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<br /> Aoni��ceimn Foi e��o.o�•
<br /> PUBLIC WORKS PERMIT °°°.o;,:.�•• : —
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<br /> T��„�L�s�� ��.,� l�SlS- 2Sd�'AuPS£ /Ylonroe 9�'2�2 79�/-9y97
<br /> Owner MadinyPdtlress C�ly Zip Phonc
<br /> Aonl¢anl Idaibnp 4�o�rss C��y 2�n P�one
<br /> Descrlb�Piopo.^.rd Wark �J�AL"�SPCe.�lll—�1�J[,/ �(��57
<br /> Le� I BI�I 1
<br /> ProiedAdtliessplFnownl 1a3� �+�V�'Y L �
<br /> Altach low 1<I copms el r'..ns lar ryo.�sed woik�Dra+to scale ana note I�e tollowmg ns apUh[able: �
<br /> •Properry Liies •CeNetlinS ol sheel /A
<br /> •Owilnc rnC m�.�ensions ol all eKishng antl •Indiwle North V�
<br /> o�onos�e svua��es oo me m� •S�ow any pr000setl qraainp changes
<br /> •Ex�sling antl pm0ose0 u�lbties •Show metsurements �
<br /> 00 NOT WRITE BEIOW iHlS LiNL O
<br /> PERIdIT CONDITIONS
<br /> 1.All calls lor inspedion snall be made 24 nB.in edvence�nhone 259�8870. ^
<br /> 2.All work ahall be periormetl in accardance wilh Ihie permit antl current Gity of Everelt DeSiB�and ConsVuction �
<br /> SI800dlO6 dn0 uPPCiI1W�i00S.
<br /> 3.Ca�l Location Un�erground Serv¢e 48 hr6.belore yau d'�p.TOLL FPEE NOMBER 1•800•424-5555. �
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<br /> �ew� 1`[� StG���' �'� ACKNOWLEDGHMENTOFCONDITIONS
<br /> T�e un0crsignetl owneVappl¢ant hpre0y aBrres lo�ola an�save�arm�
<br /> IP.55 �M1E �d�y OI EVC�C�I I�Om Blly dnd dll ClqimS IOf aamages, cosis
<br /> / /( L CtpCC525. O! CdO5E5 OI dCLOlI �hd� TBy BfiSE �PC2115C OI �OSldlldl�0�
<br /> `��J�( (%i(�Y'/� 8 �/g j antl mamlBnOn[e ot��e improvemenl or o�M1er ngM�obway use M1ere�o
<br /> y� apphM lor antl lurl�ei agrees b remove 6ame upon noLce�rom ihe
<br /> 4pprovetl lo Consrt cVon � Oal�� Clty ano m replace puhhc oro .r�y�amageU�M1ereby
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<br /> �,,,�-1„l 6-�S�-.0 � g .� ��.� ���� _�-
<br /> IINRLIN,SPEGTION Oate
<br /> Ao�n�oveaxsGonsvuctee Sig WA p Date
<br /> �./ PUBLICWORKSGEPFRTM[NT WOR 'AUTMORIZE� BV THIS PERMIT MUST BE STAPTED WITMIN
<br /> _ 3POOCenarSheet 1B0 DAYS OF DATE PERM�T IS ISSUED PND TMEREAFTGP IS TO
<br /> [vereu WA 9820t BE DILIGENTLY PURSUEO TO COMPLETION.TMIS PERMIT I.IAY BE
<br /> nnonc J59-B9t0 �ANCELLED BY THE CITV UPOV ANY STOFPAGE OF WORK ON TMIS
<br /> PROJECT OVER 40�AYS DUFnTION
<br />
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