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<br /> P����� ,����� Date 4 � 11����J<;
<br /> �'f,� '�i ;'G- � � `�h;ii 1L "�� Public Works Permn a (� �. 3
<br /> pERl1�IT ��a-
<br /> r �. �� u���� ,
<br /> rT , 8;::�dingPermit# �-^��^!T �.�•��'��
<br /> PUBLIGWOR!(S�C�AR7MEI�r+Q�i� PlannirgReterenceuCD(p0�-01� f, �� .
<br /> 3200 Cedar Steet
<br /> EveretL WA F32��r`�. C�,04`j.11 Public Works Fee 5 ...' ,,�i;�.
<br /> �azs�zs�-gg ?�,.5�
<br /> 1 � �, �� Guarantec 5
<br /> 1 i'i_E'i '2,��;�.QU
<br /> OIYN[RNAIAE f;-�Tli7EY CGN:;T I1lC. 1 I;LCH APPLICANT���I
<br /> AN�ADDRESS: ���,I��- ANDADDF7E
<br /> PG Si(i "�7.� l I.�. .t �.0�
<br /> EVEFETT pp �� 0::: ; ( f OJCJJ . , �• '
<br /> i sE�E�; b�o.o� �';.� ��:: JAN 16 20�8
<br /> PHONE' Q�J�QEZJ�? f �^ IFI! PHONE: VF!' �
<br /> i �v� t,�. �s.a
<br /> ., ,�
<br /> iA%PAflCELI.D.q ���,,. -�_ �. "'1 ;,. ` �•�' �� PROJECT` � S^` _ _
<br /> �t:. �ti�.�� _ .. t T�iF,�� 1�� .��,l�ll.Jt ���iii[i "ir__"_�.
<br /> DESCRIPTION OF •� • ��.
<br /> fji'-t•:. 1 ii)f-.� ..f;.l. - "
<br /> ?F'u"„r::,
<br /> PROPOSEDWORK: �, �/ CNF�,' "�.�.�'�`�.•'_d
<br /> i�fJG.I.[; ��"11'1�L�
<br /> PERMIT CONDITIONS
<br /> 1. All calls lor inspection shall be made 2•t hours in advance - piione (425) 25%-8810
<br /> 2. All worlc shall be performed in accord�nce with ihis pernu� and current City ot Everett Design and Construction
<br /> Standards and Specilications.
<br /> Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555
<br /> W
<br /> ,
<br /> '�ilII1BOY ::lC�c' 3FkKC �??C� ��lt}� St3flil"e[d 41i��. ; . ��
<br /> �:oftop run:�ff mu�t be dihchaeqe�i t� a r�_ :.' i;,:r.s�;,�.-_ _n_-.i�._ : -:c�: .; , -c : . - V/
<br /> Fvecett Stoem htanual 3-2.5.2. The apF�LO\il�itd 81-.e [iem_h is 3.�' vi�.i>, _ ile�er�
<br /> and 25� l��ny. See artachment foc mnee detail:,. m
<br /> . Install eresion control measuLes as detecmined Ly the Fublic Woiks inapectt,=, '= � O
<br /> - 911i fP_I1CP� 9CCdV �.�dl�u� :V31?9� ��C �LQ91i�i1 1?lankr-t:� .
<br /> ��•RIOV2 'rCOElOII Ci�11C.10S R��38U1F3 UF�011 C.OttlFileLl�fi Of the pCO]ri:i FC1i�C CO f1I181 �
<br /> : eval of the pecmit.
<br /> ',11 excavat�d mateeial fcem foundation, �idevalk ar.d �iciv«vays ahali 1 = itauled +. . Z
<br /> ,��pLov�d, peLmitted site. 1�:� uAsting of matecial is allorr_d cm this : .... _ � :�:,: ': :�t , O
<br /> '�;tal'_ a T}+pe I �.pnctate dcivevay rPc Cit}: nf ?y�i:.rr cr,�n�iaed 't':, .
<br /> . Pave d:.�iv=w3y f�om the fCont pc��pecr� line •:ut _ _ �!:�_ . ---- . .• - `
<br /> 1�'
<br /> � � c-'����i ��L �, 9 � Q
<br /> "� '��I�ECT.�/�S �E� � L e%.r-� ��-!op n� �
<br /> I{.�{/�;�Z,i.�IT y�t/.;���7TIC';L�;
<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> � J ,9 p /� Thu undersigned owner;appiicant hereby agrees to hold and
<br /> �lrL, 2 p L�,�7 save harmless the City ol Everett Irom any and all claims foi
<br /> + - nup�ov r Cons�mction �a�e damages,costs,expenses.or causes of action Ihat may arise
<br /> }' because ol installation and maintenance ol Ihe impmvement or
<br /> •-'V:' �7 `��j other � ht�of-way use h applie or nd lurther agrees to
<br /> �� ^�—�f 1. / /" � r ov same upon tice iro 1 Cit and to replace public
<br /> i
<br /> FINAL INSPE ON rop ty a '(here6y. /
<br /> qpproved as Con,lruaetl Date � ��b�—Q/
<br /> -- ��
<br /> ure of App Date
<br /> .. `��ln AUtiiORl/CD Rv illlS PCIi1.11T 1.fU5T fE S1ARTfD tYITHIH 1F0 L`AYS Of DAT[ PEFiL71T IS ISSUED AND THERLAFiLR IS TO BE DILIGENTLV PURSUED
<br /> �i�('I.1PLP i IOld.l IdS P1=FI.11T t.1AV Hf-CANC[l L6D 13V lHf CITV UPON AN1'6lOPPAC.-JP 170RH ON TI115 PROJECT OVER 90 DAVS DURATION
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