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� <br /> � � p �,,,,�,�w�,.,o.,m:,. 95 zr� <br /> Date�js P��q Oep� • _ 44 24 <br /> , APPIicNUon For _______ <br /> PUBLIC WORKS PERMIT °°'°'�W°,"`'° _ <br /> ,,,.,�.� <br /> � lnff 1p1�1 f�r Pq 9 S�� <br /> � ,�i Pnianrr�ur S � <br /> � i i � <br /> Print or Type Onry , . <br /> , , �� <br /> ,. � � <br /> Casino Aesociates 50 116Cb Ave SE i2_ 1`��.'_Bellevue 98004 454-8900 <br /> i'.n. 7�P Phone <br /> Ownei A"r��.m.�A,:d�rea��l. , ��� . . . <br /> � � I.i , � i.� ��� <br /> r f� r ` � -�. _ —L: <br /> Donna St Pier—Tozer 454-8900"(bt'"2¢8�94�3�9" _.___ <br /> ---- - -----— -- <br /> — — �L'..�b��� � Addrrss.�� �_ r�h� '�P Phona <br /> Applicnnt <br /> ',� o�e�� �_ ------ - <br /> �escrme P�onos�n work _..A�Brtment complex. _,$'� //�2�?"'- <br /> / <br /> _---- — - ---- <br /> -- -- <br /> _ _ _ - ----- - <br /> 5� e9J1.3 <br /> _ - - --- -------- W <br /> -- - - - <br /> -- -- --- <br /> 1002 W Caeino Rd _ _------- � <br /> P�o�ect Address Ut knnwnl _ - - -- �-�- -��----� <br /> �__.� �.� -. .i��.. .r�J n� ��. pi.. ��Jln�v�n< iS.lOVbrnh��� � <br /> Attech lour 141 coP�rs ot Plnns Ini P�nPo>c�l n�.��• Il�.i�• �� � <br /> • ProPerty Lines • Grr�rrhnn nl SPrr� <br /> • Ou�hne anA Aimensiuns o� all en5hn4 ��^�� • I^rL,.:;+lo Nn�lh <br /> prop�srd slniclure5 on R�c Int • �^<'w :�nV nronosrA �iraq�n�� c�nan,u•s <br /> • Er�S��ng and pfopoSBA U�1hhes • Shn.v mras�nemrnL; � <br /> DO NOT WPI7F HL�.OW fH15 UNE O I <br /> i <br /> PERMIT CONDITIONS � <br /> t.All cells lor inspection shetl be metle 24 hrs.in advence-Phone 259•88��. <br /> 2.All work ehell be perlormed in accordance wi�h Ihis permit end curreM City ol EvereU Design end ConsVuction <br /> Standards end Specifica�ions. � <br /> 3.Call Localion Underground Snrvice 4B hrs.belore you dig.TOLI FREE NUMBEN��800•4Z4•5555. <br /> �. v� e�r��,O.C�s:s �1� 3 -27-9s � <br /> // � � <br /> � <br /> � <br /> a <br /> ncKNow�Eo���.�r.Nr or coNninoNs <br /> I�v. .r,�h.�..�.1���•�.f rncnrr-f1UPbcant hi�reUy agrees to hold anA save harm� <br /> _-_ _.-- -.--.-_. . ,,,,., ;h�. i;d� �� Cvrir�t Irom any anA all claims lor Aama9es cost6 <br /> �..�,�.,�.,p�, �i� rauses o� ��:hnn that may ans^ becAuse ol inslall��ion <br /> � ,md ma�nt�nanr.e n� �hr imw��ement or nther nghl-ot•way use hNretn <br /> _ �.��I a��,��e,f lor anA �u�Uu�� aq�eas lo remcve same upon notice ��om the <br /> Ap ved I on uc ion Ca�,� C �� n•.:t in n•u6�c.�• nul�hc p�onr+rry Jama9ed thereby. <br /> f�.�ef�G�`�"' _ ��-7- o� � Y /�j)�iXe�,� r � <br /> FlNAL INSPECTION ���r � Dnte <br /> qpproved as Const�uctrA i �g�����P�I Applica . <br /> l4'ORK AUTHOR12EU BV THIS PERMIT MUST BE STARTED WITHIN <br /> � PUBLICWORKSDEPARTMENT I t90 DAVS OF DATE PERMIT IS ISSUEO AND THEREAFTER IS TO <br /> 3200 Ceder Sireet I �E DIUG[NTLY PURSUED TO COMPLETION. THIS PERMIT MAV BE <br /> EveretL WA 98201 . f,ANCELL[b BY TNE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> Phone�.259�flH10 '� PqO.IECT OVER 90 DAVS DURATION <br />