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/. <br /> Dafe 8-26-93 v,m��w<„x,a�,m��. �3� <br /> ema oen • — <br /> Applica�ion For <br /> PUBL.IC WORKS PERMIT '°°.oe�FeP`°° S <br /> H C�� L�as Popl fee PaiO S� <br /> i�i �'� <br /> [SJ [fJ BalancB DuB S <br /> �p �y x Print or Type Onty <br /> � H [~n <br /> H � � Seadoq CoiP�ration P 0 Box 479 Everctt WA 98206 (2G6) 259-0194 _ <br /> Ky � Owner MaJing Atldress Gty Zip Phone <br /> OpCO <br /> yf�i� H <br /> Tine Oil Co 2737 W Corrnodore Wad Seaitlz, WA 98199 (206) 235-2400 <br /> S z� ApplicaM Mailing Address r.�ly Zip Phone <br /> O � � <br /> Quild treaCoieut cell to biore�aediate appruximately 1200 cubic yards <br /> � � C7 Describe Proposetl Work <br /> c�• o of contaminateJ soil Please see atta�h2d �+ork pla�i. _ <br /> zyCy -- <br /> � W <br /> g �' N ,�5 ,7 �_____ ,-t l� —�r� � <br /> � Cy y Prc�ect Address lif knowN . <br /> ��� Attach four�4)copies of plans for pioposed work� Draw to scale and note the lotlowing as applicablr,� � <br /> y y • Pr�perty Lines • Centedine of sireet ♦^ <br /> O V1 • Ou�dne and dimensions o1 all ea�siing and • Indica�e North V� <br /> proposed structures on ihe lot • Snow any pronosed gratling changes <br /> • Eaisting and propased utilities • Show measuremenls M <br /> W <br /> _ _ DO NOT WRITE BELOW TMIS LWE O <br /> PERMIT CONDITIONS <br /> . �� 1.All calls lor inspection shall be made 2d hrs.in advance-phone 259•8810. � <br /> 2.AI�work shall be pedormeG in accordance wilh this permit and current City o�Everetl Design and Gonstmdion <br /> Stantlards and Specifications. <br /> I 3.Call Localion Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1•800•�i24-5555. � <br /> �, i4g �r,✓ \Vorlc (�I�h ��d rale►+.� drRw�n�S 5��•,,��Fcd O <br /> I ��` Wi.� .�ht5 �pl I;aAticvl• <br /> I L�� � <br /> `� O <br /> � .� a <br /> ���. ACKN0INLE�GEMENT OF CONDITIONS <br /> Thr undeis�yned owneVapphcant hereUy agrees to hold ard save harm� <br /> - -- —'------ less ihe Gdy ol [verett Irom any and all claims tor damages, cosis. <br /> / /� �,r� � eapenses. or causes oi action Ihat m&y arise because of installa�ion <br /> __—I� nnC.�/�„ . /y�„' l� p� and maintenance of the imProvement or other nghFof�waY use hereto <br /> � � 11 ���'C-- r���`7 � appiietl tor and �urther agrees to remove same upon notice imm Ihe <br /> ApProved lor Consiruction Date Cit anA o replace Uublic woperiy damaged ihereUy. <br /> ,- �_.-e �_� • �C� ` � _ ` � � <br /> FINAL INSPECTION alure ol A I�cant Date <br /> ApUroved as Conshucted e ���" CQ• <br /> /�r� WORK AUTHOR Y THIS PEHMIT UST BE STARTED WI7HIN <br /> PUBLICWORKSUEPARTMENT i80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> 3200 Cedar Sireel 9E DILIG�NTLY PURSUED TO COMPLETION.THIS PERMIT MAY BE <br /> Everen.WA 9d201 CANCELLED BY TNE CITY UPON ANY STOPPAGF OF WORK OIJ THIS <br /> Phone:259�8810 PROJGCT OVER 90 DAYS DURATION. <br />