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NOV 0- 201'tlG.H,rFOFNVAY C"ONSTRUCTION P 1' , ae i3aae:
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ENGINEERINGDIVISION
%ieSS ..61()1 98:}Y AVE W
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s13`a1 dC"s`9`1° 99S#10 Itt nc 425-263-5101
6€ 0-6Ei7 w7D2 ?.ro.abil;it, lmumn;c: Band S
D 13miu.i€tr, len)it tiPa{a}aiic ble} SideSE°wei Pcvn3tx€i<
r cet€'jttr,�ciaIE! city t.tFC 01117. 1'iSfZ; C3,*', IS?, c%AKAST 0111"Sftb
Itiiti-i ;zr ily (._ Singh;' b atraly [—I other
CUT s' g I
F P,%altw hd �'.N'� C.�l�T� _.v N ES P""', 6'Y .� YA.. SIZE OF Ci10.mo+
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CONCRETE Ct.;r: 'tS vCa
G. (_ui Mail Appaoved Perim 1 _� Call for Pickup
L 1t1s"ebl 1'I`3"t .dr:! >'lw: aF aarzaln` s.°ranri> tw rtlr: i7;°r .rig4o. are to this applicatlfur hes7as', holds .the itj',f.dn# nds ha anus from
mjunrs afaara z,, : or i,, -I rms of y kind or rf?>.arripftara whoesoe= vr, fiop, cxn o, urilon c:°en, Mat asqY be mode saga hm, the Cate of
Edmonds or an __ dep..rs n r a or mpiv _; inehvl'"ttr;l but twat !hutted to the dcfeiiw raf vq including rte{ assts
costs 6ar:4i ddttE.% ,z't Qf"l.'es bi Y'k'6 sow of g°s`m6n.y permit
THE CONTR%C"XOR i.S RESrYI°a.StBLE Frig :6,Yn :jj,4TERF/feS FOR is FE."RCtae> OF ONE YEAR FOLI.Gul.4'fi Tug rl.,VrL
!Fv'SPECT7e),4 4 Vi; "CE OF THE WORK, Ee5711M P".RXa RCSTGPA77O,'V FEES PILL RE HELD 1,VUL THE MAL STREET PATCH IS
Cd1.tmc7".Ezr at cm,FORCES, AT #4'MICIf TIME't DERt r date CREDIT, wJLL T£i rdti"
"I'raitie scantrol and public safety° siiatt Pie In acc tdance with City reguit boats as required by the City aagineer, Every
tla .,er must be truincd as required by' (1' ACj 296-dSa-305 ;and rsaaast halve ccrti€iaafiaaa vu,ifyltrk catttpbetiaiea of th
required training fit their pussesslom
o Resaoration is to bre ha arstartdance with City stades. All so'eat-cut trench work shall he patched with asphalt ur City_
sappr(ave'tl material prior to the eras& of tbae ss'orkabay* NO FXCE TIONS.
e> ibtree sets cai crznstr€Fcfa abraaaiFtis eai paru}ausecE scord: ora regaafri3d at<i€la ileac perrtriT apptic:atican.
CALL I AL -A- dt (t -£t00-424-55,,55) I'MOR TO BEGINNING Nv{yiRK
iflbi`I;CCI i1 7'1I' #tY61:SIfI'I:`1f1aV7 VTilerd?111#SI'riNDITMr$£KN£'3FI'C,EIT;;FE
1`11,iI°IIfL:ST'.1 d%T11f:l'lt'te 0113 .l" IF' PET;9117'tZ11, IR£it41.1TL"AT.-9.I Tl" IXSI$'0RINSP C77tBa"e`S
(Contrador or Agent)
FOR CITY USEiia of
Approved by. � _ Right-of-way Fee.
Time Authorized, Void After � i 1 Disruption Feef °und III:
Special Conditi£aa7SA � � Inspection Fee:.._.,
Total Fee.
Receipt No -
Issued y: __
REQUIIIED INSPECTIONS:
Call 425-,"-1-0220, f xt, 1326 JOr a 24-ttaanr voice-recraF•ded inspecriem rttgerc:zt fine
FINAL APPROVAL O PERI 1 f"k ED �VOR :� _ A I F9__",-
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