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�� � <br /> Hx <br /> C !-� <br /> H� � <br /> �H �p �\ . �i. ��� S �'`�"� <br /> 'ptl� "+J r.,m,�w�n.v�,R,v - -� � —- <br /> y Date 10/1/91 91/278 3 __. <br /> e�nn nno� � — <br /> .�, AppliCation For <br /> H __—._ <br /> �� � � — r�rn,r Won�fea 5 <br /> PUBLIC WORKS PERMIT ,:�•�,.� <br /> �y < �.,,,,,�,� �..�..,, s <br /> �f1 I*1 O � mR�., �.n,� S -L � — <br /> ^,Y �] <br /> �y� Print or TYPe OnIY TO POSTI`JG j�L z(y � � ; <br /> , <br /> r ~ y 9210 Ever �een Way EveY � t� WA 98204 353-7700 <br /> gy O'Connor & Oehler Const. Znc. g C, Y . , ., 2n Phone <br /> n�s+�y[� Ownor Mailmq Aadress ; , � .. � ' .. <br /> N � . ,� i .� . . _____. <br /> y I <br /> e � <br /> � OWrteY phona <br /> V� Mailin9 AAdress Gity Z'P <br /> qpplicant <br /> Describe Pwposed Work ��gtruct neN� DC<n[C�_ - <br /> 1��ZJ � Ai13 � <br /> — f t (SITE Pi.HIP1�1L_ �— � <br /> Prolecl Atldress(ii known) —}97HfftX Che .�.�_ <br /> �� <br /> Allach fnur�4)copies of pl2ns b�propased woih� Draw lo�cale and nole�Ceo1iewine ol sbe��LaU�e� � <br /> � Ffpppliy Lin95 O Indicate North <br /> • Ou�line and tlimenswns o�nll er�s���9 end � Show any proPosed yraAin9 changes <br /> pro�osed structuies an the lot � Show measuremenlr. M <br /> • EaiSt�nB a�d proposed ulilities W <br /> ' t — DO>10TWRITEBFLO��THISLW[ O <br /> '�' PERMIT CONDITIO�IS � <br /> '�1 1.All calls lor Inspection shall be mede 24 hrs.in advance�phone 259•8810 <br /> 2.All work shell be pedormed in xtcorAance with�his permil antl wrrent flty o�Everel�Design nnd Cons\ruclion <br /> ' ' Standards end SPecilications. � <br /> � 3.Cell Localian Un�!?rpround Snrvice 4A nrs.brl�,re you dig TULL FRF.E NUMBER 1•800'424•555 . <br /> '�1 � . T��,��T i_�r lc i�o�ni�.�ti.�ri 5 -rr� r ., �x=: . ,c�vc:��. O <br /> 1_I � <br /> 1 (/� <br /> I � <br /> �J� a <br /> _� <br /> I /�� <br /> � ACKNOWLEDGCM[NT OF CONDITION <br /> . . ' J — —_——_ <br /> Thc undersigned owne�/:+PP��cant he�eby agrees lo Mltl.nA save �rm� <br /> Iess �he Cny ol Everell liom a�y antl a�l claims for damaqes, costs. <br /> ^ e.penses, or causes o� aclion Ihal may anse because o� mslallahon <br /> / J <br /> �I��� v and mainlcnxnce ol the improvemenl or olher ngh4ol�way use herelo <br /> F� � ��'� _�. �� � tBtl �o� end lurihe� agrees �� remova snme upo� notice Irom ihe <br /> � LCCC, <br /> nnn�o�ed�or esns�ruqlion ' ( b rrpince PUUIic propeily damaged Iheroby. <br /> , Y� �� � <br /> ate d �n <br /> � j � l / <br /> �O J1 � .l <br /> _ -�� C2 � l� .._��/Y. •--�-- . � . � ,; '....,..� . <br /> Dale ���� <br /> FlNAL INSPECiION Si9nnlure ol A phr,an� <br /> App�ovad es i:onslrucled yyOFK AU1HOPIZ[P BV iHIS PL'RMIT MUS7 8E STARTED WITHIN <br /> �?1 pUBLICWORKSDEPARTME4T 1H0 DAYS OF DAIE PLRMIT IS ISSUED AND iHEREAFTER IS TO <br /> � 3200CedorSireet BE DILIGENTLY PURSUEP T� COMPLETION.IH15 PERMIT h7AV BE <br /> [vereil.WA 98901 CANCELL[D��THE C�TV UPON ANV STOPPAGE OF WORK ON THIS <br /> Phune 25a�NB10 PROJECT OVC�7 9���VS DURATION <br />