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� � b <br /> � � — --- <br /> � y i <br /> H � �afB ` f � b_ n,ioi�r.w.,n.rr,m�. _ <br /> � 1� o F.pplicetion For e�ea oem �—�24• + /� __ <br /> (1 QI � Publ�c Worb F�e <br /> b y M PUBI_IC WORKS PERMIT ,o,.�,es s _ <br /> Lea��oJ�Fee Pu�l S_ <br /> � OednwDun S_ <br /> o� � Print or Type Only -- <br /> � ' � <br /> N <br /> M <br /> qqqM Owner Plan Check No: B 36611 SEPA Phene <br /> � � N Appllcat.Date: 05/OS/92 � <br /> a Job Addre� 3003 W CASINO RD 40-452 <br /> ry Owner: BOF.ING CO <br /> Applicant 1'enent: Phone <br /> � y Propoeed Uees OFFICES <br /> Dee�. of Work: <br /> INSTALL TRAILER 2016 <br /> DeaCdba Propoerd Work _ _ <br /> OFFICE SET JOB SET_ <br /> APPRVD FOA PERMITt DATE_/_/__ BY <br /> - - — W <br /> Prolect AEdreea lil known) ____ � <br /> Altar,h lour(4)copias of plans lor proposed work- Draw to acale and nole Iha Iellowing ns npplicable�. � <br /> � • ProOerty Linee • Cenlerlino ol slreel /A <br /> •Outtine and aimenaions ol ell ealsling and • Indicate Norlh V� <br /> proposed atrucluros on the lol • Show any prcpoaed grading chengas <br /> /�� ��� • Exlatinp and O�aPosed utllilies • Show mees��nmenls � <br /> I �� DO NOT WRITE BELOW THIS LINE <br /> I � PERMITCONDITIONS O <br /> � 1.All celle lor Inspaction ehell be made 24 hrs.In etivence-phone 259•8810. � <br /> �� 2.All work shell be peAo�med in ecwrdence wlth ihis permit end cunent City of Everalt Deslgn and CansVi�ctlon <br /> ��� Stenderds entl Spacillcatlonn. <br /> ' , 3.Cel�Locetlon Undmpround Service 48 hrs.before you dig.TOLL FREE NUMBER 1•800�424•5555. � <br /> / O� ��� /(��LL� lr,-;/�:�f�. ..�_j ��.i , . <br /> o �_� � � <br /> � <br /> . O <br /> �-� a <br /> • <br /> I �y� ACKNOWLEDGEMENTUFCONDIiIONS <br /> � Tho undersigned owneUepplicant hereby egrces to hold entl seve harm� <br /> --- less Ihe Ciry ol Everelt Imm eny end all cleims lor damaBes, cost�, <br /> aMpenses, cr ceuses of ecllon thal may arise becaufe af inslallelion <br /> end meinlenence ol Ihe improvemen� or olher riphl�ol�wey use hereto <br /> applied lor and luilher agrees to remove aeme upon notice Irom the <br /> Approved lor Construcllon Dele Cily end lo replece publlc p�oparty dameged thereby. <br /> FINAL INSPECTION Dxte — <br /> Approved es Conslructed Slgnelure of Applicant Dale <br /> . � PUBLICWORNSDEPARTMENT WORK AUTHOR12ED B'/ iH15 PEflM1T MUST BE STARTEO WITHIN <br /> 3YOOCetlerStree� 180 DAVS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br /> Everett,WA 88201 BE DILIGENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> P�ona:259�BB10 CANCELLED BY TNE CITV UPON ANV STOPP4GE OF WORK ON THIS <br /> PROJECT OVER 90 DAVS DURATION. <br />