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� �: � <br />�. <br />;�x"�; <br />RUBLIC WO�KS <br />PERMIT <br />PUBLIC'NOFKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8870 <br />OWNERNAME <br />ANDADDRE55: S(y)TT ERNEST <br />12320 STli A`.'E 17E <br />SEATT'LE WA 9l3125 <br />PHONE: ?p63b?5811 <br />TA% PARCEL I.D.N <br />0098020J200500 <br />DESCRIPTION OF <br />PROPOSED WORK: CHANGE USE - SFR 'PC� OFFICE <br />PERMIT CONDITIONS <br />PHONE: <br />PROJECTADDRESS: <br />Uate <br />Public Works Permit # <br />9uilding Pennit d <br />Ple�.nning Relerence N <br />Pubiic Works Fee 5 <br />Guarantee S� <br />/ /'Q i <br />�;n/_'007 <br />Ywn70�-011 <br />��,��-o,�� - <br />� h7 <br />Pa�' <br />Sq5,00 <br />_ . 3�,�'S' <br />LUTS 9 G 5, INTEFCITY DIVISI4N I <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with �his permit and current City of Everetl Design and Construction <br />Standards and Speci(ications. <br />3. Call Location U� �erground Service 48 hrs. before you dig. TOLL FREE NUMf3ER 1-800-424-5555 <br />?. The contractor mu�t reet with the Public We[ks In�pertoc to di�cus.-, po.e:�t:al <br />drainage routiny prior to beginning the pro�ect. <br />5. All exravated material from foundatior„ sidewalk and deiveways shall be hauled to <br />+n approvud, pn;:mitted site. No wasting of material is allou�ed on this building lot. <br />�S. No dirt, mud, cocks or debci; to be tracked nnto c�adway. <br />?. No building mateeial� to be stacked on coadvay and roadway tn be kept clean and <br />open for pedesteian teavel. <br />e. A catch basin as per City Standar9 Plan N402 with a gas crap pec Standard Plan li91n <br />i� cequiced fec the parking acea. <br />.. Stceet impcuvements including cucb, quttec, sidewalk � any nFce�sacy dcainage <br />ur�prnvements along Aolly Dr. of this pro�ect has to be r.00rdinated vith the City of <br />Ever�tt Project Engineer (T7aeci hicafrente, 925-257-7265) who is de�iqning coadway <br />improv?ment� fi wid�ning of H�lly Dr. <br />1��, Tcaffic mitigation fee is $3,r85 <br />� i�:. Ft�?L_TC FTC�FF.S INSP�CTION, CALL CLIFF LIIIDMA1t AT 925-339-74�J9 <br />.���� D�090 <br />A roveAforConstmaion Date� <br />- � ��,-r,.�.�.,--�.� ='�-- � <br />�If1-INSPECTION <br />Appwved as Conslmcied Dale <br />N��prr,� :-. <br />� �, <br />��T ° & �c�r,; ��� � <br />clrYo�. , ��:: <br />ACKNOWLEDGEMENT �5���312�dJ7�ONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless the Ciry ol Everett Irom any and all claims tor <br />damages, costs, ezpnnses, or causes of action that may arise <br />because ot installation and maintenance ol the improvemem or <br />olher right-o4way use hereto applied lor and further agrees Io <br />remove same upon notice Irom the Ci1y and to replace public <br />��opeAy damaged ihereby. <br />.�6'��- /0- �'- c'� <br />SiqnaWreolApolicanl �� Cale <br />WORK AUTI10RI2E0 BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERh11T IS ISSUED AND THEREAFfEF IS �O BE DILIGENTLY PURSUED <br />TO COtdPLETION. THIS PERMIT MAY BE CANCELLEU BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />LPWF p/06) OFTABNR, INC. <br />W <br />� <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />'r^ <br />V/ <br />O <br />a <br />