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. J <br /> PUBLIC WORKS D�le �/lA/�004 <br /> PERMIT PublicWorkSPertnitk Poo4o4-��z <br /> C0409-012 <br /> Building F�rmit p <br /> PUBLIC WORKS DEPARTMENT .�rrC Planning Rclerence p <br /> 3200 Cedar Street ���u � ( <br /> Evcrett,WA 98201 �,.� ,�-9RR� Public Works Fee 5 $25.00 <br /> (42S 57 T y,� rr H r_v�.. <br /> �� ��1 I IY� ��� �� Z���� Guarantee S <br /> 01VNER NAMG HAACIC IIROS CONST IAC APPUCAN7 NAME S�' <br /> ANDADDRESS: 392? B7,Pa AV�: NE ANDADORESS: <br /> EVERETT WA 48205 <br /> PHONE: 9253392790 PHONE: <br /> TAXPARCELI.O.a 0059500170�$00 PROJEC7ADDRESS: ?�jrj COLIIMBIA AVE <br /> DESCRIPTION OF NEW HOUSE <br /> PROPOSED WORK: <br /> PERMITCONDITIONS LOT 23 6 ?4 BLOCK 017 PINEFIURST DIV <br /> B <br /> 1. All calls for inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be perlormed in accordance wilh this permit and currenl Cily of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> 9. Connect �ide aewer per City Standa�d M'a 601, 602, 6q9. � <br /> 5. Rooftop eunoff must be discharged to a roof dovnspout infiltration systes per City A <br /> c�f Evecett Stocm Manual 3-2.6.2. Width - 3.5', Depth - 2', Length - 23' . V� <br /> 6. Inatall erosion control measures as determined by the Public fiorks inapector, such M <br /> 39 ailt fence, at�aw balea, swales, o� ecoaion blankets, lil <br /> 7. Remove ecoaion conttol measuee9 upon completion of the pcoject pcioc to final O <br /> appeoval of the permit. ^ <br /> B. Al1 excavated material from foundation, sidevalk and driveuays shall be hauled to � <br /> an appcoved, pecmitted aite. No vasting of matecial ia alloued on thi� buildina lot. �J <br /> L <br /> :.-;i. Si O <br /> . Q+O4�i�'�'..' � <br /> .'�ii i,l: 2.:: <br /> ' CLi;.LG llni. ', (� <br /> ;'Ci1 60. ' O <br /> it 99 , a <br /> 'V_ �C <br /> �! �.� <br /> ,. .'J 'I�. . . <br /> . '�:eQ�..',-.:' <br /> :-'.�`; . . . <br /> ACKNOWLEDGEMEN70F CONDITIONS <br /> �,:_. <br /> ' The undersigned owner/applicanl herpby aprces to holtl and <br /> � save harmless Oic Ci.y o' ��;�e11 irom aiy m�d ,f daims lor <br /> appmved lor Cans�mu�on Dato dama,es,cosis,er{�ensu::,oi ca�:es ol aclier,that may arise <br /> ^ �ecause ol insWllation and maintenance o�It:e rtnpwvement or <br /> //e„0 /�/I- /D��� olher riaht-of-I�ay u;c herelo applied for and fUrtlier 6grees lo '. . . <br /> /� (/7�1, (�lIJLt.�•- remove same on notice irom ihe�Cfty"�and to replace public <br /> FINAL INSPECTION r rty dam c ther y. <br /> Appmvetl as Conslmcletl Date : � � l '1 <br /> �.' _� { ��� a — <br /> SignaWr Applicant � Date <br /> i <br /> IVORY.AUTHORIZED BY THIS PERMIT h1UST BE STAqTED WITHIN iB0 DAYS OF DATE PERMIT IS I SUEO AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br /> TO COt.1PLE710N.THIS PERh11T IdAY BE CANCELLED BY THE CITY UPONANY STOPPAGE OF WORN ON THIS PROJECT O\'ER 9D DAYS DURATION. <br />