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Dete 4 24 91 ��� <br />AppliullonFor TA POSTING 1z-�s-93 <br />PUBLIC WORKS PERMIT <br />� _ l Cl <br />Prinl or Type Only '�' °: �? `: <br />';ii ... in :r <br />�u l,. M vl <br />[J neY: <br />fT e� <br />UNOCOL f0 Box 76 Seattle ,.,9�111 _ 483-752� <br />CAG a Aneoc <br />Destribe Ptoposotl Work <br />Proletl Adtlress (il known) <br />weiewa���ne�mn• 9Z���Z / <br />aaa o.o�.. 31/26899 —T <br />'""i6uii::�' s — <br />UU APoI fu PnO { <br />e.i.,c.o�. f 35`= <br />i..e����a,...��o�. � r.i n ' ' ' ' ' <br />'� �' <br />J Li c ul : W <br />11 — lOSth Ave SE �;�Bellavue�����98004 451-1212 <br />9826 — 7th Ave <br />Atlach lour (4) topie5 0� plens lof pra0�setl work � Drew to scale antl nOle I�e lollowing a5 appliCa0le: <br />• Proper�y Lines • Cenlerline ol streel <br />• • Outlina and dimensions ol ell osisting an0 • InCiceie Norih <br />proposed struclures on I�e lot • S�ow eny pioposeE gratling changes <br />• Existing antl O�aposetl utllilies • Show measuremenls <br />PERMIT CONOITIONS <br />1.All calls for Inspectlon shall Ee made 24 hrs. in edvance • phone 25&8810. <br />2. All work ahall be pedormed in accordence with this permit end wrtent Ciry ol Everetl DnsiBn entl Construction <br />StandarEs end Specili allons <br />3. Call Locetlon UnCeryround Senice 48 hrs 6ebre you di4 TOLL FPEE NUMBEH 1•800�424•5555. <br />4� ,4 5�c✓ aPP�,.�e d P la.� s c/a �cd <br />3-30— 92— <br />- 3 0- <br />pDProveGesGonahuciea • <br />PUBIIC WORKS DEPARTMeNT <br />3200 Cetler Streel <br />Evam14 WA 98Y01 <br />Pl�one: YS&BB10 <br />Z <br />� <br />� <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF LONC�ITIONS <br />T�e untler5igneE owneqapplicant �ereby agrees to holC anO save harm� <br />less t�e City ol Evare�t Imm any antl all claima br damages. casls, <br />C%DBO90A Of CBUSB9 OI 2C�i00 Ihdi 1118y 8fi68 hlWIISB OI i051B118I1011 <br />and maintenence ol Iho imOmvemen� or other r�B��'o�'+'ay use hemlo <br />epplied lor and lurt�er aBreex to remove same upon no�ir.e irom t0e <br />QiLKa{jtl to replace pu0lit pryperty�Camaged iheieby. <br />�.,� � II ' �qhTn,s�� ,,z <br />SignatureolApplic nt Date <br />WORK AUTHORI2ED BY THIS P MIT MUST BE STARTED WITMIN <br />1B0 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br />BE DILIGENTLY PURSUEO TO COMPLETION. THIS PERMIT MAV BE <br />CANCELLED BV THE CITV UPON ANY STOFPAIiE OF WORN ON THIS <br />PROJECT OVER 90 �AVS DURATION. <br />