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Date 3/18/93 <br />S'lP'C�J�.� <br />AODliution For <br />PUBLIC WORKS PERMIT <br />Prinl or Type Only <br />wwc wen. n.,,,,n 3 ��l / <br />�o o.n . <br />aaK wo�.... <br />ra�iM t <br />Wu1oo1 fN Y�M / <br />I <br />la4r�npu� � <br />ciaY aoim PO Box zi MukAteo Wn 9tl275 353-707E TO POSTING_.. s's-9j <br />Owner MaiXnp AtlErnsa Cny Zip Phone <br />Ovner 356-7748 <br />M.Ilinp AaUroes <br />Deacri0e Proposed Work <br />Prolect Aaarosn (il knowN <br />Allat� laur �4) topies 0� Dlans lOr pmpoSeC wOrk � Oraw to SCeIB antl nOle tne tollowinp a6 epP�ica0le: <br />• Property Lines • Centerline ol alreet <br />• Oulline antl 0imeneiona ol all e�islmp antl • InEicsle Non� <br />Oroposetl slructurea on I�o lol • S�ow any proDoseE gratlinp c�anges <br />� E�R�inB d11tl pfOp06lC YlllilllS • S�ow mee�uremems <br />lo� <br />PERMI7 CONDI710NS <br />1. All calla lor inepeclbn enell be m�tls 24 �rs. in aAvence • phone i39�8810. <br />2. All work ahall be plAOrmatl In �CCONence w0� tMs permit anC curtent COy ol Everett Deaipn antl Constmc:dn <br />Slendartla antl SpecillGOqia <br />3 Csll Laallon UnderprounE Sen�ice 48 nrs balore you elp. TOLL FIIEE NUMSEII 1-BOP424SSS5. <br />� <br />�o����' <br />o„ <br />�naan <br />ppproveC as Con uc1eC <br />PUBLIC WORKS DEPARTMcNT <br />9200 CeCtr Slreet <br />Everelt WA 98201 <br />Phone:25B�BB10 <br />��A <br />ACNNOWLEDGEMENTOFCONDITIONS <br />Z� <br />O' <br />� <br />a <br />The unEe�sipnea awne�/a00��can� �ereby aBrees lo �oltl anE save �arm� <br />less Ihe City ol Everell Irom any enE all claims lor Oamagas. cosls <br />erpenses. or �auses ol aclior I�at may erlae becnuse ul instella�ion <br />an0 mainlenante al I�e imOro�amenl or o�her rig�4pl�way use hereto <br />applieC br antl lurlher agraes m remove 6ame upon nolica Imm I�e <br />City and lo replate puObC proPerry damapetl Ihereby. <br />� <br />S�Bna��Appl¢ant �� Uale <br />WOAICAUTHOiiIZED BV TMIS PERMIT MUST BE STARTED WITMIN <br />1B0 �AVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br />BE DILIGENTLY PUpSUED TO COMPLETION. THIS PERMIT M�V BE <br />CANCELLED 6� THE CITY UPON ANV STOPPAGE OF WORK ON THIS <br />PPOJECT O\ E R 9G P�VS DURATION. <br />