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PUBLIC WVRKS °°'° <br /> Public Works Pemtit a �'ri�J.:l)., -� � <br /> PERMITpuildingPcrmitu ���::�>>-�, <br /> PU�LIC WORKS DEPARTMEPT Planning Relerence H <br /> 3200 Cedar Sireel <br /> �' Ejazs' w�e ezo� pPk G Y ZOd3 Public lNorks Fee S B <br /> '� �'OSTING __--- �.�.s�,-N. � �,o— <br /> OW�IER N4ME ' `•. ' APPLICANT NAME � - <br /> nNDAODI',E55� ''.,i.Ai 1.:' . AtJDADORESS. �..�i:i,7� .JF,i��: <br /> � f`,'� qt1X �' 1•� c'V BQX ','.io <br /> :.,;z_�:E:� ,�,�� r.vi:r.E�r� i;?, _ , <br /> PHON[. . . ) .:5..' .�� � fMONE ( Q?(i � S��:—._:I�. J -+ <br /> TA%PARCELiD. e PROJECTA�DRESS �� - - <br /> l7�1i1! l �. .,. � ._„ 5.� .��..�; VL.;'�T�it��. :il- <br /> �GSCRIPTION �F .,j_^�.� y _�.�,_.: .: <br /> PROPOSEO WG9K <br /> i,� � . , i. �.ilVl: . : LL'L'.V . <br /> P[RMITCONDI1lONS : I:':'i(:,ir.:��7' :_; �i�ir .� •'.A" : . . . . <br />•:{ 'a:r'" : : i.i:�.�". <br />� � 1. All calis for inspection shall be made 24 hours in advance-phone (425)257-8810 <br />� 2. All work shall be performed in accordance with Ihis permit and current City ol[�erett Desi�n and Construction <br /> Siandards and Specifications. <br /> 3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> � .,. . , . � � . . ����.� . ... , .. . �, . .... - 1"� <br /> 03-?2-02 3:SSFN � <br /> N 020�009 m <br /> EUILD 2824.95 O <br /> SRCHG 10..`A <br /> FLAN CI; 199.?8 7 <br /> N 0203049 � <br /> SEWER i0.00 O <br /> UT1lI?Y 3336.00 <br /> WATEl2 530.00 <br /> u ozoaoso �-- <br /> WATck 536.OQ � <br /> II 0�0200B O <br /> QTHcF 45.00 a <br /> F'WIRVW �0.00 <br /> FWi IiJSF 20.00 <br /> i! 176304 <br /> OTHcF ?600.00 <br /> ACKNO��i�Etv1�Q�COND�TIONS <br /> 3�� �� The unAcrsigned ownedapplicant hereby agrM9I0`ROId A��`�•73 <br /> savc hannle55 thc City of E�r�6ny and all elaims lor <br /> n��i��n.-eo lor Con;�n,c��w� D.ee damages,costs,expenses,or causea ol action thal may arise <br /> � � because of installntion and maintenance ol the improvemeN or <br /> �//� olher right-of-way use hcreto applieA lor nnd hmher agrees to <br /> � /j'. i� �-- J % ���-5 remave same upon notice Irom the r,iry and lo replace public <br /> � FINAL WSPECTION pmpe y damaged th by. <br /> Appinvea as Cansimcle0 Dale I �jj / <br /> k �`- 3 LL_��_ <br /> si� ,aiu],a(DINiGani � o� <br /> bl'ORK AUTHORIZ[D BY THIS PERMIT MUST UE STARTED 1YITHIN 1B0 DAVS OF DATE PERh11T IS ISSU[D AND THER[4FTEfi IS TO�E UI�IGENTIY PURSUED <br /> TO COMPLGTION.TMIS PERMIT M1!AV�E CANCELLE�6Y THF CITY UPON AIJY STOPPAG[OF WORK ON THIS PROJECI'OVER 90 DAYS DURATION <br />