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PUB�ic woRKs <br />PERMIT <br />PUBLIC WOFr .DBPARTMENT <br />3200 Cedar Slroct <br />Evorott, WA 98201 <br />`4z5,Z5'.�bo POSTING <br />owheaHnMe U(1ALF:ANT i'r�RPOkATIOIJ ^P� <br />ANDADDqESS: ANI <br />FU LtOX 1.s0 <br />BELLEVUE WA 973u09 <br />PMONE (4���)455-2�J1)ll <br />o� 0092740000��00 <br />oescairrioHOF NEW HOUSF' - ItiASIi- �]7�, <br />PROPOSED WORN�. <br />F' l'i <br />PERMIT CONDITIONS <br />APR 2 6 <br />PHONE <br />PROJECT <br />Ddl� 1..'/:b/.'.UU1 <br />PublicWorksPerml�a G�W011.1-0';6 <br />�uilding Permit M <br />Planning Holeranco M <br />Public Werks Fec 5 <br />Guarantee $ <br />i'ii� i : -G.'s�; <br />Q��ADRAIVI' CURFURA'f IuN <br />YO hUX 130 <br />BELLEWE WA 58G09 <br />(4�5)455-29U0 <br />�aoe ii�a�rH F� se <br />, ::1; . UO <br />1. All calls lor Inspection shall be made 24 hour; in advance • phone (425) 257-8810 <br />2. All work shall be perlormed in c�ccordance wilh ihis permit and currenl Cily ol Everall Design and Conslruction <br />Standards and Specilications. <br />3 Lall Location Underground Service 4B hrs. belore you dig. TOLL FHEE NUMBER t-800�424-5555 <br />4. (:o�u�ect �ici�., <:.--w.�r p�.�r i'it.y nf Eve�t..tt. :]tand;�rd_; bU1, 6i.i:; L bu4. <br />�i. �'UlllleCl_ t]UWI1:;Eluilt.S r. Y}1B ��[d12"IdCJ�� :i}'.`_:t61i1 [JYpVlCl�'C� ipt r'.�113 li!Y <br />i. All excavat,:d material fiorn foundation, sidewalk r��,r� dri.veway_; :;ha1] <br />I��• hauled to an approv«,d, petinitteQ sit�. No w�stiny o[ m:�r��Yi:_il is <br />�,llowe�l nn tliic: buil�iin�a ]nt <br />�-� � iy / 3//� <br />A ovM lo� Constructron ate l <br />�INAL INSPECTI N �— <br />ApprovM xs Consuuc�eA <br />� /�—oz <br />Dale <br />�C' <br />IIS <br />0�0:,. <br />7C <br />" 151�.; <br />13C.�- <br />:'t a' <br />ACKNOWLEDGEMENT OF CONQITIONS <br />Tho undersignod owner/applicanl horeGy egreos lo hdd and <br />savo hurmloss thc Ciry ol Everofl fr[m nny anq ell clalms lor <br />damagos, costs, expensos, or r.ausas ol nction that may arisa <br />becnuso ol inslallation ond meintenanco ol tho improvomont or <br />ol� � iight�ol-way uso heroto xppliod lor and lurthor egieos to <br />rnmovo samo upon notico Irom the Ciry aM to ropWco public <br />r da aged hornhy. <br />I /o 'd� <br />Spnaturo cnm Dete <br />WORK AUTHORIZED BV TIi15 PERMI7 MUST BE STARTED W�THIN 1B0 DAV5 OF DATE PERMIT IS ISSUED AND TMEREAFfER IS TO BE DILIOENiLV PUHSUED <br />TO COMPLE7ION THIS PERMIT MAv 8F CRNCELLEO BV TNE CIiY UPON ANV STOPPAGE OF WORK ON THIS PHOJECT OVER BO DRYS DURATION. <br />`W <br />r <br />'�A <br />vI <br />W <br />O <br />� <br />Z <br />� <br />� <br />� <br />a <br />