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Date 8-19-93 �-�' �—Z�'!{- �e.<wa,..��.m��. �J ��F <br /> ApPlicotian Fo� eaa oeo�._�5F <br /> PI�BLiC WORKS PERMIT °�°;�,:,,.:`�° : <br /> i...��ooi r.e r�.e f <br /> u.�.z.o.. S �G'� <br /> Print ar Type Only <br /> il <br /> Colony Craf[ I44I0 Bel Red Rd Bellevue WA 98007 644-2323 N <br /> Uwne� Mailing Atlaress Cny Zip P�ane <br /> Owner <br /> qpplicnn� Meilinghtldress C�ly Zip P�ono <br /> d <br /> Oescnbe Praoosce Work TOCkCry 2 <br /> r <br /> �.�, _ W <br /> ProieclACAressplMnown) 5701 let D► SE _ Lot 42 Hnnabtook 2 � <br /> Ailech lom�<I cOpies ol plans lor prOpose�work�piaw to 5[ale nntl note I�e lollowing as uppliwht¢ � <br /> •P�aperry Lines •Centeri�ne N svicet /A <br /> •Outlme nna d�imensions al eli eusl�ng and •Inaiwte Nort� V� <br /> o�oposea struclures an Ine iol •S�ow any pro0a5ed gin0ing c0an9es <br /> •L.islmB anE p�oposea wiblies •S�ow mea5wemenis M <br /> W <br /> DO NOT WFITE BELOW TMIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All C011s lor Inspect�an SM1all Ee matla 2d�rs.in ativBnG¢�phone 259•8810. � <br /> 2.All work shall pe pedormeC in accordanto with Ihl9 permil anG current City ol Everett Design nnC Construclion <br /> StanEertls enE Specdications. <br /> 3.CaIILocallanUnOarBroundServiceaBnrs.�eloroyoudig.TOLLFREENUMBERI•800•424•5555. � <br /> �I• �� �7C'�' ���lC' ��'��I' C���� ����i'"17 � <br /> Sez � <br /> S(�17 -Is+v.�e Y � <br /> . ��r 5eo�lecl�n�co! � <br /> fl'��or� d-��ONJ a <br /> ACKNOWLEUGEMEN7 OF CONDITIONS <br /> �� Tliu un0e�signed owner/appl¢an�I�ereby apiecs lo�oltl nn�Save harm� <br /> /� less ��e Gty ol Eve�eit Imm any antl all claims tor Camipes, cosls. <br /> �/ �`�I�^� 1 � �� � ^�� eapenses. or cpuses ol action Inal m,ry anse benuse ol Inslallation <br /> � �I �% Tntl main!enan[e ol Ihe improvemenl o�ot�ei nghF0l�way use he�eto <br /> L ����� qpplleA lor antl Iurlher ag�Ces lo remove>ame upan nolice Irom t�e <br /> App rved lo�COn rucPon Dale Ciiy an�10�eplaca pu�bc propeily�ac:aQeE I�ereby. <br /> ��� �-�t-ss 9�� � �� <br /> rINA:INSGECTION Oate /t�E�'C�t—l—�.—L <br /> Appmvea es Lonslmc�eC $�gnature oi ApDLwnt Oale <br /> � PUBLIC WORKSOEPRRTMENT WORK AUTHORI2E0 BY THIS PERMIT MUST BL STARTED WITHIN <br /> 320DGe0er5Vee1 1ft0 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everell WAB9201 BE DILIGENTLY oURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Pnone:254�Bfif0 �TNCELIED BY TME pTY 11PON ANY STOPGAGE OF WORK ON TNIS <br /> PROJECT OVER 9G DAVS DURATION. <br />