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� <br />TYPE OR PRINT ONLY <br />Apphcnban Far <br />PUBLIC WOf�KS P.�F�MlT <br />�UBLIC WORKS DEPARTMENT <br />3200 �cdar Stree� <br />EvnretL WA! b: � 259��j,Q 1 U��+ <br />. � ��ZTIPIG - - <br />Date 2/7J46 <br />Public Works Permit M __ �� /�� . _ <br />7 <br />Building Permit w ____50815 -- <br />Public Won�s Fee E ��— <br />REINEKE PETER INC 12414 40T'H AVE SE EVT 98208 742–!108 <br />Owner Malling Addrass City Zip Phone <br />Applicant Malling Adtlress Clry 21p Phone <br />Describe Proposed V�'urk <br />NEW HOUSE – 6!1SIC 116` <br />PROJECTADDRESS(ifknown) _ ZO1 92ND PI. SE <br />o:iit;�e �+�seAr. x��Auc �, <br />�:ooasr�e� s <br />— {_`.3� %i�'f=n <br />LOT 9��MALL TRL��•�� <br />Aflach lour (4) coples ol plans fo� proposed work - Drew to scele end note ihe lollowing II epplicable: `;CCH6(i 44 50 <br />•Property Unes 'Outline i ad dimenslons ol ell existing end proposed slructures on Ihe lot •EKlsting antl pr�i9t� vtllltiosa^n • �� <br />• • • • "_"I �N 't�,'.�: <br />Centerline ol sireet Intllcete North Show any pmposed grading chenges Show mexeurements �^ ���� <br />PERMIT CONDITION&. N000'.•050': <br />1. All calls for inspection shall be made 2�3 hours in advance - phone 259-8810. 9[.,:rs ^.' �,.�n <br />2. All work shall be performed in accortla�ce with lhis permii and current City oi E}rg�UDesIQi7,�r11!' <br />Construction Standards and Specifications. � �:n �- ��p, � <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FAEE NUMBER�I�BOOA24>5555. <br />4. 1(eep city etreete ciean et all times. <br />5. Curh gutter and ddetvalk in the plet ere ne�v end undemaged, eny damage thereto <br />s1�xlt be replaced wt the di�cretion of the Publlc Worlcs Inapector. <br />6. My chenge in the dNvewey cut must be npproved by the PuhBa Worka lnapector, <br />wldth a► prop line limited to erdating epran width <br />7. AdJ�ut weter boxce to grnde et end of conetructio�i <br />e. Driveumy� ah�ll Ix r�mpleteiy cured before driving on them. <br />� RooRop drninuge Rhnll b+ dischnrged to the etorm cirein etub provided nt the front of <br />the lot. <br />/ <br />W. <br />� <br />� <br />w+ <br />AGKNOWLEDGEMENT OF CONDITIONS <br />� j��'/// The w.dersigned ownednpphcenl hereby ugrees to holtl entl save harmless <br />� �/t� � Ihe Gity ol Evere�t �mm eny and nll claims loi damages, costs, erpenses, or <br />Dn causes oi action thei may arise bncuuse of Installation nnd maimennnce ol <br />ihe ImprovrmeN or other right�ol-wey �se heroto npplietl lor entl IuAher ogrees <br />� / to remove ;qme ugon nolice from the Clty nnd lo �eplaco public property <br />� • �� _ <br />INAL IN N � � �ale e / � <br />Approved as Constmcted `J / <br />_ ig r oi Ap anl �ata <br />W0f1K AUTfIORIZE� HY THIS i'ERMIT !d.ilST AE STARTED WRHIN 180 DAYS OF DATF PERMIT IS ISSUE� AND THGREAFi'ER IS TO BE OILIGENTLY PURSUEC TO <br />COMPLETION. THIS PCRMIT ���.1V �F UANCfI L[D BV TH[ CITY UPON ANY STOPPAGE OF Wr.pR pN THIS PROJECT OVER 9J DAYS DURATION <br />