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/ <br />�e"��� APD��tation For _ — � <br />PUBLIC WORKS PERMIT o81e 6=23-97 <br />PUBUC WORKS DEPAiiTMENT Publit Works Pertnit M�7�� <br />3200 Ceder Sireet <br />Evere1L WA 98201 259-8810 OCT n G 1397 Bullding Pertnit M_ �5720 <br />?r aOSTIN6 — P�b���wo�,F�:_�Q'' <br />TYPE OR PRINT ONLY <br />Welch's Conetruction 6332 76th Dr SE Snohoml�h 98290 337-3528 _ _ <br />Owner Malling Address Clty ZIp Phone <br />Owner <br />Applicent Malling Address City Zip Phone � <br />Describe Proposed Work <br />OT-01-97 8:42AM <br />_i�--�i7f9 — <br />BUIIDIhIG 632.80 <br />PROJECT ADDRESS (it known) <br />Atler,h lour (4) coplas ol plens for proposed work - Draw to scale and nnte ihe lollowing tf epplicebl�+: r�j��Y �.� <br />•Proparty Llnes 'Outlina end dlmanslons ol ell exlsting end proposed a!rucU ires on tha lot •cxlsting �d proposad utlli�7 <br />�CeMedine ol atreet �Indicete North •Show eny proposad arad�ng changes �Shaw meesurerr�� ] Q$,OQ <br />W <br />� <br />♦wA <br />V♦ <br />� <br />O <br />� <br />DO NOT WRITE BELOW THIS LiNt �� 70.� Z <br />PERMiT CONDITIONS: trt ILITY UEV <br />1. All calls for inspectlon shell be made 24 hours In advance - phone 259-86T0. ��q�' <br />2. All work shall be performed in accordance with this permit end currant Ci.��tr��� and O <br />aav <br />Construction Standards and Speciflcetions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE Nt31Q�R 1�+M�1-6655._EK <br />C3i <br />A OM 72R . �/� <br />1 F'rc�� rily strrel� cL-;m nl all hrncc. <br />� wb t�nllei aud >iJewalM oi lhC pla' mc nrw and und;miagcd. ;my damaKe Iheiclo .Ic�U bc ic�d:ucd ,il <br />discrction of th� PubGc µ'orks Inspcclor <br />t, ,Urv chanez m ihe �hi���Wny ���� m���� nC ��,�«��Cd i,y m�• rN <br />xi::inE� nprou widlh. <br />- 1din�t wa�er boxe� ro ernd� at end of i•on�mictinn <br />� Unvcµ'aY� +hall be complrteh cwrd hclmc dmim• r�n dr.�ui <br />7 ltnnflop 4rainaer :hall bt di:ch;n,�td io th: ii:': :Innu Ai;mi <br />for <br />�� % <br />ete <br />�-- <br />/7� �''''f,7�e�•--, Q-l�; -S7 <br />FINAL'NSPFCTION Dete <br />Approved as ConstructeC <br />hi,p�•cu�r. �1AtL nt piop Ime liiairrd to <br />,`. ..m <br />ACHNOVyI-EDGEMEWT OF CON�ITIONS <br />The undersigned ownedepplicent hereby egrees to hold and snve �.artnless <br />the Clty ol EvereH Irom eny end all claims lor demeges, costs, ezpenses, or <br />r.auses ol nctlon thet may nrise beceuse ol Instellatlon end malnlenance of <br />Iha Improvement o� other rightof-wey use herato epplied to� end fuAhar egrees <br />to remove same upon notice from the Clty end to replece public property <br />dameged there6v. <br />1��-►..�M �. `�.��..lJvv�r v / �� � 7 � <br />SlgneW�ol Appllcanl ele <br />WORK AUTHORIZEO 8! THIS PERMIT MUST BE STARTED NITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEPEAFTER IS TO BE DILICaENTLV PURSUED TO <br />COMPLETiON. THIS PERMIT MAY BE CANCELLED BY 7HE CITv UPON ANY STOPPAGE OF �.vnRN ON THIS PROJECT OVER 90 OAVS DURAIION. <br />