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UTILITY PERMIT APPLICATION <br />Utility and Address King County Water District No 125 <br />P 0 Box 68147 <br />Seattle, WA 98168 <br />Applicant Frank Pearson Telephone (206) 242 -9547 <br />Application is hereby made by the above referenced utility to the municipality of the <br />City of Tukwila to perform work as noted below or as shown on attached drawing(s): <br />See Attached Drawings <br />Note open cut along 52nd Avenue South <br />This permit is valid for v;O calendar days from r�r <br />The applicant shall comply with all State and local laws or ordinances. The <br />applicant shall save the City vharmless from any and all damages which may accrue to <br />any person or property because of this installation or the maintenance thereof. <br />Work performed under this permit shall include <br />1) 24 hours prior to construction the contractor shall notify the City <br />Inspector, Pat Brodin, at 433 -1854 <br />2) Prior to construction all utilities in the vicinity shall be field <br />located NOTE For City of Tukwila utility locates call 433 -1860 <br />3) Detours within the public right of way shall be in accordance with the <br />current edition of the Manual On Uniform Traffic Control Devices. <br />4) For work within public road no open cut allowed unless specifically <br />approved. <br />City of Tukwila <br />Approved by <br />Title. I. V Z/ <br />Date Approved: —2 /2- �1 S <br />Permit Number <br />