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Date 9-17-92 <br />/ <br />T� POSTING Iti'�-��j P�o,�wo,.,o.,m,,. Kz�?�`6 <br />aia n. � . 38036 <br />AF�licetian For , e n. — <br />pUBLIC NVORKS PERMIT °�°,o,;,;;`°° : <br />Print or Type Only <br />«.,.00� Fes o. a s _ <br />eai.�<oo�e S ��r� <br />Union Bay Construc[iun PO Bor. 2208 Lynnwood WA 98036 367-8421 <br />Owner MailingAd7ress Cily Lp Phone <br />Julie LeDoux <br />Uescribo Proposetl Work <br />Pmlect AdOress (il known� <br />568-1210 <br />Mailing AdOress <br />Plat 27-91 <br />Allac� lour (4) copies of plans lor proposed work - Draw lo scale and nota the foliowing as applicsble: <br />• Pwperry Lines • Centerline ol sireet <br />• Outline anE dimensions ol all existing antl • Intlicate Norih <br />pmposed stmctures on t�e lot • Show any proposed gratlie� changes <br />• Existinfl and proposed utilities • Show measuremenis <br />PERMIT CONDITIONS <br />1. All calls br inspection shall be made 24 hrs. in ativance- Ohone 259•6810. <br />2. All work shnll be peMormed in accor0ance with Ihis permit and curren� City ol Everell Design antl Constmction <br />Stantlards entl Specilications. <br />3. Cell Location Undergrountl Serv�co 4B hrs. beloro you tlig. TOLL FPEE NUM9Eq 1•800•424•fi555. <br />��-•--�� �/� s3 <br />fIIJALINSPECTION � � Oa�e <br />ApVmvetl as Consiructed <br />�� PUBLICWORKSDEPARTMENT <br />�3200CederSlreei <br />Evereq WA 98201 <br />Phone:259�BB10 <br />ACKNOVlLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />Z <br />O <br />T�e untlereionetl owneqappiicant hereby agrees In hclE anC save harm� <br />Iess �he Cily ol Evere�t !rom any and all claims �o� tlamaqes. costs. <br />CMPClISCS, OI WIl5E5 O� dC1.00 I11'dl IIIBy dlISE bP,Cd115¢ O� 1ns�alla�ion <br />and mainienance ol Ih¢ impmvemCnl O� o�hCr n9M1t-obw2y use hereio <br />. pplietl Wr nntl lur��er ngrees t0 remOve Rame upon noliCO hom Ihe <br />Ci1y 2ntl to re0lace public property damaged Ihereby. <br />����"�;�_.� <br />Si{7nalure 91 APplicani ���� <br />WORK AUTHOHIZED B1' THIS PERMIT MUST BE STARTLD WITHIN <br />780 DAYS OF DA?E FERMIT IS ISSUED AYD THEREAFTER IS TO <br />BE OI�IGENTLV PURSUED TO COMPLETION. THIS PERMIT MAV BE <br />CANC[LLED BV THE CITY L1PON ANV STOPPA �E OF WORK ON LHIS <br />PROJECT OVER 90 DAYS DURATION. <br />