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PUBLIC WORKS <br />PEi;MIT <br />PUBLIC WORKS DEPARTIdENT <br />3200 Cedar Sir�eqet <br />EId25125A8�47'�oa7���i,7 _fllnY V % <br />OWNLR 1b 1 � <br />A"JD ADDH[ ' i b�TH AVE A�E <br />E�': 1 f(x. � '�r <br />4.:E -d..!?Il <br />c�FioNE <br />TA%PAHCELIU.`�` .-_-.,,i. .. - <br />NEIn' Hi�t�SE - 3A��1 � <br />D[SCPIPTION OF <br />PFOFCSED!';ONk <br />PERMIT CONDITIONS <br />nrrucnNT NnMt <br />AND ADDRESS. <br />� .. [, <br />PHONC- <br />P�ao.i[cr nooaG59.i: <br />r. <br />1! � �i';��1 �-`_� <br />Datc <br />�;,,�,. �_, <br />Publlc Works Permit I�. �� i_;..; - <br />Building Permi� u <br />Planning Re�erence # <br />Pubiic Works Fec S ` - ' <br />Guarantce 5 <br />� All calls tor inspeclion sh�ll be made 24 hours in advance - phone (425) 257-8810 <br />2 All work shall be performed in accordance with this permit and current City ol [veietl Design and Construction <br />Standards and Specifications. <br />3 Ca�l Location Underground Service 48 hrs. before you dig. TOLL fREE NUMBER 1-800•424-5555 <br />,. '.c_.. c si�!> ses.�-i p��c City Standa.�i N',, r;�7: �:�� ,:;Oq. <br />. � .'acge ro -,�:ia::h blu�-k� for thc ��..;t q, _- n _ ,... �,_, !, � __ *_al.l: ,. i _ <br />.���-._ i_: .i� .�i�i�. .. .. _._._.���r..i:n __�,F,.. ._,. . i,:c�.;�_ . ;; -.-�u�.'ion to the _....,_ <br />�.=i l�:/E�°Y�=� /�'r�'��� `. <br />�pnaved ar Conslruetion Da1 <br />�—N ���I��( � � G� C <br />Fi n� w c io <br />npp�o�ea ns consu�r.ea om� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />l ho undersigned owneuapph� <br />�ave harmless ihe City of Eve <br />damages. cosls, expenses, or <br />UecadsE o� isWllation and m; <br />�ther rinl 06 vav use ttereto ; <br />W <br />H <br />V, <br />O <br />� <br />Z <br />O <br />F- <br />� <br />O <br />a <br />hareby agraes to hold and <br />lrom any and all clair�s tor <br />ses of action ihal mav or�se <br />n i:e of R�e �mprovemen� or <br />lor and fur�he� agrees lo <br />ity and to replace public <br />lilzil�� <br />1 Dar• _ _ _ <br />UHI•: ,U i NORIZED �Y 7HIti PERIAIT A1USi G[ STAfiTED WITHIN t8D DAVS OF DnTF PER�dI S ISSI -D AND THER[9F1 F.R IS TO BE �ILIGENTLV PURSU[0 <br />;!.1P1 PTION TI4S PF H!'li IdAV BF CAN: ELLI3[1 GA' iNC CITY 1 il-.. d,11JY f: it�l I'1f1;. Oi A� �RK .�N 7 HIS pFOJf'_(' i O'JFq n^ �AYJ [)URATION <br />