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08tE•�/S ����4� ''�`� � Pueoc We���P•prm�n• e <br /> �r��s.r.nf�Y e1E0.0�01..lJ /07 0��Z <br /> � Appllcatlon For <br /> PUBLIC WORKS PERMIT ^�°e,W„°� . <br /> U�I�001 FN P�q � <br /> B�i�nc�Du� � <br /> Print or Type Only <br /> O�mer Plnn Check Nos B 28052 SEPA '�P Phone <br /> Appllcat.Date� SO/30/91 <br /> Job Addrei 3003 W CASINO RD <br /> Owner� HC�6INO CO <br /> Tanant� <br /> Applicant Propoeed Usaf PEUEBTRIAN CROSBINO �p Phone <br /> Desc. of Work: <br /> TEHPORARY BAID6E 140' LONf3 <br /> Dsecribs Propo�ed Work _ <br /> OFFICE SET JOB SET <br /> APPAVD FOR FERMITt DATE_/_/_ BY <br /> � <br /> Prolecl Addrebe(I!known) _ � <br /> Atl�ch four(4)capies of pl�ns lor propoeed work• Orew to ecale end note the Iollowinp ae applicable: � <br /> • Property Llnae • Centerllne of etreet � <br /> • Outlina end dimensiqns of ell existinp end • Indicate North � <br /> propoeed structuree on the lot • S�ew eny proposed qradlnp c�enqee <br /> • Existinq end proposed utllltlae • Show meaeuremente � <br /> 0 NOT WRITE BELqW TMIS LINE � <br /> PERMIT CONDITION9 <br /> 1.All c�llt lor In�psetlon�hNl be mads 24 hn.In�dv�nce-phone 2aa9e10. � <br /> 2.All work�hNl bs psAamed in accord�ncs wIM thl�parmlt�nd curront Cly o}Ewrott Oeeipn and Con�trud�on a <br /> 8hnduds�nd Sp�clfMatlona <br /> 3.CNI Loutlon Undsrpround BsMce 4B hn.bafors you dlp.TOLL f11EE NUM�E111-EU0�444�6S6b. ` � <br /> f UQ.�-e.LlJOL�- _[itn-�,,,��/vt��..0 ��.e,�L . � <br /> � � � <br /> � �I �Y�'� � <br /> � q,�� � <br /> , - : a <br /> � ACKNOWLED6EMENT OF CONDITIONS � <br /> Ths undersipned owner/�pplla�.nt heraby�q�eee to hold�nd s�va harm <br /> less the City of Evarott Irom �ny �nd dl cla�ms lor d�meqea coste <br /> �� � � -expenes�, or cawe� ot wtion lhU m�y �daa beuws ol Intl�O�tior <br /> � �� � � '. - � � � � �nd mNnten�nce of Ihe Improvbm�nl or other dpht•of•w�y uu heretc <br /> - - �� � � � -�pplled for�nd furthet �proe� to remove wme upon.noNee Irom the <br /> Approved for Conttructlon ' ���a Ciry�nd ro repl�ce public DropeAy d�m�ped therc�y:�i'���� �'��=: <br /> . . ... _. . . . ._ . . . . .... ._��, .. <br /> FINAL INSPECTION . D�b . . U�te <br /> Approv�d u Con�troded � SlpnUure ol Applkant <br /> pUELIC WORK80EPARTMENT WORK AUTMORIZED BY THI9 PERMIT MU9T BE STARTED WITHI� <br /> 180 OAYS OF DATE PERMIT 18 IS9UE� AND THEREAF�ER IS TC <br /> 3200 Gdu Strs�t BE DILI6ENTLV PURSUED TO COMPLETION.THIS PERMIT MAV 8t <br /> Ever�tt WA ol40/ CANCELLED BV TME CITY UPON ANY STOPPAQE OF WORK ON THI: <br /> pl�onr.76FOB10 pROJECT OVER 80 DAYS DUIlATION. <br /> � <br />