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� <br />TYPE OR PRINT ONLY <br />APP��o���OSTING Auc o 9 �ssi <br />PUBLIC„WORP(S PERMIT ���e-- Iz-11-96 __ / <br />PUBf;IC V:C?KS DEPARTMENT Public Works Permit p_�� f��� <br />i�9200 Cedar 5;:=et --- <br />Evere�A WA 98201 259-8810 <br />, � L ouilding ^ermit q 53%21 <br />�. �� '] c' r..� �-� ", : p r�+l - <br />Y_ r)l f_� f? bi _ rP f'� fl n_ �J� <br />irl r.� ri r_� . r ci .:i� �.i �i .�: .,i �'ubl'c Works Fee 5.�/C/ <br />���i O vl �� ` m �: r'' r� r^ r:'. __—__ <br />' �� t �!: fJ i i <br />Ci M � � f 1 <br />ist Inc 1810 Cblbv Ave Ever�tt,5420I'"352-2500 <br />Mailing <br />BLOWTI <br />s o: Glty-� -> Zio <br />r , � r ? o- i,� '' <br />�i�.iou�ii <br />" b 1-- r" 3 t.i I.I <br />� c'C h <br />n ,9'. _,3 SC in n :'. <br />Phone <br />Desc:ibe Proposed Work <br />PROJECTADDRESS (if known) 8010—B Beverly Blvd Lot 5 SP 1125r95 <br />Attach tour (4) copies of plans for pmpos-d work - Draw to sca!e anC nrte ihe following if applicable: <br />•PinpeAy Lines 'Outline and dimensions of ail existing and prc,posed structures on the lot •Existing and p�oposed utilities <br />•Centedine of street •Indicate North •Sho�v any proposed grading changes •Show measurements <br />- �- -...--..'- <br />PERMIT CONDITIONS: <br />1. All calls for inspection shall be made 24 hours in adv�nce - phone 259-8810. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />1 fnr:tall �n intiltr.rtion trench built aiv per fha citv,s :.R�•vicirntitil GoofDnttnspc;itl Sy,tem" denttiii .ui <br />sized sl:+ pe�'tlle C�ry s'I�tll�le lll-3.2 �Rooi'Downtipout Systeiti Siziqq' ats�pled to diia penuiL 'I'li� <br />hifilti utiou tr�uch �h:dl br no clu:rr thai� � leat lu :wy up aloN; propaity liu�• o� foim�aliou nor cloa <br />1h;w 1 n lect to :m}• do�vuslope propeiiJ� line or toimd�fion - ti�ial locatiou shall be ti: Id approced l�, <br />Puhlic lVorks (np:�clnr Cnll Public 1Vorkv fi�r an insp�:ction pri��r lo cnvrrin¢ trenchrs <br />� f'ro��idc lour ott'sh'aet (ol3�rasru�eut) psukiq4 stalls. <br />u. Lixr.n�ulrJ ni:ilerinl From tLis silc ehull b�� haulad :11V81` 10 :lll :1�)�ll"OV� (I frCi•IVlll.q allct Of 1V11I11I1c <br />Public 1','orl:s �ispectors prior appro�:�l, ncty be used lo }ill iu lo« sue.is on tlir lol. fixcav ;izd <br />m�h�nsil sli�ill n�,t h�� mounded so as tn cn°:U:� dr.iin.iee or erosinn prohlems on ,�djoiniqe prop��rlie:z <br />�� ��c/�o <br />� <br />C� _ �r�— <br />fINAL INS CTION Date <br />Approved as Constructed <br />ACKNOWLE�GEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmiess <br />the City ol EvereU from any and all claims (or camages, cosis, expenses, r,r <br />causes of action that may drise because of installatiun and maintenanr,e of <br />Ihe imomvemeN or other right-ol-way use hereto applied lor and further a�rees <br />to remove same upon n�tice fmm �he Clty ard to replaco public prcperty <br />aamsged ihereby. /--� <br />WGRK AUTHOR12ED BY THIS PeRMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREArTER IS TO BE DILIGENTLY PURSUED TO <br />COMPLE710N. THIS PERMII MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />