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/ <br /> . PUBLIC WORKS Date b/4/2004 <br /> PERMIT P�blicWork�Permitk Po0406-007 <br /> Building Permit p <br /> C0406-003 <br /> PUBLIC WOFKS DEPARTtdENT Planning Reference u <br /> 3200 Cedar Street <br /> Evcren.WA 98201 Public Works Fee S $?5.00 <br /> (425)257-8816��''r���� �_�«�� 2� C� <br /> � Guarantee S <br /> OWNER NAME APPUCAN7 NAME <br /> ANDADDR[SS: �RTIN PERRY ANDADDRESS: OWNER <br /> 6115 Ci�T9+�RCIAL AVE <br /> EVERETT 4iA 98203 <br /> PHONE: QZS3Q66OOB PHONE: <br /> TA%PARCELLD.M 0 05 9 4 9011015CJ PROJECTADDAESS: 6115 CC.Y�dERC_OL AVE <br /> D[SCRIP710N OF e }� <br /> PROPOSEDWORK: �p ��PI+� i�� <br /> PERMIT CONDITIONS <br /> 1. All calls(or inspection shall be made 24 hours in advance- phone(425)257•8810 <br /> 2. All work shall be per(ormed in �ccordance with ihis permit and current City ol Everett Design and Consiruction <br /> Standards and Speci(icali:��s. <br /> 3. Call Locaticn Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> 9. Connect rooftop downspouts to the 12" drainage line in Beoad�ay. Install catch � <br /> basin at connection. � <br /> 5. Pave drivevay from the front property line out to the street paving on both � <br /> streets. <br /> b. Upgcade sideaewer to 6" diamete� per City Standarda 601, b02, 604. m <br /> O <br /> � <br /> 18`� Z <br /> - ?� � <br /> G49r � <br /> 'i �.Bc, v/ <br /> 18: � <br /> �u,: a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> _/ /Q� The undersigned ownerlapplicant hereby agrees to hold and <br /> yj save harmless the Ciry oi Everett Irom any antl all ciaims lor <br /> An '�d ior Cons�mct�on + aie damages,costs,expenses,or causes ol action that may arise <br /> /', because ot installation and maintenance ol the impmvement or <br /> / i /� � othm right-obway use herelo applied for and luriher agrees to <br /> � �� --j�, `'`l� (��: � t�' remove same upon notice trom the City and to replace public <br /> FINAL IN ECTION �-{uo{�erty damag thGreby. <br /> AppwvetlasCons�mcleA Date �� �-4� <br /> Signalure o Applitant Datn <br /> YJORK AUTHORIZED OV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEflEAFTER IS TO BE DIL�GENTLY PURSUED <br /> TO COM1IPL[TION THIS PERMIT MAY OE CANCELLED�V THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />