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I <br /> I <br /> p 7t " � <br /> Uate I/z�ef�'8 �,.� ,��.:,�,�,,.,p,,,,� , cJ�7-_�. .� <br /> / APPlicatmn For Flinu oem . _D_����tJ��'Q_._ I <br /> PUBUC 1NORKS PERMIT "�����r�;W;���°°� s- - -- _- I <br /> �,....��". ,...�,�.� s---- -- <br /> Prim or Type OrdY �-� -�----s- 7_�.. �"�_ __-- <br /> � � _7�_,c _ 19� '-��;�--Si�Lt}L�--�,!/c 5 � �� 7 - 3 =S�; <br /> OWner Mailing Atltlress City Zip Fhnne <br /> Same <br /> AppGtan� Meiling AdAreSs GIy 7.ip Phun�� � <br /> ,n �'" � ' r <br /> Desc:rllaProposudWork �L�.n[ Q/}11�1—.�'�.V�PdL_L- Ly� Z T�1c�'J e�[C — <br /> , <br /> -- - -- - W <br /> Prolect A;dress�it k�wwn� ��-r — /09 �� AC_ �� __ � <br /> Altoeh low�4�copies ol plens Inr froposed wurk• Draw to scale.and note Ihe lollowing es apP�icable� � <br /> • Pwpe :y Lines • Cenlerline ol sL•eet /A <br /> • putlina nntl dimensions o1 all exislin4 and • Indicate Norih V� <br /> uroposed slruclwr.s on the lot • Show any prcposed graAiny chanyes <br /> • E�is�ing and proposeA utililies • Show mea5urmnents � <br /> �s <br /> DO NOT WFiITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1. All cells lor inspechon shnll 1i�matle 24 hrs. in ad+nnce� nhone 259•8815. � <br /> 2. All work shall be perlormr.�. in nccordance wilh ihis permit end wrrenl City ol Evnrr.tt Uusic,�n �nd Conslruction <br /> Standertls and Specifica�ions. <br /> 3. Call Locetion Underground Servir.e 4B hrs. belore you diy.TOLL FREE NUMBER 1•800•424•5555. � <br /> `� Cv.�B, GvrrE.e �!�/O S.OEL�i9�C�t' A.P� •u.�.� � UNdh'J.CE.✓ ^ , <br /> ,A�/ �]qinAt.E Tc� 7��,c�m S.SxJcc Bf �1'�r'.sv,e.���,f'Ff�LqCFIJ `� <br /> �f/ T//•C �I.'�i�C.Cr.L✓T. <br /> J` �'V� �.c'il�Eulf�� �OCLf7/!�✓ C///r•a C�.�.� /1,��/S i /�'F 9��l.t!!'E p r�^ <br /> A's/ T/E ��i6'uC ��nn;rt i����T, iJ.✓D lti��f���;E.� i�n'�C,�: �/I <br /> Ta CnivST•c'ci[T.or✓, � <br /> (/'. LISF_ %�.�i3LiC DiZq.nArt S�S.-_-i.� i?.'t� iU10 `�' � <br /> � . t"i, . <br /> /1 Cl�� %c.�' IJlY c,t/�- �.- ':J . <br /> n�hNow�eoGFM[Nr oF Catioirion�s <br /> Ihr�.nd"isiyn�•d owneUnAPLcnn�herebY a9�ees�o hrld an�1�,.iv�. I�nnm <br /> �--"--- � - - Irss nx� r�,tY ��f Everr�ll Irom enV end all cleims lo� d.nn,ui�•�. cm,is. <br /> eApenses, oi u�uses o� nction Ih�t may ari5e ber.ause ol �nstallahi,n <br /> � / f � nnd mninlenance ol !he imorovemenl or other riqhl�obway uso hereto <br /> �[[ �� '� npPlied lor and iurthe� ngrePs to �emove same upon nohce Irom ih� <br /> �nrnave�onstr�ction D e City nnd to replece public prnPP�ly demaged Ihereby. <br /> ��> / <br /> �. � . �1 � C� � � / �_ �(rt< <�(^ � � ���' <br /> FW L I SFL� ��� Dale '�^�—�,� —_— <br /> AuprovcA as Constructed Sic� . u�pphcanl ������ <br /> PUBLIC WORKS DEPARTMENT WORK AUTHOflI'LF� BY THIS PERMII- MUST 8[ SiARTFU 1Vi'��� '. <br /> �V� 3200 CeAer Slrent 1B0 DAYS OF DATE PERMIT IS �SSUED AND THEREAFTER r � <br /> Cvc�etL WA 98201 BE D!I.IGENTLV PURSUED TO COMPLETION. THIS PERMIT pA�.�. <br /> Pl�nn� ;259�A815 CANCELLCD BY THE CITY UPON/1NY STOPPAGE OF YVORX OP� �,� <br /> rran.0 cr �vr« �n nnvs nurannov _ <br /> � <br /> � <br />