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/ <br /> Date �Z �'C�9C " �„�,�,�w�,�.r�,m,�. _�/ 09 <br /> —7 � � <br /> o� APPtir,almn For Flinn n�ni • __._____ <br /> _—___ _ __ '_ <br /> � <br /> PU�LIC WORKS PERMIT �„° �w°,�,�.� ------ - -- <br /> ,,,,���.. s <br /> p �rn,nnm r.e vsin S <br /> �, �p s� <br /> � n.,�.,�,��,,�.. S— JS/-- <br /> Print or Type Onl� - <br /> r ri <br /> Ul M <br /> ?- <br /> Tbe Boein�C¢I�p�r�, P 0 Box 3707 MS OH-24, Seattle WA 98124-2207 342•0871 <br /> Ownei � � 1-- ��—Addre55 Cdy Lip Phone <br /> .w ¢� u-i <br /> pgO � ,� LL L <br /> �ner � <br /> �pphcanl Mailm9 Addie;.�.s Cly Zip Phone <br /> Site grading, erosion cuntrol and pavement �n�/ S�fe <br /> Describc Proposed Wark .�1 __ . <br /> %i��lif .f //7C�E(�i�9 �C/lt�r t.nc� c�j�vi�u9!. <br /> -- ------ - - -- W <br /> Project AAdress lil knownl �'.ldg�5-ll4.,-3DQ3_41._Cai{n1LRd. � v r .�.__ _____ � <br /> Altnch lour IAI�opies 0� plans lor propoSCA worh- Dr�w lo scale and nole Ihe lollowin{7�s applicabl�� � <br /> • Property Lmes • CeNerline of Sheet � <br /> • Outhne and dimension,of all ex�stm9 anA • Indica�e North <br /> pron:ced siructures on�he lot • Show any propased 9r:idm<� r;n;mnrs <br /> f Eri�.'n�and proposed utililies • Show measuremenls � <br /> DO NOT WRIi[ PELOW THIS LWG <br /> PERMIT CONDITIONS O <br /> 1.All calls tor inspection shall be made 24 hrs.in advance�phone 2S9•88�Q � <br /> 2.All wak shall be pertormed in accordance with ihis permit and current City ol Eve��etl D�s�Gn nnd Construction <br /> Standards end Specifications. <br /> 3.Call Location Underground Service 48 hrs.belore you dig.TOLI FREE NUMBER 1•800•424•5555. � <br /> � GfJo�� �cJ /.�-c c�n,-�,c_ F1P�s �.n .��prn c�•<� O <br /> (Sy Tif• �L'L'r.t l�'r f�C�Ln'.:iC C c.�^.C.(.J� l).`i'T, C�,c/ :- .l s-�/ <br /> � <br /> � <br /> O <br /> a <br /> AChNOWLFUGLh1f.NI Of GONDITIONS <br /> ih�.undi�i�.�yn��d owner/aPPlic2nl hCiCbY a9ree5�o holA nnd smn hnnn- <br /> _.._. .. ... _ __. __.._ . .. ... . <br /> less Iht� (,�ry ui Gvorett Irom any enA all clelms br damages. rnsts. <br /> ' expenses, or causes ol actlon Ihat mny anse because ol mstallation <br /> _ _��/ �� �d__ 2_z f� _y� anA maintenanr.e ol Ihe improvement oi olher ri9hPol�way use hmcln <br /> oppl�cA lor and Iurlhei �yiees to remove same upon noUce Irom tnt, <br /> �pn�oved Irn Z;onstruction Date C�ly and lo replace pubhc property tlamaged Ihe�eby. <br /> � ;� �, ; //. <br /> r �� /�� <br /> FINAL �� FCTI N % � �� � ��Dat� ��� �J.s /.ULCX./ _��%l�'�r � (� /�_ <br /> ApProved as Constructed 5�9na�ure o�Applicanl Dale <br /> rvrir�l PUBLICWORKSDEPARTMENT WnRK AUTHORIZED BV THIS PERMIT MUST BE STARTEO WITHIN <br /> 1P0 DAV° OF DME PERMIT IS ISSUED AND TH[REAFTER IS TO <br /> � 3200Cedar5ireel BF DILIGEN7LY PURSUED TO COMPLETION THIS PERMIT MAV B[ <br /> Evcretl,WA 98201 I GANCf I.LfD OY THP CI1V UPCN�NV STOPPl�GE OF WGRK ON THIS <br /> Phnne :59 Rfl1f1 �R I.IC(�.i OV[.R ��0 f1AVS DURATION <br />