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� <br />�IbW� <br />� � <br />OWNEfi NAMC <br />ANU/1DDRESS. <br />PMONE. <br />TA% PARCEL I D I <br />DESCRIPTION OF <br />rRoros�o wonK <br />PUBLIC WORKS <br />PERMIT <br />u:��� <br />Puhhc Works Pe�ma e <br />�wlding Permrt n <br />PUfaLIG WORHS DEPARTM[tl I Plannmg Rehvrnre x <br />3)�� CCd91 $IfP.PI <br />Evemlt. WA 98201 PuW�c Worur, f ��n 5 <br />(425) 257�8810 <br />Gueranl�c 5 <br />-. . - . ____.___--_ <br />� -� � I APPLICAIJi NAIAE <br />;i <br />ANDAO�RESS <br />. � ti :!' <br />PHONE <br />PRQIEC7ADORE55. <br />___ — —_—' �'—__�a�� _ <br />. � ":a.L?. P. iR7I? �: L!�S'!E'F: �..- .. . : !� . <br />.�.,-.,,. r...,i a�.,i...,, <br />PERMIT CONDITIONS <br />t. All calls br mspection shall be made 24 hours in eidv,inre <br />2 All work shall be perlormed in nccordance with ihis pennn ;md cun�nt Ciry nf Cvme�u Dosign and Cnnstruct�on <br />Stand�rds and Specihcations. <br />3. Call Location Underground Servico 4B his. bolore you d�g. TOLL FREE NUMBER 1-800-424-5555 <br />,� i <br />L,�!/�oti-Bs_ �' i,9 C?� <br />prpved loi Conslrpclinn Ua ' <br />���� / � <br />r'f�. �•-rF ' ' '� 4_.-T! a - — ----� ---' <br />INSPEC�1ON <br />Apprnvotl ns CanslmcteA Deie i <br />`7 -/�t •-t�e: <br />;�', „� C�I� I', �. <br />,: `6 2 9 2006 D <br />1 �� <br />�'�p�:�n;i�`n1c�:'�. <br />/ <br />ACKNOWLEDGEMENT OF CON�ITIONS <br />1"he undersignetl annernpphcnnt hereby ag�ees lo holA nnd <br />save hnrmless Ihe City of Everen Irom any and nll daims lor <br />damages, cosls, azpenses. or causes ol ection Ihat may nnse <br />hCC0U5C Of �h5�21 Ai100 Apd RIi11f1�B080CE O� IhQ ITPfOVPf11CN O� <br />athor righl�ol-w y use hereto epphutl loi and lurther ngrees lo <br />�emore n notice'mm the Ciry and lo raplace pubi�c <br />��'T�/ V �� � <br />ori� <br />i,r <br />.�� ����� ��+�tl l� 9V TIIIS �B�MII MUST 6E STARTEO Wlllur� uiii pnv5 tl� I�nll Pt I�G�II IS ISSI iED 4NCl1HEAF.AfTER I510 BF PILIGEMTLV PURSUED <br />�lu� �. . iI ����r� iH1SPERMITMIVOECANCEII.EDBYTHECIIYUPOrynNS tiII1V1'AGEO� WOHkON7HISPROJE(.7OVEHM)DAYS�URATION. <br />� ;.i <br />O�1�H�P Mt. <br />r <br />'�A <br />V/ <br />W <br />0 <br />� <br />Z <br />O <br />H <br />� <br />a <br />