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PUBLIC WORKS Datc 1G/29/2003 / <br /> PERMIT PublicWorksPcrmitH PWozlo-o4� <br /> Building Permit a <br /> PU[3LIC WORKS DEPARTMENT Planning Relerence a <br /> 3200 Cedar Simc� s z a, a y z. s a <br /> Evemtt,WA 9J201 Public Works Fee 5 <br /> (A25)257-8810 Guarantec S <br /> OV�NER NAMG • • APPUCANT NAME <br /> ANDADDRESS' jQOO FIFTH AVE. SUITE $]. NDADDRESS: <br /> PORTLAD�D 9720 <br /> PHONE 503345064.', PHONE <br /> TA%PARCELI.D.n PROJECTA�DRESS'. �.JOO INDUSTRY ST <br /> DESCAIPTION OF TIES <br /> PROPOSED WORK: <br /> I <br /> PERMIT CONDITIOP!S <br /> 1. All calls for inspection shall be made 24 hours in ad�.�ance- phone(425) 257-8810 <br /> 2. All work shall be perlormed in accordance wilh this permit and current City of Everalt Design and Construclion <br /> Standards ar.d Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> 4 . PER APPROVEU PLF.NS DATED 10—?.9-0� W <br /> h <br /> - <br /> m <br /> .K JS� _ Q <br /> 8c7� � <br /> 0^_1C�. : � <br /> 7�, 0 <br /> ,?Y 11U1 <br /> 0.10��;�: �..� <br /> t 1i)4. " � <br /> .IY� (J� O <br /> �,a�� isos" <br /> �- a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � <br /> The undersigned ownedapplicant hereby agrecs to hold and <br /> j�fi/ � {f L save harmless Ihe Ciry ol Evercll Irom any and all claims lor <br /> � tlama es,costs,ea enses,or causes ot action that ma arise <br /> Approv �IarConslmcuaS Daie 9 P Y <br /> " ' / because of installation and mainlenance ol Ihe improvement or <br /> � other righl-ol-way use hereto applied lor and luhher agrees to <br /> �� ,�i��C!—� �.5 U )! remove same upon notice Irom the City and to replace public <br /> �FINAL INSPECTION pmperty damagetl thcreby. <br /> A;;pmvetl as ConstructeA Oaie <br /> �.a�2�__ /o- Z 9-oZ <br /> SignaWre ol AFPlicanl Date <br /> VJORK AUTIIORIZED 9V THIS PERMIT h1UST 8[STARTEO WITHIN 180 DAYS OF�ATE PERMIT IS ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUED <br /> TO CD'.7PLC110N.THIS PER1dIT A1AYl3E CANCELLED�Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90�AVS DURATION. <br />