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PUB�ic woRKs <br />PERMIT <br />PUDIIC WORKS OFPARTMENT <br />3200 Cedar Simot <br />Evcretl. WA 98201 <br />(425) 257-BA10 � �004 <br />To POSTING DEC 2 � <br />OWNER NAMEtrr ��H $E,�,Y <br />ANO ADORESS" <br />1816 N 54TA ST <br />SFJ�TTLE oA <br />P"o"E 206363D58°. <br />TA%PARCELID.� 003929006U150p <br />otscniPnoNOF �w ROUSE <br />PHOPOS[D WORN <br />PEFiM1T CONDITIONS <br />98103 <br />IAPPLICANT NAME <br />ANDAOUPESS <br />rnoNr <br />Daio 10/16/2003 <br />Publlt Works Pormil M p�0310-021 / <br />Building Pormit • C0310-016 <br />Planning Roloronca N <br />Public WoMs Foo E 5z5.00 <br />Guaranlae S <br />1. All calls lor inspeclion shall bo made 24 hours in advanr,e - phone (425) 257•BB10 <br />2. All work shall be performed in accordance wi�h Ihis permit and currenl Cily ol Everetl Design and Conslruction <br />Slandards and Specilicalions. <br />3. Call Localion Underground Service 4B hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />9. Connect aide aerrec per City Standacd N601. <br />5. kuoft��p eunoff auet be diechary�f Lo a nwf dovna{wut infliieatlon eyate� pee r.ity <br />oI Eve[ett .citorm NanUel 3-2.F.2. fildth - 3'� Depth - 2'� LBngth - 30'. <br />6. Inatall eroeien contcol oeaaurea aa deterained by the Yublic Yo�ka inapectur, aur_h <br />aa ailt fence, atcav Dalea, svales, or eto�ion blenkets. <br />7. RemovP eeasiun oontrol seaauces upon conpletion of the pcoject prior to fiaal <br />appcoval of the pecmit. <br />B. rll excavated sateriai fec� foundation, aidewalk and dciv l�1 uled to <br />an approve.i, pecmitted eite. N�� vaatiny uf oa[eeial la allove��liYb���nq lot. <br />9. Pave diiveway fcc�m the Ixon� pcuperty line out to the SiCBHtR��ing?068.9` <br />SRCI�G 4.50 <br />PLAN C�; 498. bf) <br />✓ - *�"% ��� � �� � <br />A nveU la� Concncelion In <br />!�S !G%<« � �'2����N <br />�— __— <br />FINAL INSPEC710N <br />Aryn��veq a� ConsPur.Irr1 1):�tn <br />MECH <br />F�UME: <br />URI'/E <br />n <br />�� <br />ELEC <br />TOTAL <br />80.00 <br />105.00 <br />:s. on <br />312005 <br />30.0') <br />3�20^' <br />55.00 <br />�867.13 <br />W` <br />1'� <br />V/ <br />W <br />O <br />� <br />Z <br />0 <br />,�A <br />v+ <br />0 <br />a <br />ACKNOWLEDGEM ENT pF COdI���I�7S��67•13 <br />A OH,;716 <br />Tho undersignod ownor/applicant horoby agreas to hWd and <br />save harmless iho Ciry ol Everotl Irom any end all claims lor <br />Aamaqas, cosls, expensos, ar causas ol aclion Ihal may anse <br />becnuse of inslallation end maintenanco ol �he impiovomont or <br />othar righl�obway use hereto eppliod for end lutlhr,r agroos lo <br />removo samc upon noSco from tho Cily and to replace puGlic <br />rty darrylq�tl Were/b�/y <br />V�(��" hTl�i��vJ�i�h I � `�f �? <br />- _____ -_'_l� '�_'___'_' <br />ignaWre ol ApplkaN �dlo <br />WOPk AUiH0�71lf D BY 7H6 Pf.HMIt ldUST BE STARtf.O WITHIN 180 DAYS OF DATE P[RMIi If ISSUEO AND THEREAFTER IS TO BE �ILIGENTLY PURSUED <br />TO COMPLCTION TMI ; PI'HMII MAY PF CANCELL[D �Y TH[ CITV UPON ANY STOPPAGE OF WOqN ON THIS PROJECT OVER :.� U.:VS �URATION <br />