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a � ����'n '■.0��� Date 09/12/2003 / <br /> �� r� <br /> PERMIT PublicWorksPe�mi!� YW0309-015 <br /> _ BuildingPermita C0309-008 <br /> PUBLIC WORKS DFFARTISENT Planning Felerence u <br /> 3200 Cedar Streei <br /> Everett,WA 98201 Public Works Fee S S?5.00 <br /> `F� (A25) 2C'-9810 <br /> i{ �0 POS�'ING JUL 'L L 2'�O� �uaramees — <br /> O'NNER VAME gEIBEF: RaNDY APPLICANT NAME gEIEER RAND'i <br /> AND ADDR[SS: AND AWRESS: <br /> 5711 CuLEY A�/E 5711 CC�i.BY AVE <br /> ��err WA �c2U':� EVEkETT Wh 98203 <br /> Nr��NE: 9252659711 i'iior�E: q::5�6�:9711 <br /> TAXPAFCELI.D.p 393U0501ii000� PROJECTADDRESS'. �.`�)� FLORjDA DR <br /> DESCFIPTIONOF ��j ,� _ �AiIf.' ,?°aF <br /> PROPOS[D WORK: " <br /> PERMITCONDITIONS L�:rT �f1 BLG�b: 5 SEVERLY F.�,F:}: <br /> 1. All calls for inspec�ion shall be made 2•' hours in advance - phone (425) 257•8810 <br /> 2. All work shall be performed in accordance with this permil and current City of Everetl Design and Construction <br /> 8tand�rds and Specifications. <br /> 3. Call Lo�ation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> 9. ;onnect :ide �ewac pec Citp .^>tandaed d'. 601, 00�, f'?�. <br /> 5. The contracto� must m�et vith the Fublic W��ks Insp�ct�:�r tt+ tliscuas p��t.ential � <br /> deainage eoiatin4 ��cior to beginning the peoject. � <br /> 6. In�Lall erosior. control measui-rs as det?rmined by th? PuY�lic WorY.s in�pector, sui•h <br /> as �i1C fence, �teaw I;alew, :c.�ale:;, or ec+�:ien i�lanket:. m <br /> 7. Remove eeo:ion c��ntcol mea.ueee: upn�i cumpletioti of tlie peoject pcior to final O <br /> approval of the peimit. <br /> 8. All e:LCev�ted matecial from foundat.ion, sid«valk an•:i diive�ays shall k�e haul�d to � <br /> an appcoved, p�=rmiCr_ed site. No s�a;tina ef ID3tr_C131 i� allov-�j�-�y�i�+'Y�dP�'i'_ita lot. <br /> H 309G08 Z <br /> FLAN CK ^c1..84 O <br /> BUIi_L� 1�4J.�IJ <br /> HECH 60.0(i � <br /> fLUH6 9E3,00 �A <br /> L1R1VE �JeOO O <br /> H 3G9050 <br /> SEWER 70.00 a <br /> UTILIIY 1�96.00 <br /> WATEF it00,00 <br /> TOTAI 401n.59 <br /> �i-Si=3<: 4Di6..59 <br /> ACKNOW LEDGEN�t��i}Q�6CONDITIONS <br /> !� 7he undersigned ownedapplicant hereby agrees to hold and <br /> _____ � q� 1�1Z / a- G} save harmless the Ciry of Everett irom any and all claims br <br /> App�ove ��onslru�tion Dat damages,costs,ezpenses,or c2uses of action ihat may arise <br /> ei because of installation and maintenance of the improvement or <br /> �H� other righl-of•way use hereto applied f�r and further agrees to <br /> ,^,����,,4.� � —�—V'¢ remove s e upon notice fro the City and to replace public <br /> FINAL INSFECTION pr rty d age y. <br /> Appmvetl as Consl:uctetl �ate � � � ��a,v� _ <br /> Siynalwe ol A ant Dale <br /> t <br /> WORK AUTH�RR[�6Y THIS P[RMIT MUST AE STAR7ED WITHI': 180 DAVS OF DATE PERMIT!S ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUED '/L <br /> TO CO'dPLE�ION THIS PERAIIT MAY 6E CnNCELLGD(3Y THE CI'Y UPON ANY STOPPAGE OF WORK ON THIS PROJEC70VER 90 DAYS DURATION. <br />