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� . . <br /> � <br /> / <br /> ���� � � , - <br /> Date��_lc1_Z�� � �•„�,���,,,�... ��.. '7,� - // � - <br /> ApplitaUon Po� �� �� �— � <br /> PUBLIC WORKS 'PERM17 ��M'��� � ���--�- <br /> r„i�i,c wo��s rrr <br /> To•� r.n S__ —' <br /> :«„nom re�.n„n S. y <br /> 9mn�.cn o��. S_��/���' , <br /> Print or Type Only �-- ---- -- = I <br /> C��.L_`�.�� � 1 , �-I� _� 3C�_ � "�.�11� `s�D� �2-���1� <br /> Owner MaihngAddress Cdv 7�p �h� n�� <br /> � <br /> �-'_ '___—_. __---_'___—._ __ __ -- . _.. . . . . .. <br /> AppGcunl M�ulmnAd;iress City Zip Ph��n�� <br /> Describe P�opo�eA Wo�+� ����._����5� __�:2�#�i O/e �A/!�E/�j �S __ <br /> F �leCl Addre:.s Id knov�.,i �'�_ ��9 �� ��. .S�E. _—_ _--_"__. � <br /> � <br /> Atlnch lour(4)�opies U�pltr,g Ior propos�d wcr,� Draw io sr.aie and note Ihe lollnwing es epplicable � <br /> • P�operty I.maS • Cen�erlme M stronl ♦A <br /> • Oulline&nd dcri�nsiom nl ad ezis�mg anA • Indir.ale N��nl. v� <br /> propoFerf siruclnres nn Ihe lol • Shuw lny nrupoSeA gratlinq cha�yes <br /> • ExiS�ing end prcpo5ed� 'iliti�� • Show nu-asu�mm�nls � <br /> �� <br /> DC NOT Y:HITE 6EL1W irn5 LINF <br /> PERMIT CONDITIONS O <br /> 1.All calls lor inspection shall 6e mntle 24 hrt.In advance� phonr.Z$9•8B�O � <br /> .^..All work shell be pertormed in accordence�e�th ihis uemiil and cwmnt Cily�i Everot Des�yn a� �Constructron <br /> Slande�ds end Specifications. <br /> 3.Cell Location Undergrou�id Service 48 h�s helo�e yu�dip.TOLI FREC NUM00�1•BCYO•424•5555. � <br /> 4. Use driveway carb-cuts pcovicled or get approval frotn the Publl.c Works <br /> Inapector for relocatirni. Any new driveezy chall be lnstalled per Ci :y O <br /> Standard M307. Unused driveways shall be •:�1:en out and replaced with full <br /> height: cu-b and gutter. <br /> 5. Use storm drain system fcr down-cpouta from roof tup. <br /> b. The apy.�lice:it shall be reaponsible for replacing ar.y curb, gutter •:. � <br /> sidewaJ.k groken during the constructior process. /A <br /> V� <br /> � <br /> � <br /> nChNUWI I UG! r.�l �;I uf CpNU��i('N`. <br /> 'hn�imleiti�.in.,d uwnm:npPbcnr'� u�iol�y aGr�es to h���, n��d Save harm- <br /> ---- --------- � � i�•,s the Citq o1 Eve�etl Imm r�ny and alt daims loi Jemeyes. cosls <br /> {' ' rxpenses. or causes ol action th�f! Tay anse hecause o1 installntion <br /> ���]�. �� i ., J � and ma�nlennnCe ol Ihe imP�ovemenl or J�hff flChl-ObWdY U9P hBfc'10 <br /> ---;7`—�'� G'�'y�''- � �� �-. apphe lor ond lurthe� ng�ees lo remove same upon nol� �n Irom Ih� <br /> ApproveA lor Cor5lru::lion � Dnte Cily d io rePlace pubhc propr.rty Jama,uad ihereby <br /> � � / �J� <br /> l � �� � Y�' � ��i <� i ,,l ,� <br /> F.i�l�o— N�� - / r,T��— _ ....—'1 � �"` i/' �c ({ <br /> Approved T[ ConSiruc�nd Si�naWre ol AV�licanl / � D�i!" <br /> pyp�p�� PUBLIG WORKSDEPANTMENT WOFK AUTHORIZ[D 9V THIS PERMIT A1UST BE STANTEU WIiIIIM <br /> 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAF�fEH IS l�i <br /> � 5200CederStrr.e� BE DILIGENTLY FURSUED TO GOMPLETION THIS PERMIT MA� i�! <br /> EvrrelL WA 9e20t CANCELLEU Bv THE CITV UPON ANY STO�'PAGE OF WGRK(�N 7i�u�� <br /> Phone.259�8810 PROJfGT OV[R R�1 f7�V5 DUR�IION <br />