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7-�3-R� } 24 �. 4 ` <br /> Date v„oi.cwmar., . ��'l^�]�� <br /> Ap011calian For T r naa oeo�.—FL/��5.—�111..L- <br /> PU�LIC WORKS P�RM�I�� � ��"�' °��,o:,:..'•. : — <br /> �e.,.00,«.P.,e s <br /> PrintorTypeOnl� $ SS�"�g S SSS� e.�•"`.o°` s Lo— <br /> z5iRf3x� � �3 ��� <br /> � �—` " a i �5�� a�_� �7t1-�1/ <br /> owne� f �� � �� � �� CitY Zin Pnanr— <br /> $ � m S [cQ,.�/ o�' <br /> pppllcant Mailing Atlaress City Zip POone <br /> Descri�e PropasoE Woik ���C <br /> W <br /> Pmjecl AEOr¢ss lil known� l i l l $ — L>r G¢.. SE � <br /> Attach lour�4)ccpies ol plans lo�pioposeC work�Oraw to scale antl note I�P.IOIIOwi�g ds TppliCdblp: � <br /> •P�opnrlY L�neS •Contarline ol 5Vm1 /� <br /> •Ou1Gne and aimansons ot ell esislirp antl •�ntlicate Nonh `� <br /> pro0ase0 simctwes on�he lot •Show any proposetl g�atling c�,anges <br /> •ERislinB antl propoSeC ulilities •S�ow measuremen�s Y <br /> W <br /> 00�Oi WRITE BELOW THIS LINE O <br /> PERMIT CONDITIONS <br /> 1.All calb lor inspection snell Ge metle 24 his.in oEvance�n�a�o 259•8870. � <br /> p.All work s�all be OeNormed in accordsnca with itis permit nnC current Clty ot Everelt Dasip^antl Conslruction <br /> Stenaartls entl Specilicelions <br /> J.Cell Lacalion Untlnrqrouoi ServicB 48 Ors.Celora you diB TOLL FREE NUMBER 1•800�424•55$5. � <br /> O <br /> � <br /> N <br /> O <br /> a <br /> . <br /> ACKNOWLEOGEMENi OF CONDITIONS <br /> lI 1�=undersiynetl owneqapplicanl hereby agrees�o haltl anE savo�3rm� <br /> � ICss t�c G�tY o� Evercli Irom dOy pll� 211 CIdiTS 101 aamaBes. coats <br /> 7 y y� <br /> eRpenses, or causes of aclion Ihat may arise because o���stallalion <br /> p� I.,��K�_ �_J ,, antl mainlenence ol Ihe imOrovement or other righPal�way usr hereto <br /> � ��� aoouea mr aoa i�.me� agrees to remove same upon notice�mm�he <br /> AOp�ov¢d lyf ConSt�ucllun Dele Ciiy and to replace pu�lic pwpmty tlamag¢4lhereby. <br /> Hp R t��11011 - /, 2}, l :/ i ( _ <br /> FI l I '�9 G ��%�'�O���� ! Dete �� I' D <br /> AP�mveE Bs ConslmCleC ipnelure ol ApOhwm �ele <br /> rverett PUBLIC WOPRS DEPARTMENT WOFN PUTNORIZE� BY TMIS P[PM MUST BE STANTED WITMIN <br /> 0 ]200CeEar51ree1 I80 DAYS OF OATE PERMIT IS IS�UED �.ND THEREAFTER IS TO <br /> Everell WA98201 BE DILIGENTLV PURSUED TO COMPLETION.TIIIS PERMI7 MAY 8E <br /> Pnonc 259�8810 �ANCEILED BY THE CITV UPON ANV STOPPAGE OF W ORK ON THI6 <br /> PRUJECT OVER 90 DAYS DURATION. <br />