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-41,0'W -VV ORK ASSOCIATED WITH TH11d FOLLOWING TYPE OF PROJECT:
q2l co-la-urnervina E CiL- ty '.�fflc Controlon
(ly)
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171 M),dii-Taxiffly [-]Sbuglc Fairrdly F --j 0 th -er
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COMCA.ST, 0VWSD):
Is this pcn-nit pait of a blanket pcii-nif? J] Yes El No
SSOCIATEDPEIQVII BLD4- "'I . ... . . 1V
DESCRI113TION OF PROPOSED WORK (Be. Specific) . ..... N
":X
1.,WASSIMEET OVERLAYED WUHIN THE LAST FIVE (5) YEARS? YKGs F.] NO D Year.
PANTENTENT CTJ'11'�
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APPLICAINT"rO READ AND SIG1`4
"'Ti, -nd public safety shall br, iri accordance with City rcguhaiioris as required bydic City
-affic. control a
j..-aigineer. Every flagger roust lie trained as rcquiluc(A by(W-AC) 296-15,'j-305 andmust hDvc, ecriflicatior)
vcrilying completion of the required training in thein possession.
-:'Restoration is to be in accordance, with. City codes and Standards, All street. -cut trench work shall bt
patched witli asphalt or City approved material prior to the end of the workday - -NO EXCEPTTO]'�i'S,.
Indetrinity: The Applicant has siqnad an application which states Tao/ hp- hoirl the City of
C-ohnonds harniless 1-rom injuries,damages or claims of any, frind or description
whatsoever, Foreseen or unforeseen, that may be maile against the Cig-V, of Edmonds or
any of its de -pi artments or defense costsand afforney f 1)y rt-,,ason
ofgranting this, permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid,
)
SIGNATURE,
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77 06tractor or Agent AT&J
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APPLICAINT"rO READ AND SIG1`4
"'Ti, -nd public safety shall br, iri accordance with City rcguhaiioris as required bydic City
-affic. control a
j..-aigineer. Every flagger roust lie trained as rcquiluc(A by(W-AC) 296-15,'j-305 andmust hDvc, ecriflicatior)
vcrilying completion of the required training in thein possession.
-:'Restoration is to be in accordance, with. City codes and Standards, All street. -cut trench work shall bt
patched witli asphalt or City approved material prior to the end of the workday - -NO EXCEPTTO]'�i'S,.
Indetrinity: The Applicant has siqnad an application which states Tao/ hp- hoirl the City of
C-ohnonds harniless 1-rom injuries,damages or claims of any, frind or description
whatsoever, Foreseen or unforeseen, that may be maile against the Cig-V, of Edmonds or
any of its de -pi artments or defense costsand afforney f 1)y rt-,,ason
ofgranting this, permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid,
)
SIGNATURE,
D
E
77 06tractor or Agent AT&J
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total 23.3 mi
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Par-IfIc Topsoils, Mc,
3000 Frontage Rd, Everett, WA 98205
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directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause
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go 0.3 rn€
go 5.5 mi
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go 348 ft
total 20.0 mi
go 0.4 mi
total 20.4 mi
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause
conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your
route.
Map data 02013 Google
Directions weren't ri ht7 Please find your route on mapogle.com and click "Report a problem" at the bottom left.
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