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Date�89 � ,„„�,,v,,,,�.�..,m,�. __ �y�'�-_ /_3� l <br /> e�na o«ci . ------_ .. _. <br /> AnPlice(7qn For <br /> PUBUC WOt��yKS PERMIT r �mi�r�r��� 5—�-- <br /> G1 les��nn� �erPeia ��--�— <br /> O <br /> 8 p p Pet�n�r O�r f._S — __ <br /> Print or Type Only = � � <br /> � o 0 o Contact Person <br /> ��: o '. .. <br /> :.; N � « Max Pahmeier <br /> Boefng Commerctal Afrplanes,�0.�' ox 3707 M/S OH-24 Sea[tle WA 98124 (206) 342-6648 <br /> Ownar Ma�T ��� C�ry Lip Phone <br /> N � �� <br /> SAME c�. " - — <br /> Applicent Mr.iling Address Gly Zip Phone <br /> Describe Proposed Work <br /> Construction of Employee Access Road (Gradlna Permlt) for Proposed <br /> 747 Work Statfon F nanclt�n Ad�aca�r [o Existfna Everett South Comolex off Airoort Road. <br /> — 3 0 0 3 w c2�.�-<� �('d W <br /> Project Addrasa�il knownl �BDo g�'�G'E=L'e���T .f'O � � <br /> + Altech fom�41 copies ol plans lor proposr.d work � Diew to scale end note Ihe folloviinq as apU6cablr.. � <br /> • Pwperty Lines � Centerlme al slreet � <br /> • Outline end dimenaions ol ell eai6ting and • Indicate Norih <br /> pioposed siruclures on the lot • Show any proposed gretling changr.s <br /> � ExislinB end proposed utililies • Show meesureme:ds M <br /> W <br /> . DO NOT WRITE BELOW iMIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All cells for Inspectlon ehall be made 24 h�s.In edvence•phone 259•8610. � <br /> �r -2.All work ehall be pedormed In accordence wlth this permit and cwrent City ol Eveiett Dealgn and Conatructlon <br /> Stendarde end Speclllcetlona. <br /> 3.Gell Locatlon Underqround Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800�424•5558. � <br /> r�PPCiG�/j /.f %o /90H.E�F Tv T�fL aS�NoyoAsiS// � , ,� O <br /> C�,wry s<�.v ,P,�qv„e,�'�,dr,r fo� T,,S f.'c'vTE�'?- � . <br /> � � � <br /> . V/ <br /> O � <br /> a <br /> ACKNOWLEOGEMENT OF CONDITIONS <br /> The undeisigned owneVapphcai�t hereby egreee to hold and seve harm� <br /> — -- less the Cdy ol Everetl Irom any and all cleims lor damages, coste. <br /> �_J�_ �� , e.penses. or causes of nction that mny erise because of inslellation <br /> �� � � - , and main;enance ol the improvemenl or other righ4ol-wey use herelo <br /> /� ,��� '�. -.� app6ed lar end furlher ag�ees to �emove eame upon notice Ir�m the <br /> App�EvAA(or ConsVuct- "� �e1e City and to replace pubhc propeity damaged thereby. <br /> 'l4 //'sl��„/, �/,�i/� , �;y,v�t� 'r///�s <br /> FI L INSFE T e�e "'' T�ete <br /> ApDrovetl es Construcled Signat re pp��cant <br /> WORK UiHORIZED BY 7HI5 PERMIT MUST 8E STARTED WITHIN <br /> , pverett PUBLICWORKSDEPARTMENT 1B0 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TQ <br /> � 3200CederSVeet PE OIUG[NTLV PURSUEO TO COMPLETION. TNIS PERMIT MAY BE <br /> Evarelt WA 99201 CANCELLED BY THE CITY UPON ANY STOPPAGE OF�\'OpY,ON THIS <br /> Phona:259�B810 PROJBCT OVER 90 DAVS DURATION. <br />