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<br /> P����� ��"`�� PablicWorksPemut> � ' ��
<br /> PERMIT � a���d,�gP��,n��� � ,,
<br /> PUNI IC IVORYS DEPARTIdLNI Planning RRleronco M
<br /> 3200 Cetla�Strccl
<br /> [vmetl,WA 98201 public Works Feo S ' ' �
<br /> IM1251 257�8810 '` . •
<br /> Guarantce S
<br /> _. . ..___. _ . ___ _ .. __--__._._... __ _ — _.___ ,
<br /> ' aNNER NaldE � APPLICANT NAME �
<br /> �, nrmnona[ss P��'Ir.A �AN�EI.A 6 SOFI}; ar�onooHess OpHF,E ��,
<br /> ' 14'0 11?1'[d ST SE I
<br /> � L'VERETT WA ng�na �i
<br /> r��oNe 925337916c• v�+or+e
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<br /> inxana�[uo. ,��;y1S0i�402U0P P��OJECTAD�RESS 14Z�� il'1TH ST SE ;
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<br /> � u�scaicnoNor= FENrF, iN k-�'�iJ V7TH PILI.NS A7' 9'w�, DFtIVEIiAI'S �
<br /> rrvoros�o wonK
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<br /> PEHMIT CONDITIONS
<br /> � All calls for inspeclion shall be made 24 hours in advance.
<br /> .� :11I work shall be pe�formed in accordance wilh Ihls permit and currrnt City ot Evr.relt Desion and Consiruclinn
<br /> St,mdards and SpeciGcations. �
<br /> :� C;dl Location Underground Sorvice 48 hrs, bolore yuu dig. TOLL FREE NUMBER 1-800-024-5555
<br /> . ! �:n�-� rt:all hy s� maxia�,in of 4?" hi�:t!•:. �
<br /> . . i th�� :.�,_.. :.vFe na<.�1� t�_ us�a thi.: , ;��hi � . � � �..:a.: f :�r n��n•ci���a: ��•�.�c��. � _ . .. .� _.._ V/
<br /> .. • sh:�il br. tnmpveci et the nvner 's: ,�.::�.,:n::•,, .
<br /> '��,�tor met.��� , curh �top and zar�nr cl�•i❑ �.�aC ihar anr �n rhe v�cinit.�. ;�{. rh, �....,•-� M
<br /> . -,� Cr.�n.a�.n a.-�.,�e_},1� �_, th., ._it•� in �•3�:A :,f c�p�1[^, Ch3ltga9� etc. l��t�.� _ _ ; ' , Y.1
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<br /> ------ --�"--"-------�- ----� � ACKNOWLEDGEMENTOFCONDITIONS
<br /> �/ � 7he undersigned ownecappl�r.an�heieby agrees to hulU antl
<br /> .� � �� � savu hannless Ihe City ol EverMt Irom any and��I clmms lor
<br /> / ���14s�� � G/� tlamiges.cosls,e.penses,or causes ol aclion Ihat may a�c:e
<br /> n >,ov��a�or ronsvucoon ��� j because ol mslallauon and mainlenanca ol�ho improvement or
<br /> , . 1 other righl-ol�way uso herelo applie0lor and luNher agroes to
<br /> . ,.`.�"., �_ _`:_-.. ��-;� I remove same upon notice hom Ihe Cily and to replace pulii�.c
<br /> FMAL INSPLCTION prop�tly dAmagod Ihereby.
<br /> AppimM as Conslmilod DaIC ,
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<br /> � - '�~ ____. , SignitWio ol Appl¢nnl Dnta
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