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.- • <br />r-4 <br />oate1L19/90 <br />n <br />ie- <br />OF <br />•N mm. <br />Q <br />° <br />PUBLIC <br />WORKS PERMIT <br />L r a6 <br />in <br />0Hw <br />Print or Type onrr <br />ad <br />z H <br />Cpnezel B°•p1N1 B iml CennZ i1Z1 OEM Ave <br />LNecett BZD1 3se m300 <br />an <br />Oface <br />MtlYybuea On <br />Z9 <br />pveZ <br />GIY <br />Lm <br />APgonl <br />MMYp Atltlreae <br />Descrae ProceedwM. �e <br />_—_ <br />�• <br />W <br />Pm1eal Addrem mf hum"I 3 321 PEL <br />A n F11 touch of plans for confident wnM- Oro,10 acaN and nd tee 101101.19 as applicable <br />pac <br />eenOceenNar <br />e Of Order changes <br />•patine and dimensions shm; d <br />ans�anr ml all. ^ e 5tlow any mopoed Ermine <br />blamed shaNhers On <br />• ruin a Phumed NnBmsr •Snow meaimemams <br />ca <br />E� <br />C:Y <br />DO NOT WRIiE 9EL6W THIS LINE <br />0 <br />PERMIT CONDITIONS <br />z. AllYaformsuu lxifinal M made 24 m& in damm r Maw R54B91O. <br />uAflame gull be ancormed in accordance With Permit and whem Cny OfEvererEverett Mo Denava uion <br />Standards and sPaediCMdwe <br />]. Call LmMn Underground fami1ce<B da Mlme you it* TOLL FREE NUMBER 1' 424.5555. <br />O <br />fiU�c �/%O✓" �irsma.f 2�� /v'C[^au4' <br />4��J/re�-n <br />Intel <br />i I i <br />�o <br />N <br />O <br />I_, <br />a <br />AlmoYee he CMmMMn Dale <br />HAD INSPECTION Date <br />aoas contacted <br />WORKS D <br />EPPRtuENi <br />32MDOOStreet <br />EvemKASIOoPh", 25"9I0 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The anlmensgod ndwmep Hudam hereby agrem to hold and Hi harm, <br />City d EYerM1 Isclams m end and all clafor da <br />..pence: or cause, Of aPllon me ma ee a m NKafon <br />and mam mare OF Me �mmm emenl r ul.r WO ONLY me naaD <br />and tuna, ag,ems 10I mMe "me Boon Fruit, mom the <br />COV11she Io mdace I mcbery damaged Inweby. <br />sgnafine a APPIrc ll oam <br />WORK AUTHORIZED BY THIS PERMIT MOST BE STARTED WITHIN <br />IN DAYS OF OATS PERMIT IS 45UED AND THEREAFTER Is TO <br />BE OILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE <br />CANCELLED By THE CITY UPON ANY <br />STOPPAGE OF WORK ON THIS <br />ANCELOVER ePNAYS <br />