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PUBLIC WORKS <br />PERMIT <br />f`IIIiIIC WI)HNS01_i'hR1tdLGi <br />_1200 Ci.tl�u Sd�.rt <br />I.vemtt.'NA 98201 <br />wzsl zs� eeio <br />�f::Ll H 1lArdL <br />;.a;innnr�ess... _ <br />.' .,. 97+ <br />' w?. <br />� ��:,r�e <br />_ '--_ — <br />i n r rnRCEI LD � <br />___ _..._...____..._.._.'_ . .. _ <br />f �I S�HIP710N UF <br />I'unl'O;FOWOHH .. . . <br />nPPLICANI NAME <br />ANDADDFF.SS. <br />U:rte <br />Pubhc Works Pcrmtl k - - <br />�uilding Pormd a , <br />Planninp Relerento N <br />PubGc Works Fee 5 <br />Guaranlce S <br />rr�or�E <br />- - . _ _ __-- <br />rriaecinooaeas -- — — — ---- --- <br />Pf:RMIT COND�TInNS � � � � �� - . - - - <br />i All calls lor inspection shall bc mado 24 h^vrs in advanco. <br />.' All wnrk shall be perlormed in accordance with this permil and current Cdy ol [varotl Design and Consiruc6on <br />Sl�inda�ds nnd Specdicaliors <br />1 i'.�li I�����.,ii��.��� i lnd��r�����un�l `;��ivi� �� �17+ h�•, I��rtore you dig. TOLL FREE NUMBER 1-8U0-424•5555 <br />f E'iA� <br />t tt�n � <br />� -. � . �„�, ,� � �� �� `l <br />ACKNOWLEDGEMF.NT OP CONDITIONS <br />�j �: . 1 he und�,rs�gnoA uv<��er appLcdnt hereby ,�qrees In holtl and <br />��/ �/�. ).-,s � LXL �/i�.'����' I savc ha�mloss ihc Cip� ul Evercll Iron any antl all Uaims lur <br />//� -1 YJ/ f J damayes, cosls, ozponses. or r.ause� ol eicuon Ihal may ariso <br />���.�..i��nl v.buc�cin nd( � <br />�. because ot mstallatlon and mnmlenance ot Ihe improvoment or <br />� atllei nght�obwaV u5aherotc nppl�'d lor and luhhor egrees to <br />�. _�- � f�_: �_� r �: _- j removo samo upon noucp f1�n �dyand lo mplace pub6c <br />.INSPECtf� ' � � �� �� ' P�oueAy�irhP9r•dlhere��:' . <br />� �yyrnvrA as Construtltld Daln � , . ��, '-�—� l <br />// -/�j �" �'. i ��`""C'' d" 1�'"� 7( 7�`� � <br />. . _. . Sgnature ot AP�brnm � t Da e <br />V1pRK AUTHOHVCII PY i111S S'Cf�61�7 MUS7 pE STARIED WIIIIIN 180 DAYS OF DFiE P[iRMl71S ISSU! U ANfI 1111 Iq A1 I(li I`6 I(� NI I i l IlVE NiLY PUPSU[O <br />I(1 G:"19 ( 1 �1 ��J I l�i. Pf I�!'i I!�n� i�f . Ary �l I I � I, H� iHl � li � iP!' V ldi l S MPI'pr;( (1f IVORK (�fr 11�1'. I'I b' ll r��'Y! H��n �.n �. �, �. �H �I �UN <br />W` <br />r <br />V/ <br />� <br />O <br />� <br />Z <br />O <br />F- <br />� <br />O <br />a <br />