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Pue�.ic woRKs <br />PERNI�T . � . ' ,;��, <br />l. <br />PUBLIC WORKS DERARTM4NTi1',?US.,j <br />3200 Cedar Street <br />EverCtt, WA 98201 - <br />�azs�2s;-ee,b k�DS. £!�?7:.?, <br />: , �, ,.-,., <br />i ii $1(� �i, <br />AN��ADDR SS�. LB?]. 19T$uDR <br />MUKILTEu <br />PMONG: QZSZ9OIQSt� <br />7AX PARCEL I.D. M - � <br />D[SCRIPTION OF • <br />PHOPOSLD WO�iK <br />PERh11T CONDITIONS <br />WA <br />L� i l-, APPLICANT NAME.y'� 4ti, <br />AND ADDRESS; �,';'. • _ <br />1 Ft.i; r� u.!�) <br />� 98?�a5 <br />�y <br />� r�:-N%�; PMONE� .. <br />� I'I:TfG PROJECT A�ORE55• � S <br />'� `6'i:�=..c�:i..ff <br />Date <br />P��blic Werks Permit k <br />1 F3uilding Permit N <br />i <br />Planning qekrence N <br />Public Works Feo 5 <br />Gua�antee 5 <br />/ <br />t' :6.111��� <br />PG041�-Ol.i <br />C0412-013 <br />525.00 I <br />TO PQSTiNG <br />Y iVE <br />DEC 1 <br />1. All calls lor 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 ol Everell Design and Construciion <br />S�andards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Ccnnect side eevzc pec City Stamiaed A's r",01, 60�, 60�1, <br />5. C�nnect all rooftnp dovn�FK�uts to the side sewer. <br />6. Inatall eresiun conteol meaeuees as determined by the Pui>iic uoLks �ne�,ectoc, �u:b <br />ss a11[ fence, stcaw bales, svales, or erosion blanke`s. <br />7. All excavated matecial fcom fnundation, aidewalk and driveuaya �hall be hauled co <br />an approved, peca�itted site. Ho vaatina of matecial is all:n�w_d on this building l��t. <br />8. Znstall a'IY�ie I conccern drivevay �;�ec City of F.veret.t (irandaed M'07. <br />�� x <br />ACKNOWLEDGEMENT O� CONDITIONS <br />2005 <br />The undersiqned ownedapplicaM hereby agrees ro hold and <br />save harmless Uio Cily ol Evcretl Imm any:,nd all claims Wr <br />damages, cosls, expenses, or causes of action that may arise <br />'.ecause ot installation and maintenance ol ihe improvement or <br />other righ4of-way use hereto applied for and lunher agrees to <br />remove same upon notice ir9m the Ciry and to replace public <br />propep��qg ere y. �- �� <br />��� � <br />Signature ot Applic Ozle <br />�aOPK AUiHCFIi_ED BY THIS PERNIT t.!U5T �G START[U 1VITHIIJ 100 DAYS OF DATE PERMIT I$ ISSUED AND TI!EREAFiER �5 TO D[ DILIGENTLY PURSU'eD <br />i0 CO:'�PL[71D�J THI; Pfl?Lt1T 61AV Gf CANCf-ILCD 13V THE CIiY VPON Ayy STOPPAGE OF \VORK ON THIS PROJ[CT OVER 90 DAV$ OURATION <br />Z <br />O <br />� <br />O <br />a <br />