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. <br />- PUB�ic woR�cs <br />PERMIT <br />PUDLIC WORK�� DEP��RTMENT <br />3200 Cecar SVncl <br />Evoretl, Y/A 98F01 <br />(425�2F"�BBI�, • auc i z <br />TU POSTIN�_ <br />OWNERNAME (,l�1AI1RANT ��'11IlF'UT'i�7�I�1Iv A�'PLICACTNAME <br />ANDAODPESS�. }��� E;�X 1Ju AIIDADDRE55 <br />bEL,LEVUE WA yi:UO�+ <br />PHON[ ( 4'��:��fi�0'1�.��1)11 IPIIONE <br />1AXPARC[LID.r QI)�i,',']QUllf)Q:}>ilU PPOJE( <br />D[SCRIPTIONOF fyF.W HOUSE - bAijl_' �][rl1 <br />PROPOSED WORK' <br />PERMIT CONDITIONS <br />Dole U3/06/'U(I ; <br />PublicWorksPertnila E'W�I?fi.;-Ql�;+ <br />9ulldirg Permil N <br />Planning Releronce w <br />Public Works Fee S <br />GuaraNcc S <br />:a.:a i � ±�f; r�, se <br />U..U.:' IIII':� <br />/ <br />� I!U <br />1. All calls lor inspec�ion shall be made 24 hours in aJv:�nce - pnone (425) 257-BB10 <br />2. All work shall be perlormed in accordance wilh Ihis permit and cwrent City oi EvereU Design and ConsWction <br />Slandards and Specilications. <br />3. Call Localion Undarground Service 48 hrs. before you dig. TOLL FR�3t N'1MBER 1-800-42A-5555 <br />4. �'oun..�-�t. si�l�. .:��wtr� p��t city nf Fvr�r�t.t E',t:anci:�td:, 601, Gu:: t. n04. <br />5 �'onne�_t �iuNn::poi.its t�� tha, dcc�inaq.� sy,t�;•^� p�ovi�iNd [oi thi:- L��t <br />��. All excavat.ed m.itecie�l ftor� f��ui�_3.�i ini,, :.idow,]]; c,n,9 �t iv.-W:�v� :�1�.+] <br />I„ h,�uled Yo ;jn approved, E�� imi Pt �.�i ,:it �.. i, � ws:;t. inr.t uC m.�t.•t i,i l i.- <br />,.�llow�d ou tl�i,� ]n::]dinU lut <br />03-13-02 lO:ObAM <br />N 203009 <br />BUILD 1665.75 <br />SRCHG 4.50 <br />DRIVE 2�.00 <br />MECH 80.00 <br />PLUMB 98.00 <br />A 20302i <br />SENER 70.00 <br />UTILITY 1613.00 <br />�� �o.� <br />TOTAL 3686.'15 <br />Z <br />� <br />� <br />� <br />� <br />a <br />CHEK 3686.25 <br />A OM7069 <br />ACKNOWLEDGEMENT OF CONDII'P?NS <br />Tho untleisigne0 ownodapplicnnt horeby agrnes lo hcld and <br />savo harmlass the Ciry of Evemtl6om any and all clalms lor <br />damnges, costs, aKponses. or causes ol action ihal may aiiso <br />becauso o� installation antl main�r�ance ol the improvomonl or <br />other righ4obway uso hero�o appliod br end lurthor ngroes lo <br />removo samo up��,n rwtico Irom the City untl to mplaco public <br />� ���o �' •`�� goa thereby. <br />t�-t- �1l�LZ_ <br />sro �� �„��Ke�� o��a <br />WORK AUTNOnIl[D Pv iH15 PERMIi MUST O[ STAf7TED WITHIN 180 DAVS �F UATE PENM�T IS ISSUEO �ND TNERE�FTER IS TO BE DILIGENTIV PURSUED <br />10 COMPLE110N iH15 PERMIT MAV �G CANCELLED F3Y iME CITV UPON A� V STOPPAGE Of WORN ON THIS PROJECT OVER 90 DAVS DURATION <br />