|
o,��_�J���i��n � �
<br />� I L •v7 �3-cs
<br />iyiphc.�ticn r nr
<br />PUBL�O,V ORKS PERMIT
<br />Print or Type Oniy
<br />Apphc2nt
<br />�:,
<br />,
<br />;,'�:''
<br />, �,�,
<br />��+ �' iJ:�
<br />M��im�
<br />, .,.'
<br />,J
<br />cny
<br />r�n
<br />. , .. . . .�. . ��/�q
<br />,..��,.� . S4�d:�5o�/
<br />� „�„ � v: ,,., �,,,. �'lS=.��lJ—
<br />��,�.,�,,... s
<br />� ,.,, a� : � ,.,, �,., : s _f�3�
<br />,.:,. ,, ,. �, . s 25;3�--
<br />M.uhncl AAAirss . _ __ C�I� ' ' . � _� . L�p"�. __� phone
<br />/i%p/I)--�J-/./tl_ l
<br />DPScfIbU P�OpDSCd WOfk -�
<br />Pra�ect Address Id knownl — �/� — ���` ��----�� — -- —
<br />Allach �ow Idl copies of plans lo� prOpOSed wo�h � prav: in sr,qr .�nA not� Ihe lollowing as applu ;�hh�
<br />• Property L�nes • Crnlei �ne al strri.t
<br />• Oulbne and dimen5ion5 0l .11l euti�inq ,v�n • Indic�ie Norih
<br />{)rOPnti�'tl S�ruC�01r5On ���n Inl •$I�p1Y lI1V PfJf)UYPd ��Idibny (!4lntV'ti
<br />• Enis�inq and p�oPoSCC u�d�ho,s • Shnw mrasurv�mrntti
<br />TIIIS LIN
<br />PERMIT CONDITIONS
<br />1. All calls lor inspection shall be made 24 hrs m advance - phone 259•88i �.
<br />2. All work shall be perlormed in acco�dance wdh this permA and cwrenl City of Eve.iett Desiyn and Constniction
<br />Slandards and SpecJications.
<br />3 Cxll Locetion Underground Servlce 48 hrs. belae you dig TOLL FREE NUMBER 1•800•424•5555.
<br />�. �y- ry�'i����is �,/-��_/ s-/��-��
<br />r'� __'_ —___—_
<br />_ _ . _
<br />/✓ � °.
<br />/' ' _
<br />Appr .d loi Co • uC i ,�
<br />/ .
<br />�i:ii�' ,�'_ '�
<br />FINAL INSPECTION Dale
<br />Approved as CunstructeA
<br />���,����.�� PUBLICWORKSDEPARTMENT
<br />� 9200 CeAar Slreet
<br />EvMetl. K'A 99701
<br />I'hi,nr : S�4H41n
<br />W
<br />�
<br />�w
<br />_ /
<br />�"'
<br />�
<br />�
<br />a
<br />;�t hNUAVLl.UGLMLNI 01 GONDITIONS
<br />1 h�� i-���b.i�.�yn,•�: �. ���nevaVPLc.�nl he�ebY �upees IO holtl nnd 5ave hnrnl�
<br />i.�,�, nu� Cdy ni I �rrell hom any nnd all daims lor dnmages. cosis
<br />r.penses o� �:auses ol nction that mny anse because ol inslallahon
<br />and maintennnr.e M thr improvement or olhe� nghbo4way usr herelo
<br />apUhed lor �nd luilhri agrces �o remove same upon nohce hom Ihe
<br />Cdy and lo n�Placr Puhlir P�nnerty tlamaqeA Ihereby
<br />C
<br />�Cilc�ac� ,= �Yl.WracC� l�' g /1/-�'`�r-
<br />Si9nalmc M APPLcant Oate
<br />WORH AUrHOFIZEU OV THIS PfRMIi MUST BE 6 ART[D �NITHIN
<br />1E�0 DAVS OF DATC PERMIi IS �SSUED AND THERE�FT[R IS TO
<br />Ei[ D�UG[NILV PURiUEO TO CO�dPL[TION THIS PERMIT MAV BE
<br />C�NCf I LCU PV THE GITV UPON �NV ti70FPAG[ OF WO��k• ��N �HIS
<br />1'R� �Jf CI i)`.'I H�ii) f]qY"i 11URA71O�J
<br />
|