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�ate PuDI¢Wod�Permlt• <br /> Appllcetlon For eioo o.o� • <br /> PUBLIC WORKS PERMIT P�bTOWfaaF•• s <br /> Lau�oG<<saPI�U S <br /> d�lane��ue s <br /> PriM Of Type Only plen Check No: B 44393 :EPA <br /> Applicat.Date: OS 16 94 <br /> Job Addreeet 30 3 CASINO AD 40-413 <br /> Owners BOEING COMPANY <br /> Tenants <br /> Owner Proponed Uee: EMPLOYEE BREAK TRAILER Zip Phone <br /> Deec. of Work: � <br /> RELOCATE TRAILER FROM NORTH CAMPUS TO SOUTH <br /> CAMPUS <br /> Applicant OFFICE SET JOB SET 2ip Phone <br /> APPAOVED FOR PEAMIT: DATE_/_/_ BY <br /> Describa Proposed Work <br /> � <br /> -- - u� <br /> Pro�ecl Add�ess(if known) � <br /> Altech lour(4)coples of p�ans lor proposed work• Draw lo scele end note Ihe followinB as epplicable: �� <br /> • Property Llnea • Cenlerline of strael //� <br /> • Outllne end dimensiona of ell ez�sling and � Indicate North V <br /> proposed struct�res on Ihe lol • Show eny proposed gradinp chanpes <br /> • ExistlnB end propoaed u111itles • Show measu�ementa �� <br /> DO NOT WRITE BELOW THIS LINE �' <br /> PERMIT CONDITIONS <br /> 1.All cells lor Inepectlon ahall be mede 24 hrs.In edvence•phone 259•881 O. � <br /> 2.All work ahell be peAormed In accordence with thla permit end current City ol Everett Design and Conalruction /I <br /> Stenderds end Specillcetlons. <br /> 3.Call Locatlon Underpround Service 48 hre.belore you dig.TOLL FREE NUMBER 1•800•424•5555. �� <br /> � <br /> i �' <br /> �� <br /> B!IC WOHKS PERMIT �I <br />� NOT REOUIRED <br /> r OATE �5' %� <br /> a <br /> . <br /> AGKNOWLEDGEMENT OF CONDITIONS <br /> The undereigned owner/apP�icant hereby apreea lo hold end suve harm� <br />� — less ihe Cily ol Everell Irom eny end ell clafms 1or damages, cosls, <br /> ezpenses. or cnuses of ection that mey erise beceuae ol inslallation <br /> and malnlenanca ol Ihe improvement or olher ri0ht•ol�way use herelo <br /> epplied lor and lurlher egrees to remove same upon notice Irom the <br /> Approved lor I;ons�ructlon �e�e Cily and to replace public properly demeged Ihereby. <br /> FINAL INSPECTION Date <br /> Approved as Conslructed Signalure of Applicanl Dele <br /> ��r� WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> PUBLICWORKSDEPARTMENT 180 DAYS OF DATE PERMIT IS ISSUED AND THEqEAFTER IS TO <br /> 0200 Ceder Streal BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Everell.WA 98201 CANCELLED BY THE CITY UPON ANY STOPPAGE O�WORK ON THIS <br /> Pl,ona:259•8010 pRnJFCT O\'FR 90 (1AV5 DURATION. <br />