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� <br /> k <br /> ` DTtB_— •»•� r" - r�nucwon�n.�mn. _. <br /> niap Deo� • — <br /> Applicahon For <br /> PUBLI�; WORKS PERMIT °°"'i�,:.s:"° + <br /> Un�00�fee P�iE f <br /> B�i�ncn Dw Z <br /> � � Print or Type Only <br /> �O�x <br /> C I-� <br /> 9�N <br /> Owner Plen Check No: B 394�3 SEPA � Phona <br /> y � Appllcat.Date: 30/Z3/92 <br /> K n Job Addre: 300� W CASINO RD 40-453 <br /> Owners BOEING CO <br /> O x O — Tenant: � Phone <br /> � yH Applitenl prppoeed Ueee OFFICE <br /> y r Deec. of Work: <br /> .y� �y� OFFICE TRAILER 1344 <br /> lO O� Deecrl�e Propocad Work _ <br /> H JOB SET <br /> OFFICE SET__ <br /> ~ �� APPRVD FOR PERMIT: DATE__/_I_ BY_-- <br /> �Y n <br /> � � W <br /> � H� Prolecl AdAres9111 knOwn) � <br /> y <br /> H Atlech lour(41 coplae ol�lene lo�p�oPosaA work•Draw�o scale and note the lol�owin9 es epplicable: � <br /> n d y • Centerlina ol sireet ,A <br /> • Property Linen <br /> ��"_ • putline and dimensione ol ell exlating and • Indicele North V� <br /> y u�* • Show eny proposed gradl� chen es <br /> propoaetl struclures on the lol 9 g <br /> p Ul • EKlntin0 end propased utilitlea • Show measuramente M <br /> W <br /> DO NOT WRITE 6ELOW iHIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All celle lor Inepectlon ehell be meda 24 hre.in advenca-phone 259•88�0. � <br /> �� 2.All work ehell be pedormed In accordance with Ihla pe�mit and current Cily oi Evarett Dealgn and Conatructlon <br /> Slenderda and:-pecillcatlona. <br /> '� �.' 3.Cell�_ocatlon Un ferqround Servlee�B hrn belora you dip.TOLL FREE NUMBER 1•BOO•424•5555. � <br /> I � � <br /> �_ _ O <br /> _� � <br /> � � PUBLIC WORKS PERMIT � <br /> , � � NOT REOUIRED <br /> _� j O <br /> � BY � <br /> DATE ;' • <br /> �'1 i � a <br /> '�'! ACKNOWLEDGEMENT OF CONDITIONS <br /> Tha undersipned owner/epplicent heraby eg�ees to holC end 9ave herm� <br /> =I�I leee the City ol Everell Irom eny and all clalma lor demepea coeta <br /> � e.penses, or ceuees ol ectlon thet mey ariee beteuse ol Inalallallon <br /> and mainlenence ol Ihe improvemant o�othar right�of�way uee hereto <br /> epplied lot end luriher agraos �o remova seme upan nolice ��om �he <br /> Approved lor Conetrucllon Dale City end to raplece puElic property damegad�he�2by. <br /> . � <br /> FINAL INSPECTION Dale <br /> ADP�ovad es Conatrucled Signnlure ol ApP���a�� Dete <br /> �� PUBLICWORKSDEPARTMENT WORK AUTHORIZED BY THIS ?ERMIT MUST BE STAfiiED WITHIN <br /> 180 DAYS OF DATE PERMITIS ISSUED AND THEREAFTERIS TO <br /> ]400CedarSVeet BE DIUGENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> Everet4 WA AB201 CANC[LLED BV THE CITV UPCN ANV STOPPAGE OF WORK ON THIS <br /> P�one:759�BB10 PROJECT OVLR 90 DAYS OURATION. <br />