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Dete � �� <br />/ <br />Applicalion For � / / <br />PUBLIC WORKS P�RMIT (� � <br />,.,,�� ( as� <br />F'ri�il orType Oniy seer <br />plen Check Not 8 � • <br />Applic�t.Data� 1 91 <br />Sob l�ddr�x 25 D OMN71Y <br />ownara THOMC� CONSTRUCTIOtl—i C <br />Ten�ntr <br />Owner propo�ed U�o� OlFICE <br />Oeec. of Nork� <br />T,1, — NEYI SHEETNOCK� IMPIXOVE NANDICAP <br />RESTROOM. ETC <br />Aoolicant <br />De6cribe ProposeC Work <br />Projec! AdCreas pl known) <br />B�Ev Orot • <br />1'uE� Woh�fe� s <br />1nl�lfe� <br />�r.a eom re� rua f _ <br />.e,u«.ou. f <br />Zip 1'�one <br />OFFICB SfiT__ JOB SET Z�p <br />APPRVO FOA P6AMITt DATE_/_/_ BY <br />Rltat� lour (4� Cupiee ol OIanB br pmposed work • Drew l0 6cale end note t�e I011owin8 86 appliteble: <br />• PmpetlY ��^es • Lentedine of 6lreet <br />• Outline ana Eimen6ion6 0l ell ealstinB A�a • Indlcate Nort1 <br />pfOpOBGtl 6INLIYfCS On Ih8 10i • ShOw eny pm0o5¢tl pt2din8 r,panges <br />• ERisting enE pmvoseG ullllties • Show measuremenl6 <br />PERMIT CONDITIONS <br />1. All celie fo� Inspectlon nhell be meEe ^.4 hrs.ln edvance- phone 259•8810. <br />2. All woA sha!1 be pedormeC in ettordanca wll� ���s Dermit entl curteni City ol Everel� Desipn en. ConsWction <br />SlendarOs entl Specilicationx -- � -�� <br />3.CeIILocatlonpnderproundServlce4Bhrs.baloreyoudlg.TOLLFHEE,NUMBEAI•800-424•5555. O � <br />�141Y n I%�'�.tT �% � a S I��P 5 <br />%' c,�"� 4�v�'` . '�;Q UJ �`� 5 <br />tiQ � Q ' i� �2. a r� �" Zp.°i <br />e,���� o'"�� � 2��`�'����� � 5���,,/ V� <br />�q ,,� u <br />��� � ,�`�� � ' ; ca N �� � ��Q � 0 <br />\ �u� � � �`�V,¢ � �, y�"'� 8 q� ' � ` e�° ��� O' <br />C��� x � `(�p � � �� �: �� ��� � i�;c�u ���f/�'' uN <br />S�VC \ � ACKNOWLEDGEMENTOFCONDI�ON5�1�� <br />i �1 <br />lor <br />I Aypro� <br />PUBLIC WORKS D <br />9200 Ceder Streel <br />Everef� WA 98201 <br />P�one 259�BBt0 <br />Oale <br />T�¢ uhdersB�eA owncr/appbcanl here6y agrees lo holE end 6ave harm� <br />� less t�e City ol Everelt Iron nny and a�l claims for aamageS costi <br />eRpenses, or causes ol aclion that may arise becavs¢ o� installation <br />end maintenance ol the impmvemenl or ol�er rip�bGf way u6e her^lo <br />app�ied lor and lurth�r agrees ta �emove same upon notite Irom Ihe <br />C�ly entl lo replate public properry damageC IhereCy. <br />SlpnaWrc of AUVlican� Daie <br />WGNK AU(HORIZCD BV THIS PERAIIT A1UST BE STPRTEO WITMIN <br />180 DAVS OF �ATE PERMIT IS ISSUED AND TMEqCAFTE'0 IS TO <br />8[ DILIGENTLV PURSUED TO COMPLETION. TMIS PERMIT MAV BE <br />CANCELLED dY THE CITY UPON ANV STOFPAGE OP WORK ON THI$ <br />PROJECT OVER 90 DAVS DURATION. <br />