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JO POSTING �R 2 o Z°°° ;� / <br /> � PUBLIC WORKS PERMIT Date ��� _ <br /> ., �t7 �z.8 <br /> PUBUC WORKS DEPARTMENT pubik Wtlrke PartnH N <br /> 3200 Cedar Street �!J — <br /> Everetl,WA 98201 259-8810 BWlding�'jrmN 1 567R 5 <br /> TYPE OR PRINT ONLV !�� <br /> x:�� c- v q � �� cn < <� ���Q.Ww1�6F�t <br /> q_�n ro J <, b`�i <, m :.� �l �.� u m r�1 <br /> UP- • . • • • li] • fO • • • M <br /> M•U J 1"] O f cJ (n aJ �-1 p r0 vl <br /> RTRVE POTTF.R H490 I ITN �R W ;�VF�i'���JA '�9B2a(i� � � �t� �i(�2�U1 <br /> Owner M311ing Addrass '"' Clty 2 phone <br /> n - <br /> ' ' �� r. : �.�� i�l }�] �.1 ir <br /> Applicant Maillnp Addrese '1 � :`i i: . �G a iL ( Phone <br /> i? }u <L �- In (.i .e L3 9.' [h .J f <br /> Describe Proposed Work NEW HOUSE ■■ ■ <br /> W <br /> � <br /> � <br /> � <br /> PROJECTADDRESSQfknown) 4909 cxiNooK llR � <br /> Atlach low(4)copiee of plana for proposed work-Draw lo acale and rwta tha lollowing H applMable: O <br /> 'Property LJnes �putline and dimenelons ol ell exletinp erM proposeU structuree on Ihe bt �Ezisting end propo�ted utllHlea <br /> 'CenteAlne ol street Mndieeta Nath 'Show e-ry propoxd gredirp changes �Show meaeuramenta � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: � <br /> 1. All calls for Inspection shall be made 24 hours in advance- phone 259-8870. O <br /> 2.All work shall be performed in accordance with this pertnit and current City of Everett Design and <br /> Constructlon Standards and Speciflcatlons. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-4?A-6666. � <br /> 1 In�•tnll sitr c6:iin�iec per plan �9n�,led lo petntit � <br /> ` \VcU.md milicalion �c�mu�t be pl;ud�d aF rcquind by city prior lo tinal inep�•cti��n <br /> uf.,h'uclure � I <br /> 6 I{rosion conhol as per �ection 2-2.2 (copy a��ached) of�the cily Atnnd:�rdv mnnn;�l. <br /> }:rosion control musl be provided e�id inatalled prior to m�constnictiou activily ou I <br /> Uic ::ite. Insl;ill sill fence (per�ttached stancl.�rd plan lJ205A) nlon;q Norih properiy <br /> IIOC. A SIOCIf OIIC OI S�fAW I1flI!9 9IISIII L�C OII 61IB 8l NII 111110E (IIIfI11.Q COpY1NC110I1 1Q <br /> he u�:ed to cover exposed e:uil, lustall olhrr eroaion coulro� tne:�vures ac direcled <br /> by the Public Wotics luxpector. iit�• excfrvntion ehould be limiled to thoNe wc�s <br /> ncc���;uy to iu�fall tinmd:dion aud ctrainaqe/weNwid mitiqs�tion. I <br /> ' i hweN�a�plicimi has reviewrd the c4ainnqei��tlmid miliceliai desiRu wid hfu <br /> dct��nnined it's :id�•quecy :uid asr:umes all responsibil�ty ti�r the �;smie. I <br /> _ ACKNOWLEDOEMENT OF CONDITIONS I <br /> The underelpned ownedeppllcant heraby preea to hold end eave harmbes <br /> the Clty ol Everatl hom any a dl clalms fa deniapes,eoate,eapensee,a <br /> ved i tlon i te �auaes of ectbn that may se e etallatlon and melntenanea ol <br /> � 1Mlmproveme � er •w u appNed}aand}urthe/aaas� I <br /> ,/ to remova me on e hom t Ity ro replaee pudk property <br /> ,d�" � iG �� dem <br /> FI INSPECTION Dete <br /> flpPfOVld 85 COf19WC�BA <br /> ����9� <br /> s �o �„ - a� <br /> � <br /> WORK AUTHOHIZED BY THIS PERMR MUST BE STAqTED WITHIN 1B0 DAVS OF DATE PERMR IS ISSUED AND THEREAF7ER IS TO BE DILIOENRV PURSUED TO I <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPA(iE OF WOqK ON THIS PRQIECT OVER BO DAYS DUMTION. <br />