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� � � <br /> ,., ,, ,..,,.,,.�. <br /> y D;�to__.____. i,..�� c.oi . _.__.-----__. <br /> p N� Apniicahon foi ---- <br /> � � '" P E F�Nf I'�` ,.:,,,.wo,,,��. s--- <br /> M � PUBLIC WORKS �� °��•° <br /> '� r� n i.n.nnn�r..rn�a S___ -- <br /> O t0 O n.i.���o�� 5—.—.--_—_ _ <br /> �E M �Y _- ---- <br /> y ~ Prinl or Type Only <br /> � M � plan Check No: 0 38190 SEPA _ <br /> Appllcat.Date: J9/29/92 <br /> ,� � —_' <br /> Job Addreee: l003 W CPSIVo RD 40-445 rnone <br /> Owner: BOEING <br /> � N Ownci Tenanta -------- <br /> 1 proposed Uees OFFICE <br /> H Deac. ot ��ork: Pi,��� <br /> S rn N — TRIPI.E WI:�E TRAILER - :0055F <br /> (] tl N ApPlicnnt <br /> � � � OFF1l:E SET JOB SET__ — <br /> � N Describe ProOoseJ Work <br /> AFFROVED FOR PERMIT: DATE _/__/__ BY <br /> _ � <br /> Prolccl Address iil known) — � <br /> Altach lour 14)�op�es ol Plens lor propo5ed work� Draw lo scale and no�e Ihe����lowing a5 appl¢ahle. � <br /> • Propmty Lines • Cenle�line ol s��eel <br /> • Indlwle Norih <br /> • Oulline a�d d�mensio�s of all ezishng and � ShoW any proposed grad�ng Change❑ <br /> pfOposed slmClUreS o��he IOI � ShOw me�suremenls M <br /> • Eristing and proposed utildies W <br /> p0 NOT WRITE BEI.OW THIS L�NE O <br /> ! �� PERMITCONDITIONS � <br /> 1.All cells lor In6pection shall be made 24 hrs.in advence��+I.one 259•8810. <br /> � 2.All work shell be pedormed In eccordance with Ihis pe�mil b-�current Ci1y ol Everetl Dr.sign and Conslruction <br /> 1 Stenderds end Specilications � <br /> �� 3.Cell Location Underpround Service 4B hrs.belore you dig.TOLL FREE NUMBER 1•800•424•55 . <br /> �� / <br /> O <br /> ��,G'C[! Cc�JL"= /� i' . ,,. . ( /!l-'� -'. � r�c '.. . :i <br /> I '~ ' ( � <br /> � _� 1 � ,' <br /> 1 O <br /> -- a <br /> J <br /> ��� . <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> i <br /> '__ Tha w�dersi9ned oWner/BppliCBn1 hereby Bgrees lo ho�d Bnd savC hann- <br /> I _ less Ihe Gty ol Everel� ��om xoy and all clnims lor tlamapes, cosls. <br /> ��' ezpenses. or causes ol action Ihal may arise 6ecnusa ol installn�ion <br /> � and maiNe�ance o� the improvemenl or other nghPo4way use herelo <br /> � �pp�f�d �or and �u�ll+rr ag�ees to remove same upo� �otice Irom the <br /> App�ovetl�or GOnSIN[1�on Daie �py nnd to replace puUlic properly damaged Ihereby. <br /> FINAL INSPECTION Dale Oate <br /> Signalure ol AppliCan� <br /> Appmved esCo�slrucled yyOqK FUTHORIZFD BY THIS PFRMIT MUST BE STARTED N�TMIN <br /> �� f'UdLIC WORKS�EPARTMENT 180 DAVS OF DATE P[FMIT IS ISSUED AND THEREAFTER IS i0 <br /> 3900 C^dar Sl�eot � BE DILIGENTLV PUfiSUEO TO COMPL[TION THIS PERMIT MAV 8[ <br /> Everett.WA 99Yn� I CANCEL�CD BV THG CITV 11PON ANV STOPPAGE O�WORK ON THI:; <br /> � P�one'259�0910 PRC1J@CT OVfA 90 CAVS DUFAiION. <br />