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Date 8/7/91 <br />ii- 3e" O J <br />Pub60 Works Permit e <br />Application For <br />eiov Pert a 91/27495 <br />,t. <br />PUBLIC <br />WORKS <br />PERWIss <br />Ike Fee <br />Pu°Totew <br />Fee <_ — <br />Lees Appi Fee Paid S <br />Print or Type Only <br />�- <br />O <br />o <br />p <br />eelenca Pun S lC �� Alzzr7 <br />C; <br />The Boeing Co. PO Box 3707 M/S <br />6'I <br />OF-76 Seatti.@t,F-VA <br />98124 342-5878 <br />Owner <br />Mailing Address tr• RV <br />L <br />Zip Phone <br />Owner <br />matting acoress City Zip Phone <br />Describe Proposed Work Construct wing <br />spar assemhl y hiu d+na — 4,kag," ie-e'-f" <br />e-xr07/letL ao.2%= �Cai./py er^�_�:t��-e� .Ces6� sn/ <br />Project Address (if known) <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following as applicable. <br />• Property Lines • Centerline of street <br />• Outline and dimensions of all existing and • Indicate North <br />proposed structures on the lot • Show any proposed grading changes <br />• Existing and proposed utilities • Show measurements <br />PERMIT CONDITIONS <br />1. All calls for Inspection shalbe made 24 hrs. in advance - phone 259.8810. <br />2. All work shall be performed In accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />,{3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424.5555. <br />/, o� et�o�e.•.I.to 7„oei <ere�.G /r,2�aneQ.r.- ..st �iiu i(�//i.�p7t4� <br />irai'la.nd. C - SAGO/� C'—$,COZY C-S&O. l C S&031 ct�ou ad ory <br />B-2o- 9/ � ..fi%1 -- 7 i�c�6_E'�e• ldo7/„� c�/.a�s� <br />."fu"C� -� <br />'e',scId4z ord �/2accava., y cAiJa � rob j stir <br />G Ldozia v� l�xz' ,awv > eo <br />ACKNOWLEDGEMENT OF CONDITIONS <br />0 <br />M2 <br />z <br />0 <br />0 <br />a <br />The undersigned owner/applicant hereby agrees to hold and save harm- <br />less the City of Everett from any and all claims for damages, costs, <br />expenses. or causes of action that may arise because of installation <br />c7 and maintenance of the improvement or other right-of-way use hereto <br />Appreffed for Co uct. applied for and further agrees to remove same upon notice from the <br />rJ>it��e ate City and o replace public property damaged thereby. <br />vyS / <br />EIN�lP75PE TI ' Date / (J/ hI <br />Approved as Constructed Signal of Applicant Date <br />PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br />3200 Cedar Street 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />Everett, WA 98201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />Phone: 259.8810 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br />PROJECT OVER 90 DAYS DURATION. <br />