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nnn�wi��,�v�, �/ <br /> � PUBLIC WORKS PERMIT o,�P 8/9/96 <br /> PUBLIC WORKS DEPARTMENT Public Works Permit a 7� .34 Z . __ _ <br /> 3200 Cedar Street <br /> Everr,tl,WA 982U1 259 8810 Bu4ding Permit w_ 52544 <br /> T,. '�STING AUG � 1999 iz¢ 99 <br /> TYPE OR PRINT ONLY n Pu61ic Works Fee E <br /> _—_ _�YEftETZP1l1TLAL�ZIl7 COLIiY�17L_Ji1'E&ETT�IA_�92p1_ �SH�b45_ _____ <br /> Owner MailingAdtlress City Iip Phone <br /> - --GAE�11' �.r•.nav �54�31fiL.---- <br /> Appbcnnt Idailing Address Ci�y Lp Phona <br /> Describe Proposed Work _ __ -- -NE4,' BRANG)�I_9ANK_BLllG__-___- _-- _-_---__-_ --__._..__._ � 1 I <br /> Yi <br /> _ - — -- -- -- � <br /> --- ---- i01flB196-1H4'�flE�D�#-!� � ' <br /> PROJECTADDRESS(ifknown) ___ 1902 1101'H S1' SG / <br /> Attach four!4�r.opies o1 plans lo•proposetl work- Dr,�w lo scalF and nole Ihe lollowing il applicahle�. BLD�?54i,167.4P � <br /> 'P:operty Lines 'Outline and tlimen.ians o�all exishng nnd prcposed strucNres on�he lot 'FxiSting and pr�I��Uvtililies�4,jO O <br /> 'Centedme of streel 'Indir,a�e NoAh �Shuw�ny proposed grading changes •Show measurements ��F 1f��� �� -+,� � <br /> 4 <br /> DO NOT WRITE BELOW THIS LINE q00096'4^ <br /> PERMIT CONDITIONS: OTHEF :i;0.00 Z <br /> 1. All calls for inspection shall be made 24 hours in advance - phone 259-8810. pW/F'EV 4^4. �; � <br /> 2. All work shall be pcAormed in accordance with this permil and current City of�Sb{t�{Deyigr�r� <br /> Construction Standards and Specifications. q00030806 <br /> 3 Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMB,��p-800-�2�1;�65. � <br /> / CHFCI; t14^,5.97 � <br /> /, /Ji�l/i?G�f !x.!'i'�J� ! E �iY c!i nC /'�i_ <br /> ��� .' 4/,�,.-`'''�`/ y -/Y'-9�� . O <br /> a <br /> .� C�.Sti.�J SCa.�Ci- � LcJ�. [ tl' �CI, l�iCLS To �fj� CJS � �, <br /> Qi�� t?l�ti-rtfi0i7S /Y)e'S � U' p� C [ 7.�/ S�r. /i (YeirL�S�. <br /> r� �I � <br /> �. P -/ �, D � a �, <br /> 4 C _JOG pn -f�rC /'/L�Gtalr. �/ Eh �/HIICL O/7 �/ � A�L, �.� <br /> �19L�S'� L�- 1[. ��2C� C� La�I �) / C <br /> � f ,Sn �vn -OC�f Ct�r� r 5 <br /> c1;rc.rfzo� �y tl�c f7�,6lic l�d�-�S /ns��c-�o i- <br /> .,.- - d T.•_ t <br /> ACKNOWLEDGEMEN?OF CONf11TIONS <br /> ' ' The undersigned ownei'applicant he�eby ngrees ta hold nntl saee harmless <br /> fj' i -� _j� /C���(� / the City of Evereu 6om any antl all claims lor damages,costs,e.penses,or <br /> / � cAuses of ar.tion that may arise bec�use ol Installalion and main�enance ol <br /> A � rove Im Cons f tion -- -- � D�te <br /> i , Iheimprovementoiothe�righl- �wayuseheretonppliedlorendlurlheragrres <br /> � ' lo remove same u o noti irom Ihe Cit <br /> p y and t plece public pioperty <br /> ,_ - ,Q damaged thereby. � <br /> FINALINSPECTION � �J - -- p tezS � 7 <br /> Approved es Conslrur.�ed � A�(_�j�y/ <br /> Si .W� .nt �/ ' .d <br /> Dat <br /> WORK AUTHORIZEO PY THIS PERMII MU57 UF STARTED WITHIN 180 DAVS OF DATE PERMIIIS ISSUED AND THLREAFTCR IS TO BE DILIGENTLV PURSU[D TO <br /> COMPL[TION.THIS P[RMIT MAV OE CANCELLED�Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVFR 90 DAVS DURATION <br />