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<br />Dat�t, _ _c-U
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<br />PUBLIC WORKS PERMIT
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<br />O�enrr hladmq AAdress City
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<br />-- -AI'Pl�cant M.ldinq AAA�r55 C�ty
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<br />Au.vh low IA1 �:opics ol pinn5lar Proposetl wo�� I��.,:, i.� r.. .�o-.,,,A �„ b. n��,'.dlnwmg n:: a�PLcaMu
<br />• PioPcity L�nes • C�.nb.rl�n�• nt 5�m��I
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<br />prnp:u.rtlSlru�lum5 On �hi� Inl • Sh,.:t .n'ry I��.�.p••.•�.l a�!r�.� �.�� �p �,
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<br />i PERrA�t COND�Ti�'�N5
<br />�� 1 All ca11510� i��sPeclion 5����11 hv made?A h�s in advan�r � phone �rJ9'88��
<br />; All work shall �e P�dormed �n:v:rpi�ance wiih �his.r�md:���d rurtpnl GdY N Lv���rll Dcs��p�,u�d Gonsn.n�7�����
<br />St�ntlartls nnd Speahcations.
<br />J Call Location UntlergrounA Serv�te4B hrs belore ynu diU TOLL FREE NUMBER 1•800•42�i•55•55.
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<br />in,tall rock co�struction entrance beh�nd dr�veway as p��r u tv �
<br />standard N208 to rec.uce tracking mud onto streets and =rosion
<br />r�,ntrol as directed b� Fublic WorY.s Inspector. '
<br />k�aep city streets clean at all times. �
<br />furb, gutter and sidewalk in the plat are new and undamayed. �
<br />any damaae therrto shall be replaced at the discretion of the
<br />F'u61ic WorF:s Inspactor. q
<br />Any chanqe in I:he driveway c��l: must be approved by thc ['
<br />Public Wnrks Tn��pector. v
<br />Tiqhtline all r�.�of, yard and driveway drains from houses to st.orm a
<br />drain stubs at 7ack oi side walY, with rubber gasket P.V.C. pipc�. �
<br />Adjust water bo:;es to yrade at end oi rnnstruction.
<br />Driveways shall be completely cured before driving on them.
<br />AGKNOWLEUGEM[N1 O� CONDI71('��l'�
<br />Thr undersi9neA ow�ievnPPl�cant h��ic1�Y ��P�es to h, ed ,��.. i,,�,. .�..,�
<br />---�'--�"--' -- less Ihc CdY ol [vcrcll lrom any ,nA all clamv, In� ,. ���,��.,�p.. .,., r
<br />---- .... �� � r�Pr.nses. or wuses ol ar,lion Ihat may nrisn 1��� :ur,.. _ ��, .. .',��.,n....
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<br />� _ ` C 1�... �' 2(� J` and mainlrnancr ol 'Te m� rovemeni or o�h��� � d . .
<br />t"i.�� �- T�y.'�- -.----- aOPbrA lor and lu�ih.� �qioes In remove san ..� �r ��,�, ,n.�
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<br />nppiuved IOt ConsttuCho'n/ �. �;'t" CitY Fi��l In rrPl.��'• t. I.,�. PrnpnilY d:lmayetl Ih I�
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<br />fINAL INSPECTION Date � - — �— --- ��,�i,.
<br />AnPrcved as Gonslructed S P�'���r nl l.pplirn��!
<br />b C 7N �Ui110Hl1f D ti'i 1�u.`; PEFlMIT MUST �F S7APiED �NInuH
<br />„����q� PUOIICWORHSDBPARTMENT 1 0 D��S OF D�T� f fHtdii I' ISSUf.f7 iND 7HER[Af1ER I; tn
<br />� 1:00Ce4erSlreet �[ DILIGENiLY PURSUC� i0 C� �r�l�l f 7-)N iNl:; PfR1� T W��� Ht
<br />I�., clt. WA 9820t CANCELI fD �Y THF CI1V UPON nGv'J�.PI ,�� d��� �Vti1 M�'N ili'.`,
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