14350 SW 97TH AVENUE FILE NO. 495-92
97th AVENUE - 14:350 STP. OPN PERMIT
.DEFINE:entrct=case->eng definition incorrect
ENGINEERING PERMIT
PERMIT #. . . . . . . : ENG92-0035 DATE ISSUED: 06/01/92 By:
PRIM. PERMIT #. : ENG92-•0035 _
SITE ADDRESS. . . : 14350 SW 97TH AV
SUBDIVISION. . . . : TIGARDVILLE HEIGHTS PARCEL; 2S? 118A-01300
BLOCK. . . . . . . . . . . LOT. . . . :33ZONING: R--, .S
------ ---------
PERMIT TYPE. . : SOP
------------------ ----------------------------
_____
/ / IMPROVEMENTS : QUANT RATE VALUE
AGREEMENT DATE:
EROS
TREE
ASSURANCE EXPIRATION-- S
PERFORMANCE: / / STREET
SAN SEW
MAINTENANCE: / /
STM SEW
UTILITIES
ALL OTHER
TOTAL $
Remarks: STREET OPENING, TO INSTALL TWO UNDERGROUND CONDUITS, FOR POWER, TO
SERVE A FUTURE SUBDIVISION (JUBILEE PLACE) .
Permittee:
SIERRA PACIFIC CONSTR. CORP. - ---- --- FEES --------------
25540 S.W. GRAHAMS FERRY RD type amount by date recpt
OPEN $ 20.00 JSH 06/01/92 227909
SHERWOOD OR 97140
Phone #: (503) 682-1735
Engineer:
Y
20.00 '7 JTAL
Phone #:
---- REQUIRED INSPECTIONS -------
Permittee/Agent Signature:
---STORM SEWER-- -----STREET-----
--- _ M.H. & C.)3. CRB LINE & GRADE
PIPE LN & GRD SUBGRADE
BCKFLL & CMPCT BASF ROCK
City of Tigard, Oregon AIR & TV TEST LEVEL COURSE
131.25 S.W. Hall Blvd. WEARING COUtSE
P.0 Box 23397 -'-SAN. SEWER--- TRAFF & PED CONT
Tic,,rd, Oregon 97223 M.H . & C.O. MONUMENTATION
Phone #: 639-4171 PIPE LN & GRD STP.EETLIGHT.ING
BCKFLL & CMPCT WALK/APRON/RAMP
FOR INSPECTION, CON'T'ACT: AIR & TV TEST
i.ce)
---GRADING Vieweg #639-4171 (off ----
--REPR'SlADJ,S-- CONTOURS
#780-264 i
(mobile) DRAINAGE
----PATHWAYS--.-- EROSION CNTL.
APP LICA T ION - STREET IMPRO'4 'MENT/EXCAVATION COPY TO:
ORDINAk.'E NO. 74-14 IN (WHITE)-FILE
® (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) ® (PINK)-OTHER AGENCYbldg.
® (BLUE)-APPLICANT
APPROVED 3 APPLICP:ION NO.: S "f
NO'r APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.. S __ 20.00
PENDING FEE. PMT. 0 CITY HALL RECE'P t4'O.: 9Z - ZZ 79PrJ -.
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY_.-. WWI-_ DATE__'& I / 9Z.
PENDING AGENCY ''OK'' ❑ Application and Progress Record _
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RE•.uiREu
ANP:UAL
PENDING VARIANCE ❑ EXPIRATI N DATE:
PERMIT NO.: Z DATE ISSUED: _�'_�_.�---1_!)Z_ P'r:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND ;NSTALL -U.G._Po er_Condu
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH C6TY45EQUIREMENTS.
APPLICANT Sierra Pacific Construction Corp. 25540 SW Grahams Fera Rd. Sherwoo_d,Or 6132-1735
NAME ADDRESS CITY PHCNC�
CONTRACTOR (Same)
ADDRESS �CITY
PHC)NE
PLANS BY Waker Assoc. Inc.- 11080 S.W. Allen Blvd. # 100 Beaverton, OR 97005 # 643-94_1.0
NAME — ----- - - ---- /I DCJRESg-- -- ------_—,�-
CITY rHnNE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 500.00
--— ------ DOLLAreS
(2) EXCAVATION DATA: 0.04 a 1 ICEW.00 _ s 20.00 MIN.
STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS_
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH _WIDTH DEPTH ITEM A QUANTITY
STREET
PEN D
97th Ave - se attached - INSPEC-
_ R TION
E - -
Q
U
ESTIMATED STREET OPENING DATE:-_--_-_-_-__.� �_ E
ESTIMATED STREET CLOSING DATET
- -L -- 1--- — -- - E
D
(3) SECURITY NO. SECURITY AMT.: : 500.00STREET _ 1
CLOSED
SURETY CO.: _ FINAL
CEIPTI FIFD CHECk .� EpNp INBPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS j CONDITIONS.
FEATURES; EXCAVATION LOCATION AND EXTENT. • 1. Notify C-.ty Inspector Carl Vieweg
V En Y (#639-41'11) 24 hrs. before otart-
1 10. z i 1 ing work.
2. ORS 757.541-.571 (Util.itq' Co(s)
I
CURB - -� `, -_ _ _ _ _ _ _ _ _ _ (�, _ _ _ _ prenotification, etc) applies.
X 3. Traffic control must be provided
Y for by the contractor; the roadway
shal l noc be closed to through
�*•`--- ----�— -� — --- V traffic at any time.
I 4. A hard surface patch is required at
14350 S.W.
(7worksW. 97th Ave. the end of each days work.
I I
5. Existing pavement markings disturbed
(5) NOTE THE CITY OI' TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHEREby
RIGHT-OF-WAY JURISDICTION 15 THAT OF WASHINGTON COUNTY ISR THE STATE OF OREGON. the
THE APPLICANT AGREES TO DEPOSIT THE RFOUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAW, AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CON7UCT OF THE WORK, AND TO SAVE HAP%ILESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHI.:H MAY RESULT FROM APPLICANTS ACTIONS. Arm„
work shall be replaced by
l ap``plica;►t/contractor.
APPLICANTS SIGNATURE GATE �
If
O�O�r�i.I� �e r�y�•f A.
Aly
IJnC�P_r���ovr,� OctiPil. ,<
S.W. 97th AV .
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TRAFFIC CONTROL
GENERAL REQUIREMENTS
1. Traffic control shall be provided for, as illustrated, at all
time during work prosecution. No work shall be permitted
during the hours of darkness, nor between darkness to 9:00
a.m. , nor between 4:00 p.m. to darkness.
2.. Traffic _ontrol devices, flagpersons (etc. ) shall be in place
prior to initiation of construction work and shall, at all
times, be effectively maintained.
3 . The roadway shall pqt be closed to through traffic. The
contractor shall notify emergency services (fire, police,
etc. ) , School District and Tri--Met 72 hours (min. ) prior to
initiation of construction work. Advance warning of imminent
traffic disruption shall be provided to the general motoring
public by placement of an advance notification sign at each
end of the construction area 72 tours (min. ) before initiation
of construction work.
4 . The City Inspector shall be notified 24 hours prior to
in-I.tiation of work (if 639-4171) .
5. The wo.:k area shall. be maintained in a clean condition: free
from obstructions and hazards. Effective erosion control
measures shall be provided for.
6. A temporary hard-surfaca patch shall be placed on all trenches
within the roadway at the end of each days work.
7. Minimum travel-lane width stall. be twelve (121 ) feet;
pedestrian travel shall also be provided for.
8. The City reserves the right to restrict construction
activities during Holidays and periods of high traffic levels.
The City reserves the right to add to or modify these
requirements as may be necessary to endeavor to more
effectively control traffic and to assure public safety; such
action shall not relieve the contractor of responsibility.
dj/n-tryr_JM
�,,. �.,r.�s sae�ws`^--++els.-.... 1 — _ �A'_-+� b 1 ri- •,
AWL
ROAD CONSMICI e p
GENERAL NOTES
,ar
o+w ! 1, TRAFFIC SIGNS TO BE 48" X 48"
_ BLACK ON ORANGE
A� v
�` 1. NO ROAD CLOSURES DURING THE
K i FOLLOWING TIME PERIODS: -20_—E
Arty HE.D
rLAtXXR NCmUt MAU
r7D-7A
"� p iZF_ L MEMWTS
MIX 3. THE CITYS STANDARD SPECIFICATION
FOR TRAM- C CONTROL IS "MANUAL
_ � I ON UNIFORM TRAFFIC CONTROL
DEVICES FOR STREETS AND HIGHWAYS",
U.S. DEPT. OF TRANSPORTATION,
UK ■ F.H.A., 1988 EDITION.
I ■
---■— M 1. ACTUAL SIGN PLACEMENT TO BE
ADJUSTED IN FIELD. DO NOT REDUCE
BELOW MINIMUMS WITHOLIT_CIP.'
APPROVAL.
I A 430.
■ 5. THE CITY RESERVES THE RIGhT TO ADD TO
I[uccE0 OR MODIFY TRAFFIC CONTROL REQUIREMENTS
AS MAY BE NECESSARY TO EFFECTIVELY
CONTROL TRAFFIC AND TO ASSURE PUBLIC
NUM. SAFETY.
(J -
W70_'1 z A1aw
WXI-)A I
10d LEGEND
NN.
�J OW LME TRAFFIC SIGN
p 1130.0 A#"
I 11W_4 0 CONSTRUCTION ZONE
My
N~ o TRAFFIC CONES OR
II APPROPRIATE DELINEATION
p 1 1e �allurnue11o11 DEVICE.
TRAFFIC CONTROL_
TYPICAL DETAIL
DESIGN BY APPROVED BY DRAV44 BY
CAB
CITY OF TIGARD
SCALE DATE 0;7AMANG 300.
OREGON M.T.S. 4-6-92
I
,F
MIN. #' A G IN 2 LIFTS
S,nw cur—
STREET AREAS 1 OUT OF STREET AREAS
� I —
Ex/STING L
SECTION
RESURFACING
CLAS--SA
• OACKFI LL
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CLASS B
3/4=0 GRANULAR V
BACKFILL 0• o.
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BACKFILL IN STREE1 AREAS
L IF S/W 13 AGAINST CURB, FILL ROC,% TO
BACK OF S/W
2.IF S/W IS NOT AGAINST CURB, FILL ROCK
2'BACK FROM CURA
PIPE BEDDING AfV D
C�TY��� T��ARD BACKFILL _DETAILS
Or!,c�.^u nr IGN L APt Rc7vEp 13Y T DRAWN e,v
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L•.'`CL !�Y1
I'I�JDI'lUI2fi
1:LXXJ��i` �.,
'alis form i-, a noilti-u.-,e form. Appropriate receipt rust be attadied. Documentation
important for all r-urposes. Staple docs uant:.ati.on to form.
VENTOR NO. : — -- alm
RL)�UL'S'i`LD BY:
r Approved request due Wedwsday
10:00 AM too A/P for check-, by
I,-r.i&ay.
MISC J—AN)DUS I�LNDI'ILTI2Li: --___ -- --
Late Description, Invoice tdo., etc. Account. No. Amount
�� y_��• •o ff___ ra uce — lO .- 2ZOOQ
— z- 7 021 -------
-- — TOrAt, ---- — $ Soo.'!'
tlilez,4e $0.255
APPi-OMP 'ION BAI.ANCr: AS 01": _ SIGNATURE:
(Up to $25.00) Section Manager Pwrch. Agent
($25.01-2,500.00) Division Manager ____—
($2,500.01-7,500.00) Dept. Head
($7,500.01-15,000.00) City Administrator
($15,000.01-• ?) Local Contract Review Board --
�1501F
.-_._�-.•vr-.--�r•.._.-��„-"�'-r.^^"7'Ci°"'7Tzr^_�-^..�.mr•a..•-.,r..-..�---•......w,-r-T^v-.r �+C-n-+ -,-�n�..r"'RT^"�+^'+n'ur"".'T'.
i,°PLICATION -- STREET IMPROV--'TIENT/EXCAVATION COPY TO:
L11 (WHITE)-FILE
ORDINAI._E NO. 74-14 ® (YELLOW)-INSP.
(INSTRUCT,ONS ON SEPARATE SHEET) M (PINK)-OT AGENCYbldg.
[� (BLUE)-APPLICANT
APPROVED [m APPLICATION NO.: _—�--_—
NOT APPROVED Ll CITYOF 1GARD, OREGON FEE AMT.: S 20.0Q
PENDING FEE. PMT, ❑ CITY HALL RECEIP rNO _ 7271107
PENDING SEr-URITY ❑ PUBLIC WORKS DEPARTMENT BY - DATE�'_
PENDING AGENCY "OK' ❑ Applicaiion an.: ProRTess Record F.AINTENANCE BOND zk
PENDING INrOR6 OTION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL Lj
PENDING VARIANCE ❑ EXPIRATI N DATE:
PERMIT NO NO "47:5 _'�Z DATE ISSUED: ����_.1-_��_ BY:
(1) APPLICATION IS'HEREBY MADE TO EXCAVATE FOR AND INSTALL U.S. Conduit
AS DESCRIBF'D HEREIN, IN FULL ACCORDANCE WITH C4ff,8EOUIREMENTS.
APPLICANT _ Sierra Pacific Construction Corp. 25540-SW ;lirahano Ferry Rd. Sherwood,_Or 682-1.735
NAME ADDRESS CITY PHONE
CONTRACTOR (Same) _ —
NAME ADDRESS CITY •10NE�__
PLANS BY. Waker ASSOC. Inc. 11080 S.W. Allen Blvd. # 100 Beaverton, OR 97005 f• IA3-9410
NAME ADDRESS CITY •NONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E _ 500•00
DOLLARS
FOR OFFICE.04
(21 EXCAVATION DATA. 0.04 x s •«� —= s �•� MIN.
STREET DESCRIPTION _ PROGRESS & INSPECTION
-STATUS
—
NAME , SURFACE CUT CUT CUT MATERIAL INSTALLED 4TEM DATE REMARKS/TYPE I BY
_ TYPE LENGTH WIDTH DEPTH ITEM & QUAN'ITY
STRIZE'T
OPEN U _
9/t h AVp - SeE attci(-:�1 (1NSPEC-
R TION
O
U _
E:
ESTIMATED STREET OPENING DATE. / S _
ESTIMATED STREET CLOSING DATE: E
D
SGO•� STREET
(3) SECURITY NO. - _ SECURITY AMT: $ V CLOSED,
SURETY CO_ FINAL
CERTIFIVO CHECK a rOND c INSFF.0
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL SPFCIAL PROVISIONS/CONDITIONS.
FEATURES; EXCAVATION LOCATION AND LXTENT. 1. Notify City Inspector Carl Vieweg
ro v, r - hrs. before etar"c-
--� ■ I I `enc,
work.
1 1 , 2. ORS 757.541-.571 (utility C)(s)
prenotification, etc) applies.
.X� 3. Traffl.c control must be provided
97th AYECd[JE _A for by the contractor; the v(.aadway
sha l lnnot be closed to through
traffic at any time.
I 1 work site: 1 I 4. A hard surface patch is required at
' I 14350 S.W. 97th Ave. I I the end of each days work.
5. Existing pavement markings diaturbei
NOTE THE CITY OF tIGARD GOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO-CONDUCT WORK WHERE CM
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON
THE APPLICANT AGREES TO DEPOSIT THE RrnuoRED SECURITIES, TO COMPLY WITH ALI. PERTINENT LAWS AN&
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WOPK. AND TO SAVE HARMLE'S'S -r'HE CITY AND
EMPLOYEES AGAINST ANY IN JURY OF DAMAGE WHICH MAY RESULT FROM AFPLICANTS ACTIONS.
work shall be replaced by
applicant/contractor,
AOPLICANTS SIGNATURE - �jr'_!,. �1F-'�4 DATE 1�a-
�t►r vn err'rovr oul. �Dr
P t t'
I
S. V . 97th AV .
FXI;T. 6" H.P. WATER
T, 4-,;,�r cr
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TRAFFIC CONTROL
GENERAL REQUIREMENTS
1. Traffic control shall be provided for, as illustrated, at all
time during work prosecution. Nfo work shall be permitted
during the hours of darkness, noir between darkness to 9:00
a.m. , nor between 4:00 p.m. to darkness.
2. Traffic control devices, flagpersons (etc. ) shall be in mace
prior to initiation of consti.-uction work and shall, at all
times, be effectively maintained.
3. The roadway shallot be closed to through traffic. The
contractor shai.l notify emergency services (fire, police,
etc. ) , School District and Tri-Met 72 hours (min. ) prior to
initiation of construction work. Advance warning of imminent
traffic disruption shall be provided to the general motoring
p•iblic by placement of an advance notification sign at each
end of the construction area 72 hours (min. ) before initiation
of construction work.
4. The City Inspector shall be notified 24 hours prior to
initiation of work (f 639-4171) .
5. The work area shall be maintained in a clean condition, free
from obstructions and hazards. Effective erosion control
measures shall be provided for.
6. A temporary hard-surface patch shall be placed on all trenches
within the roadway at the end of each days work..
7. Minimum travel-lane width shall be twelve (1211 feet;
pedestrian travel. shall also be provided for.
8. The City reserves the rightto restrict construction
activities during Holidays and periods of high traffic levels.
The City reserves the right t-- add to or modify these
requirements ar may be necessary to endeavor to more
effectively control traffic and to assure public safety; such
action shall, not relieve the contractor of responsibility.
dj/n-tcgr.0
Rcaurnucl"
IGENERAL NOTES
WK
1. TRAFIFIC SIGNS r0 BE 48" Y, 48"
;°o,,' 4 I BLACK ON ORANGE.
+off i 2. NO ROAO CLOSURES DURING THE
UK I FOLLOWlwG TIME PERIODS:
AW40 G I ti AT1 iv-H EIS
GEu EZAL.
I IF-muIQEmwTS
I 3. THE CITY'S STANDARD SPECIFICATION
FOR TRAFFIC CONTROL IS "MANUAL
® ON UNIFORM TRAFFIC CONTROL
I DEVICES FOR STREETS AND HIGHWAYF",
U.S. DEPT. Of TRANSPORTATION,
F.H.A., 1988 EDITION.
to
or wt 4. ACTUAL SIGN PLACEMENT TO BE
ADJUSTED IN FIELD. DO NOT REDUCE
BELOW MINIMUMS WITHOUT CITY
Ion APPROVAL.
o
10(f■ MN
■ 5. THE CITY RESERVES THE RIGHT TO ADD TO
II FucM R, OR MODIFY TRAFFIC CONTROL REQUIREMENTS
AS MAY BE NECESSARY TO EFFECTIVELY
I CONTROL IRAFFIC AND TO ASSURE PUBLIC
mill. SAFETY.
I Q - nwaxx MICAU
M_'O-7A
t: LEGEND
n ac IME 0 TRAFFIC SIGN
IMW Al.M
tlRfF-
t CONS i-RUCTION ZONE
I I o TRAFFIC CONES OR
APPROPRIATE DELINEATION
DEVICE.
TRAFFIC CONTROL
J ---.- TYPICAL DETAIL
DESIGN BY
APPROVED BY
CITY OF T'IGARD DRAWN
BY
_ CAB
OREGON Sc 0 TE pRl1WINC N0.
__. N.T.S. 4-6—92
MIN. +* A G IN 2 LIFT5 ----
I ,
STA'-ET AREAS I 001 OF STREET AREAS
6AW CLJT' - '
EXI STING
SECTION RESURFACING
• e•_ w • '
CLASS A
' v �
BACKFILL
•� / I
- p
CLASS B -
3/4=0 GRANULARU
BACKFILL 0- -• /' 9
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aJ o • .
PIPE OAST
BACKFILI. IN SMEFL AREA1
L Of SAW 03 AGAINSTCURB, FILL ROC,% TO
BACK OF S/W
2.If S/W IS NOT AGAINST CURB, FILL ROCK
2'8ACK FROM CURB
OWE BEDDING AND
CITYOFTIIFARD BACKFILL DETAILS
OREGON OF51614 eyY APPROVED HY DRAWN 5Y
I
GA p_f3
L Dry E VA rE C 1 11Nr No.
�__ NTS 650 m 1 5-2-
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CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT NO. :92-227909
CHECK. AMOUNT : �tc0, 00
1AME : JEAN D. TAYLOR CASH AMOUNT 0. 00 j
IUDRESS : 2.5290 S. W. GRAHAMS FERRY RD. PAYMENT DATE 06/01/92 I
SHERWOOD, OR, SUBDIVISION j
97140-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID i
:UBLIC IMPROV _ 20. 00 CUSTOMER DEPO 500. 00 I
I
I
y
O'AI. AMOUNT PAID - > 520. 00
JEAN D. TAYLOR 113
25290 SW. GRAHAMS FERRY RD. ^ /
SHERWOOD, OR 97140 igY-2— 24-2OIMM
PAY TO THE
ORUi
DER OF �! v I �
fJJi
c"o DOLLARS
Ker Bank of Ongan
�..
Tualatin.Ifllre
, 15650'w PlmnM E e"y Road.P.O.Bo,80,
BANK Tualatin,OH 97762
MI M(i_
': L 2 300 20 L Li: 74 a 3B SO 2o- 0 4 1 3
RECEIVED
0
MAY 2 71992
Av �
CITY OF TIGARD
COMMUNITY DEVELOPMENT
5TRIETT OPENING PERMIT r.
APPLICATION
DATE 5-2.77-92
• APPLICANTS NAME Keith L. Taylor
ADDRESS 25540 SW Graha..r g".y Road--
ZIP
oad -
ZIP 1A.0
PHONE
• CONTRACTOR'S NAME Sierra Pacific Construction Corp.
ADDRESS 2554,_SW_ O,raham -Qr_r_y Road
ZIP a-7 1 a�
---
PHONE 6$_ �1735 -- _..
• PLANS BY Wakes.-As-vac-LB- -ems- .__
AUI)fiESS 11080 SW Allen Blvd_ #100
r�pa�prc an, nR A_ . ZIP_--.9.ZG111-5.._
I
• DESCRIPTION OF WORK pnOPOSI`D 10 UL DONE- _Installat-iion of 1__ CuDduit
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• ESTIMATFD VALUE OF W011K (wlihin public, right-of-way) : g__ $5U.U,-)11.-__.. _
• WORK LOCATION/SITE ADDRLS3: 1435_ 97t.h , I'i, d,-0R 9723.2
• IS T1418 WORK RELATFn TO A I ANO-USF ACAION? II" SO SPECIFY (MLP, SUR, I=TC.) NO.
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