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I�h1L•�1i�:Iv]1 <br />Application Por <br />PUBLIC WORKS PERMIT <br />Print or Type Only <br />ardin Dev <br />owner <br />Applicant <br />PO ➢ox 5308 Gve.rett <br />Mail�ng Address <br />Jing Addres5 <br />20G <br />CdY Zip <br />Cdy --- Zi�; <br />Descr�be Pioposed Work �IIAS'SI1Ct11C1eLsingl� fa�v Sesidenc� _ <br />Proiect Address�il knuwn� 23 — 75th St SW _ <br />�ZS <br />A�lach low (4) Copies ol plans br propoSCA H ork - DraW lo scale and oote �he follo.ving as applica�le. <br />• Froperty Lines <br />• Oulline anA dlmensions of all r:aisting and <br />prc,posed slructures on Ihe Ie1 <br />• BMis�in9 and proposed ulililies <br />5 <br />� <br />1 <br />��,. � ,v�,.,��,,,,,,,. ._`��063 -- <br />n��i„ o��c'. • __91f26701 . <br />�`�e ��� worke Irn <br />r„inirro S <br />, � •., ncni rc. vma S <br />�„�.,,�����„ s Za- <br />334-5018 <br />Phoae <br />• Cenlcrlrir, ol s�reel <br />• Indir.ate Vorlh <br />• Shox ,lny D�oposeA gr�dmg chanpes <br />• Show mea:.uremenis <br />� <br />Phone • :..t <br />PERMIT CONDITION.�'i <br />1. All calls lor ine�ec���' Sholl be made 24 hrc. m advance - phone 259•88i 0. <br />2. All woik �na„ , p... �ormed in acco�dance wilh this permit and current City ol Evei^II Oesiyn and Construction <br />Standards and .,�ecilica'ions. <br />3. Call l ocaiion l, idr.ryround Service 4B hrs. bebre you dig. TOLL FREE NUMBER 1•800•424•5555. <br />inetall rock conetruction enY.rance behind driveway �a per city <br />et.indnrd p208 to reduc� tracking mud onto ntre.etn and eroaion <br />control. ae directed by Public Worke Innpc:ctor_ <br />Reep .,l.ty etreete cl�an at all timea. <br />Curb, guY.ter and nidewalk in the plet arn n�w end undnmaged, <br />any damn�e thareto Rhal.l be repl�cod at Y.fie dincretion of t:he <br />Puhlic Worke Inepor,tor. <br />Any rhnnge in tha driveway cut munt bA epproved by Lhc <br />Publfc Works Inop�r.tor. <br />Tightline nll roof, yard nnd drivewey drainn from hnuncs�� t:o etorm <br />drain atube at: brtck of eide walk with rubtxar p,anket P_V.C. pipo_ <br />A<�,i�iet: water hoxen to grade at end of conetruction. <br />Drivewaye nhall bo completely cured b�fore dcivin�; on them_ <br />I RA� I� I' C '��� � <br />AppwveA �or Con , pon / Dalc <br />/ <br />_�'1���/��. / �� ��`_ �. <br />.' C- � , -' - i <br />FINAL INSPECTION ` D�le <br />Approved as Consliur,led <br />�.�i������ PUBLIC WORNS DEPARTM[NT <br />� 3200 Cedar Slreet <br />L-vorel�. WA 98201 <br />Phonc� 259 8(11D <br />ACI<NOWLEDGCMGNI Of GONDITIONS <br />W <br />H <br />N <br />� <br />O <br />� <br />v/ <br />O <br />a <br />Tlu� undersq�nrd owner/applicnni hciCl.y aqrees �o hold and Sove hainr <br />Iess tl�e Cdy ol F_verelt �rom any and all claims for dama9es cos�s. <br />expenezs, or causes ol action tha� ma} anse because ol �nstollapon <br />and maintenance nl Ihe unp�ovemenl or olher nphl� d-,v;rv usr hene�o <br />applied lo� anA Iwthci agrces �o r�move samc upon i,�,hcc Irom Ihc <br />CdY anA lo ieplace P�il�hc proporty rl.lm�g?d Ihlr�hy <br />__5..� <br />Signa�wc ol phr.anl D� Ic <br />WORK �1UTHGf11ZE0 BV THIS PE MIT Ml,'ST BE S7ARTED WITHIN <br />100 DAVS OF DATE P[RGIT IS ISSUED FND THEREAFT[R IS TO <br />B[ DILIGENTLY PURSU[U 10 GOIdPLCTION TIiIS P[RMIT MAY H[ <br />CANC[LLED A1' fHF CITY UPON ANY STOPP�GL OF WORH ON 1HIS <br />i��u,.n c� r�vn+����� nnvs ouranrioN <br />