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' :�f <br />I� J <br />� <br />OWNC.HNAME <br />I nNDA[)UP[SS <br />� <br />I PHONE <br />PUBLIC WORi(5 <br />PERMIT <br />PU[�LIC WORI:S OEPARThAFNT <br />9200 C�dar StreCt <br />Evemit, WA 98201 <br />i425�257�8810 <br />-�r.f'.r�l�r::.. � C�.`l16T <br />!! PI E% <br />1.E WP. <br />,_ �t� <br />—. _— — ___ — _ _.. <br />TA% PAfiCGL I D Y <br />^:,i- <br />_ _ _ '__' <br />OESCRIPTION OF <br />PROPOSEDWORK' __ '�t'?' - '. . <br />_ -._ ___.. . . _ _ . . <br />PERMIT CONDITIONS <br />� <br />Puhlic Works Pcrmrt d <br />� Budding Pormii k <br />I <br />Plamm�g Reloronce a <br />i Publ�c Works Fee S <br />II Guaranteo 5 <br />.i._._ ___ .._ _ ._- -----_... <br />NAME <br />S6i -. �.1� � <br />TO POSTING...^1.F'.�..�..'.zoo� <br />PNONP <br />'—____ _-...--.— . ____ .. <br />' � PRQIECTAU�RESS�. <br />1. �II calls for inspec�ion shall be madc 24 hours in advanrc. <br />?_. All work shall be ;n:iformed in accordance with Ihis permd and curreM Gtly of Everott Design and Conslruclion <br />Standards and Sp�cilications. <br />9. Gall Locatian L'nderground Service a� h�s. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />,v�. r��:si_�n .:�tc;:i i�..:..it.� .���,:;: , ��-��:�;•.t:...n .. +�m. ;.,�,�.-..- ��,:r.t . <br />��' �i� t.��. ��.etml}�. - _ <br />•_x,avatei myt�cial fcom, fo::n:aticr„ _i<ieNall: um:i de�vF4�a.e sh: <br />, : ., f''rnit'e' :lir:e. ?i •.�„ _i!�a �vr.�cia1 i� s1L:4e�d ��n rh <br />, mud, rnckt; or �IFbf t:� . . � . . . . . <br />. . . � r, .... �'., t1�.-•1r � <br />: �n . <br />u <br />/ <br />W` <br />r <br />'�^ <br />V+ <br />W <br />O <br />� <br />O <br />��/w, <br />�/ <br />O <br />a <br />� ACKNOWLEDGEMENT OF CON�ITIONS <br />/. . � The unde�signetl uwneriupphcanl hereby ag�ees �o hold anA <br />save harmless the Gty of Everolt Irom any and NI claims fur <br />��'�i �; c��' � �� �� .L __ aamagos, r,osts, ezpenses, oi causes ol aclion �hal may anse <br />n��v,�� r Consvua�o� � ��� Ome� because ol inslallatlon nnd maintenanco ol �ho improvemeN or <br />�� ���� `�/� /� � olhor righ4obway use horelo apphed lor and'unher agroes to <br />,�� � romova samo upon nolice Irom �he Cily and lo replace public <br />1 INALJNSP ION � 'i v�on�r d ed q,erq,v.�f , <br />AppraYetl �'on,�nicb tl Ddle ��.f —�(��' � � � <br />(/./fv�Z� �_ �%�'� <br />. _ . .. . _.. __ __ Sic,r �u.� of Apy�lca 1 Dale . <br />�` \1 <br />�, �Iu•,AUIHOHIIIDf7/111ISPl.R1.1111.1USIIlESin{iTf[1WITNINiNODAY50FDATEPEPM11151tiSVEf7AND1HEREAFTERISi00EDILIGENTLYPUf75UED <br />� �j Y I <br />���.nf.n'I I I If1N IIU�. Pf f�l.qi MAV I11 I:�tlCl I LCU 13V iHl CI7V UPON ANY 5101'PAGk Of WOHM ON 7NIS PNOJECI OVFR 9f1 DAYS DURATION � � �� <br />DAINOAR. INC~� <br />I �•.l�l . �� <br />