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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />+'0 POSTING SEP 14 2005 <br />'10121 EVERGREEN WAY <br />EVERE77 WA <br />PHONE: 2064786947 <br />98204 <br />APPLICANT NAME OW1im <br />AND ADDRESS: <br />PHONE: <br />Data 04/12/2005 <br />Public Works Permit If PWO504-023 <br />Building Permit p C0504-013 <br />Planning Reference M <br />Public Works Fee $ $25. fill <br />Guarantee S <br />4 TAKPARCELI.D.0 UUO`Ja rUUUUUtfUU I PRGJECTADDRESSBII7 BEVERLY Lill <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />SHORT PLAT 1202-614 04 LOT <br />015 <br />1. All calls for inspection shall be made 24 hours in advance -phone (425) 257.8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Connect side sewer per City Standard 601, 602, 604. <br />5. Connect rooftop downspouts to the drainage system provided for this lot. <br />6. Install erosion control measures as determined by the Public Works inspector, cl>G)� <br />as silt fence, straw bales, swalea, or erosion blankets. <br />7. Remove erosion control measures upon completion of the prOj4ft`Drirr'-f6'rEiral � tz <br />approval of the permit. my a cn <br />B. All excavated material from foundation, sidewalk and dr$vev�jha0.9AFta9edi.0 <br />an approved, permitted site. NG wasting of material is al wed this building 1. <br />W C r r <br />'M1C�o <br />8i01888N888i5-�4 <br />Approved for Construction Date <br />FINAL INSPECTIO <br />Approved as Constructed Data <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmloss the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the Improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />prop rty damaged thereby. <br />Signature Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />T <br />m <br />MEN <br />C/ <br />a <br />