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DBte�� /f �L PueucwerbP.rmn. <br /> Applicetlon For eiea o•o��• <br /> PUBLIC WORKS PERMiT °�°:o,:F��F�� . <br /> L�u A00�Fu PUE � <br /> B�I�nc�Uu� i � <br /> Print or Type Only <br /> Plen Check No: B 38745 SSPA <br /> Owner App 11cet.Detes 11/18/92 2ID Phone <br /> Job Addreeet 30b3 W CASINO RD 40-26 � <br /> Owner� BOEING CO <br /> Tenents <br /> Propoeed Ueei COMMERCIAL Z�p Phone <br /> Applicant Desc. of Works <br /> T6YANT IMPAOVEMENT <br /> Deac�lbe Proposed Work . OFFICB SET JOB SET <br /> APPROVED FOR PERMITt DATE_/_/_ BY <br /> W <br /> P�o�ect Addreee(11 known) � <br /> Attech four(4)coplee ol plans for propo6ed work•Draw to scale entl note the lollowlnp aa appllcable: � <br /> • Property Linea • Centerline ol etreet � <br /> • Outline and dimenelona ol ell exletinp and • Indicete NOAh <br /> proDoeed etructuree an Ihe lol • Show any propoeed prading changes <br /> • Eristlnp end proposed utllitlas • 3how meaewemenle � <br /> DO NOT WRITE BELOW TMIS LINE O <br /> PERMIT CONDITIONB <br /> 1.All calle for Inspecllan ehell be mede 24 hra In advence•phone 2b0-861 O. � <br /> 2.All work ehell be peAormer�in axordance wllh Ihie permlt and curront CIIy ol Eve�ett Oeelpn and Conetrudion <br /> Standards and Speclfiutlona <br /> 3.Call Locetlon Underprour d 3ervlce 4B hro.belore you dip.TOLL fREE NUMlE111�800�424•5535. � <br /> O <br /> PUBLIC WOqKS PERMIT � <br /> NOT REOUIRED <br /> B V �'�S' V <br /> DATE /� ' ' � � <br /> O <br /> a <br /> ACKNOWLEDGEMEN"� OFCONDITIONS <br /> The unAeralgned owner/epN�� �it hereby aqreee to ho1J and eave harm• <br /> leea tha Cily ol Everetl Iron any and all clalms lor demeges, conla <br /> e�peneea, or cauaee ol actlon �hat may ariae beceuee of inatelletion <br /> end meintenence ol the improvement or other right•ol�wey use hereto <br /> epplied for and lurther agreea to remove eame upon notice Irom Ihe <br /> Approved lo�Conelrucllon Dete City and lo replace public property dameged Ihareby. <br /> FINAL INSPECTION Date <br /> Approved ea Consiructed Signeture ol Appllcent Dete <br /> PUBI.ICI"�'ORKSDEPARTMENT WORK AUTHORIZED BY THIS PEHMIT MUST BE STARTED WITHIN <br /> 190 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200Cede�S�ree1 BE DILIGENTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everat4 WA 98201 CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br /> Phone:259-8810 PROJECT OVER 90 DAVS DURATION. <br />