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� 1 q 10V'r ��/���7� � <br /> p8�@ 1��'94 1 v f�� 'I��r � t ' v�oec won�Parmn r ._.(__I1=LJ— <br /> 46219 _7 <br /> Biap Deo� • — <br /> Applicetion Fo� , <br /> PUBLIC WORKS PER�.91T ovnocWor��fee <br /> fobi iee �— — <br /> �_ La9��041 F a P�A � . <br /> (-. <br /> f� r- B�I\IICl�Y! � � —• <br /> Print or TyPe Only �, . � , . � ` � — <br /> . � ��, � , � �_ <br /> „r r i : <br /> . � ;d ' � • _ '" ... :, <br /> Moe Nomee 133i4 47tL P1 SW Muk31[eo 98275 743-3431 '" <br /> Owner Meil�n9 Adtlrefs ,: Chy� _ �� r. i,� 'Z�p Phone —_— <br /> �; ,.. �. . � ,�. <br /> . t: r'i t r � . C.i ,,i i�: �'t u� c: i,� <br /> � rJ � � t_� f_i � ' l' <t ` �,� ' <br /> �lJTIP.[ r; r. � .. 1Y � :v �t �n . . .. . <br /> Applirent Maihng Addrese Gity Z�p Phone <br /> new ho��ae <br /> 7escrlbe Proposed Work ___ - - — --- <br /> _ _ _ _ W <br /> P�ojet'AAdreeslilknownl 627 101[h Pl SE '�__.___ Lot 1 KathY�e Addn _ � <br /> A�In�;h four�4)rppies o�p�en3 lo�propo9ed work� Drp:. lo scale and nole�ne Icllowing as epphcable�. s� <br /> • Propa�ty Lines • Cenlerhne e'street � <br /> � Outlinc end dimenaions ol all c�ishng and • Indicale Norlh <br /> proFoced siructuros on tha lol • Show�ny proposed qreJing chenges <br /> • fxistL.g end proposed ulilities � Sh..v measuremants � <br /> DO NO'WRITE BEIOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calls lur Inspection ehell be meda 24 hre.In edvence-phone 2b9•8810. � <br /> 2.Alt work ehell be peAormed In eccordence wllh thle parmH and wrrent City ol Eve�ett Dasign and Conetructicn <br /> Stenderds end Speciflcetlone. <br /> 3.Cell La:etion Undarpround Servica 4B hrs.bel ve you dip.TOLL FREE NUMBER 1•800-424•5555. � <br /> 4 InxlNl iock cunsmiclinn rnnence belnnd d�rvewxy ea prr aty stendnrA hZINi miA eroQion control es drcected O <br /> PuLGc µ'utk� 6isprclui. <br /> S Keep city �treets cicen nt nll fime�. <br /> s. t:urb t�itter end sfdewelk iu�he plei ere new end undemeQed, �ury demege Iheroto shell be tepleced ut the � <br /> di;u;iiun �(thc PubGc �t'oiks hispcdoi. � <br /> ' Airv chitaee io the drivew�m�rnt mnst be xpprnved by ihe PW fnspec�nr. wiMh m prop iine 1u r!ed lo existinp, <br /> nv���� M�dw O <br /> 8. Adjusl watei boxe� lu �ede nt end of cunstruction <br /> 9 I�rneweys sh:W be coinp�clrh' cm'Cd btlott d�mnp on Ihrm �q <br /> IU. Ruutlup �Luin:�ge �hetl be �GschwgeJ: li <br /> . to the sifr'� rtomi �ain .rystem (prim�ntr or pubGc) <br /> . io e residei�usl roof Aovmspoitt system desi•�ied p�a secuon 4-9 4 of I��e clry stenderds <br /> • 011lu SNIvSII bI(•C�:s ACKNOW [DGEMENI OF CONDITIONS <br /> / The meN�nd sc�;ctr,d wi0 be ai�hject to PuhNc Works D^Certement n��rovef <br /> ���,��hl�y.�--- __ The ndeBigned nerinpplicent hereby eBrees to holtl;+nd save��a�ni <br /> ��ss Iha Cdy ol Everell Irom eny end all clnims tor damaqrs. c.asts <br /> /]�� �� � _ /�� �•.per,ses, or ceuseb o� action thaf mny erise bacause ol installnLon <br /> ��� � scA maintanence ol Ihe Improvemenl or olher righbof�wey use hereto <br /> ���� � epP�ieA lo� and lurthgr ngraes to �emove eeme upon natir.e Irom the <br /> AD OV9'1�O� f1SIfUC�lOI1 —f����e C�ly anA to replwce pub��c P�aPerty demaged Ihereby. <br /> / 1 <br /> /, <br /> � �/�'/ <br /> FINAi NSP TI J �' �/�—' ��—��J /�//�/S� <br /> Approved ns Construated iBneture ol Applicant D le <br /> �� PUBLIC WORKS OEPAFTMENT WORK AUTHOPIZED BV THIS PEHMIT MUST BE STARTED WIiHIN <br /> 180 DAYS OF DATE f FRMIT IS ISSUED AND THEHEAFTER IS TO <br /> 3200CederStre:+t BE DILIGENTLV PURSIiED TO COMPLETION. THIS PERMIT MAY BE <br /> Evarx�t.WA 98201 GANCELLED 81'THE CITV UPON ANV STOPPA�iE OF WOFh ON THIS <br /> Fhone�.259�8N1C PNOJFCT OVER 90 DAY$ DURATION. <br />