br />• Show mP.nsuremenlr. <br />_ — � <br />— _ � <br />�� <br />N <br />PERMIT CONOITIONS <br />1 All cells lor ins0e�:t�.on shall oe maAe 24 hrs in edvance - phone'25g•88i0 <br />; nn v�+�h shnll be pedormed m eccortln�r,e wlth Ihis pFlrmit anA cunenl Cily o� Evomlt Dcsi9n nnc Conshur,lion <br />. y,����t ^ypQry.IiCP110116. <br />,-.� ; pcelioc i I�urnr�:ound Service 48 hrs belore you dig. TOLL FHEE NUMBER 1•800•424•555 . <br />q. lnetnl7 rock r.�netructinn Riirinc��e tr8ckin�imud�ont.n <br />; <br />� <br />9 <br />10 <br />per city Atandai•d n208 to e m.n <br />atreetn ae directed by Public Worke Inepector. <br />.Y,,.�p ••ity nt.reete clenn nt ell timee. <br />turb, gvttAr and P1�PWA�IC in t.he plat are nww and <br />�vr�a,�,..r!nd, any damage thereto ehall be replac�d at. the <br />,�y_�IFt ;_,r af the Public Warke InePA�'roc•. <br />qnv �hnr,ge in the drivawnY cut muet be approvad by th� <br />publ;c k'orke inepe�tor. <br />Tightline a]] croof, yard and driveway dreine from <br />houeea t� C.B. et.ube at heck of eide walk with rubhPr <br />gaeket P.V.C. pipe <br />AdjueY. water boxee to grede at end of conntructi�n. <br />Drivewaye ehall be r.oa�pletely cured before drivinpt ��n <br />them ncKr+ow�eocuaeNr or coNoinnNs <br />i 1��� �',.�`i! '-- __ <br />L� —__— ____ __ <br />Z-��•-9i <br />�¢�'� `-�-- -- --b,���. <br />ApProvnA hy C��nslnicUon , . <br />/. 5� �'_-,�� ,/. � � <br />/ <br />��Dete <br />FINAt INSPC� " � �—���� � <br />qpprovnd as Con5lniCted <br />„�.� pUBLICWOFKSDEPARTMEN7 <br />9200 C['der Slreet <br />FvorrlL WA 9A701 <br />pl��nnn �,9 RV�.in <br />� <br />� <br />� <br />N <br />O <br />a <br />Thr unAersi9nnA owneUaPPhr.ar 1 hyrehy x9�ees lo h� �i I:m�i s,���� h,u�n <br />luss Ihe CAY ol Everell Irnm any and all clnuns loi damuni••;. ���'.t'. <br />Ax{1A119C5. �� CAUtiCS O� (ICIIO�1 IhAI m�Y flfISP. hBf,HlISC O� iO511�l1.ih���� <br />anA maintcnentr. ol Ihe improv.an'.anl or othP� ri{Ihl�obwnY ��s�� n��n•I.� <br />,�pphrd 1�� antl lurlher nJ�ees lo romcvr some uPon notico Irom Ihr <br />GIY ;���/1�' ���'�' P�d�hc properry dame(�ed Ihereby <br />� / , <br />L <br />^ �i�—__ Da�i� <br />i�Jnqlwc ot APPbcenl <br />WORH AUTHURIZED BY THIS PEf7Mlt MUST BF. STARTED WIT�IIM <br />190 [1AV5 Of �ATF PF.f7MiT IS ISSUF f1 ANf7 T�IEAFAfTER �S *[� <br />BF DII IGENTLV PURSUF� TO COMI'i I n��Pi 11����1� N�� 1�N� ��N IIiIS <br />fIA�1fi I l f U PV fHF CI1V UPON AN'r til(1f'P4GI <br />�iU i�.f i I :I I!.'O' I'�'�ti �1lII�Af11 dl <br />