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i <br /> c � <br /> _� <br /> PUBLIC WORKS � DatP ="- ` <br /> � PuMwWorksPerm9B Yi1080��-`�:�; <br /> PERMIT ��8�5—����� <br /> 8uii0mg Permit a <br /> PUBUC WORKS DEPARTMENt planning Relerence k <br /> 3200 Cedar Street <br /> Everen,WA 98201 PuWic Works Fee 5 ':-`- .'- <br /> (425)257•8810 � <br /> � Guarantee5 - - -- — — <br /> OWNER NAME �hPPUCANiNAME <br /> AIJOADDRESS�. �rlj,y}gLL R7r}H 6 1CJ1TH1 � ANDADDRESS: <br /> i5ii1 RllCP•EA AVE ;¢; <br /> gy��TT i0A 9�201 <br /> PHONE: <br /> PHONE: QZS4�3542@ � <br /> TAXPARCEU.D.M - PROJFCTPWPESS�1��, CC�LEY AVE <br /> ii(1d�',^fi%l�C(�ZCf) - — <br /> DESCRIPTIONOF � ; r � ^ j95ifED FC-�:'. 1'%':.:ST7Ji�3 f�OU$E) <br /> PROPOSED WOiiK: }�t,.A IIC'U�E .C�..f�:` FEFMI i <br /> PERMIT CONDITIONS <br /> 1. All calls tor inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be pedormed in accordance with Ihis permil and current City o(Everetl Gesign and �onstrucuon <br /> 5landards and Speci(ications. � <br /> 3. Call Location Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-800-424-55>5 <br /> 4. C',:�nr.�.�_*. _:�:i:. �:...,.:c p_.r ri`., Sran•:1:,r•i p•s r.'.nl, r.(�.', r.�iq, = <br /> � . �.Cf1Rc�r[ dil [OJltp�� �jOVIIDp�_4t7 Y_�i Cfl� :1•�a ,%�v�[. /^ <br /> 6. The conttactor mu3t rt.eet vyth the PuGlic WoeY.s SnsF�ctc�i to fI]SCU33 potent �-+7 ��• <br /> dtainage routing ptior to h?ginnin� the project. � <br /> 7. Install fcosion control measuces �r Ciiy ef Ever=tt Standaxds for small F�aice:: � <br /> 8. kemove erosicn control m?asurea u(wn cempletion of the pcoj�t p�ioc to final <br /> aprrov&1 c�f th? pexmit. ' <br /> 9. Nc� dirt, mud, rocke ac dEDtis tu be tracked untu coedway. <br /> 10. No building mat=_cials ta bp atacked on �oadvay and coadsray te be kept clean .ad � <br /> open foc p=destcian tcavel. O <br /> 11. Adjuet �atPr meter hox 1" above aidewalk grade. <br /> 12. P.emovu bnd eeplace curt�, quttec and sidevall: es per City of EveeFtt Standnrd ?'' +n � <br /> 9's 3D5A � 306 on this pcoF+»al•s fcentage a� ditected by *!�e L�ublic W��rk. In�p�•:`^� <br /> ii.e. all unused dxivevsys an8 any LrnkEn ar damaqed area most. be ieylr,_e-1` • •A <br /> ]3. Fave deiveway fcom the property line �ut to the alley (�3ving. V� <br /> OA <br /> r. r �,•-.,t•,_ .;r;:r[: y?�SYE"T1n?7, CALL 1F.NDS ALLEN A'f 4'S-3an-79�iJ `i <br /> - -- ��- ---- ACKNOWLEDG[MENTOFCONDITIONS <br /> � //�� The untlersigned owner/appliwnt hereby agrees b hold and <br /> ��,/���-G+�� �/(�Cc7 save harmless ihe City ol Everett irom any end all claims lor <br /> damages.costs.ecpenses.or w�ses ol aclion ihal may arise <br /> d tor f.onst ��o bacause ol installation an0 maintenance ol�he improvement or <br /> /�7 � � other nght-of-way use hereto app6ed lor and lurther agrees to <br /> ,� z �6 r0� �emove Samo upon nouce irom ihe City and to replace public <br /> � Fl�IN =CTION propl�tlamag?dihere : <br /> A rov as Conslruda0 Dele (J, / /�/(��/: � <br /> /`��lil.l�i� / ('J ��.�%�L( /�`��"� <br /> _ d�gnaWre ol AMtllr.anl OBIe <br /> WORK AUiHORIZED BV THIS PERMIT MUST BE STARTI'D WIiHIN td�UAVS OF DATG P[RMIT IS ISSUED AIJO TNEPEAF7@R IS TO BE DILIGENTLV?URSUED <br /> TO COMPLETION.TH�S PERMIT IdAV BE LANCELLED DY THE CITV UPON aNv STOPPAG[OF WORK ON THIS PROJLCT OV[P 90�AVS DURAiION. <br /> pqTRB�R.INC. <br /> EPMm 1��1 <br />