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� <br />�, <br />PIJBLIC WORKS <br />PERMIT <br />PUBLIC WORHS DEPARTMENT <br />�200 Ceda� Siraet <br />Evoretl, WA 98201 <br />(425) 257•8810 <br />A�NDAO R 55: SUi.�IN��1�L'Y S. SOMdI ANDADD E65ME <br />lo t c- gee�h s� <br />C efcGb, u�� tiezo3 <br />PHONE: QZ �_ 3.�8 - 4247 PHONE: <br />TA%PARCELL0.1I PHOJECTADDRESS: <br />DESCRIPTION OF w �roX (� � � rd /`j � ( <br />PPOPOSEO WORK: /s •i� <br />PERMIT CONDITIONS <br />o,ne 3 %Z7/oo <br />Pubi�' Works Permil M �Q(�3�Q(pr�. <br />Building Pnrmit � <br />Planning Relereneo M <br />Public Works Fee S 33• �0 <br />Guaranten f <br />� C f3 Cdt� � <br />1. Ail calls lor i�spection shall be made 24 hours In advance • phone (425) 257•8810 <br />2. All work shall be performed in accordance with ihis permit and current City ol Everett Design and Construction <br />SI: . . . _ .. .. <br />3. Ca <br />4. <br />S. <br />6. <br />7. <br />Acceee to the eite for t6e placement of thie fill will be tbrough city property adjaceut to t6e <br />eewer lift et�tioo immedirtely oarth oft6ie eite. Cre ehculd be takon to avoid d�age to t6e <br />curb t6�t wili be croeeed Wood plaol�e �nd plywood e6ould be Irid down to protect t6e curb. In <br />addition it io expected th�t tha dump wcke will c�uro rultiag and dam�ge to the grce� ao t6e <br />city properiy thet wiil be driven over. 1be OwneNApplicaot �hdl be roepao�ible for t6e ropair <br />end re-eoddiag of t6e demoged aroa immedirtely followiag campletion ofthe till (aot to exceed <br />one wedc). P�roferably heavy plyvuood could be Irid out to mioiwize domrge to t6e gro�. <br />Fill rhell be pleced no cloeer thn IS'to the aath property line. Protect fhe oneite c�tch ba�in <br />8rom eilty runofi'with a eilt fence per etandrd 203A Cover the fill with plretic ar rpread etnw <br />over t6e fill to roduce eroeion. Ot6er eroeion coatrol e6d1 be ioetalled �t t6e direction of the <br />Public Wodce Inopector. <br />No hacking of mud/diR will be ellowed fiom t6ie eite. 'ILe dump Wck wheele mu�t be Mur6ed <br />clean before leaving the eite md any rosi�d hacicout muet be immedidely swept clen. <br />� A{q%^c� L'onslru�an� I, Dale ' � <br />, , � ,, ,�u�'b � �� <br />INAL IN PECTION <br />ApprovM as nslNctPtl n( Oale �i <br />ou' n � '��cL�r � t� i,'1� �1'fl' <br />W <br />� <br />� <br />� <br />.� �, � �-, <br />� (J <br />� � � ACKNOWLEDGEMENT OF CONDIiIONS <br />4ha undersigned owner/applicanl hereby egreas lo hold end <br />D sava harmloss the Ciy ol EvoreB Irom any end all claims lor <br />P� W W :{�amage5, Costs, eKpenses, o� causes ol aclidl thal rtlay e�iso <br />W;'� ��ecause ol InsNllalion and malntenance ol lha improvamont c� <br />p g g��Iher righl-ol- �y use �orolo aoplied br and Iurther egrees to <br />remrne sa upon rqtice Irom the Clty end to replace public <br />� propeity tl aged thoreby. <br />_ — _�— 3 Z %—D l,i <br />m SpnaturedApplkaM Onle <br />T. <br />WONK AUTHOPIZED BV THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PEHMIT IS ISSUED AND TNEREAFfER IS TO BE DIIIGENTLV PUHSUEO <br />TO COMPLETION. THIS PERMIT MAV BE CANCFLLEO BY THE CITV UPON ANY �OPPAGE OF WORN ON THIS Pfl0.1ECT OVER 90 DAYS DURATION. <br />:7 <br />/ <br />