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PUB�ic woRKs <br />PERMIT <br />i! PUOLIC WORKS DEPARTMENT <br />3200 Cedar SVeel <br />e�•oren, wa sezo� <br />(425�257-B810 <br />?� PosriNG JUN Z 7 <br />PO PDX 130 <br />BELLEVIJE <br />PMONE: (q�5�62b-i900 <br />an�r i �;ta <br />WA yr0��9 <br />� oo9��an000seoo <br />DESCRIPTIONOFNE�] H01JSE - HAc;IC' .�1.iF; <br />PFlOPOSED WORR- <br />PW <br />PERMIT CONDITIONS <br />Da1e iil;�.?.i/?.OU.: <br />Pubf NnrksPormitl�'W�?lll'0:9 <br />Buildiny Pcrmit M �-� �� � � L- 0::'� <br />Planning Rolorenco a <br />PubGc Wo�ks Foe f <br />�: J . Un <br />APPUCANTNAM��;pp�pNT i`nRYOR, <br />ANOADDRESS <br />PO FsOX 130 <br />AF.LLEVUE WA <br />PNONE <br />PROJECT <br />(�.�5)e2a-2yno <br />TLpN <br />407 119TH FL �E <br />�,sao�; <br />1. All calls lor inspection shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be pe�larmed in accordanca wilh Ihis permit and currenl Cily of Everetl Design and Conslruction <br />Siandards and Specifications. <br />3. Call Localion Underground Servico 48 hrs. bel,ire you dig. iOLL FREE NUMBER 1-800-r?4-5555 <br />4. Conne� t::i�i�� :;�_,w�_,t t�..t �-iLy uf L•vcrc_�Lt :;tau�3ald�; bOl,nn�t & 604. W <br />5. Conne� t 4nw�;::in��it:; f�� Lhe dr��iu.�ye ;y_>rem pr��vicl,•�i Fur tlii� lot�. � <br />6. All ex�_avat.i•�l mat�,t ial ti nm f o�nidr�t iui,, ;;idewa]k auci driveway: ne�•�.L•; ��/� <br />to be hauled to an approvFd, �n�cmit.t�•�] siC��. No wa�tinq .�f mateti,�l i:. y/ <br />allow=d c�� t.hi^ 1»�i1�3inn )�,r <br />�'�J�.u� C�lOb1�2_ % oZB C};� <br />�fiuvetl lor Consimcuon 7��g <br />c / <br />(� —LS —o .L <br />��INSP TION ' <br />AppmveU as Consbucled Uate <br />O1-31-02 <br />M <br />BUILD <br />SRCFIB <br />DRIVE <br />�iLfl <br />PLIRB <br />N <br />SE11ER <br />UTILITY <br />UAiIIt <br />TOTAL <br />12:13PM <br />201023 <br />.U44.95 <br />�.50 <br />23.00 <br />80.00 <br />84.00 <br />201033 <br />70.00 <br />1613.00 <br />130.00 <br />3151.45 <br />A OM6527 <br />W <br />0 <br />� <br />Z <br />� <br />I"� <br />� <br />0 <br />CHEK 31Si:� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tho undersignod ownor/epplicanl horoby apreos to hold and <br />save hurmloss tho Ciry al Ev�ron Irom any aM ell claims lor <br />damagos, cosls, ezpenses, or causas ol nction that may arise <br />bocauso ol I�stallation and malntonanco ol lhe improvemont or <br />othor righb ^I�wny uso heretu appliad for and lurthor eprees lo <br />�omovo same upon rrouce Iran the City and lo roplace public <br />ity dnm od theraby. <br />� ������_� -__ � ��1Z <br />S�gnn r li�enl Dele <br />WORK AUTh JRIZEb BV TNIS PERMIT MUST BE STARTED WITMIN 1B0 ��VS OF DATE PERMIi IS ISSUED AND THEREAFTER IS TO BE DILICENiLY pURSUED <br />TO COMPLE , ION. iMIS PERMIT MAV BE CANCELLEO BV THE CITV UPON ANV STOPPAGE OF WONK ON THIS PROJECT OVER 90 DAYS OURATION. <br />/ <br />