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PUBLIC WORKS Datc llil?/?0�� <br /> Pu61ic Works Permit a PW0411-009 <br /> PERMIT �°911-°11 <br /> �uilding Permit k <br /> PUOLIC WORKS DEPART�dENT Planning Reterence n <br /> 3200 Cedar Slreel 525.00 <br /> Evcretl,WA 98201 Public WOK<s Fee 5 <br /> (425)257�8810 Guarantce S <br /> UWNFR NAME APPLICAN7 NAME <br /> allonooRess: 18631 69TF. AVE 41 ANDA�DRESS: 1�-1��-Uy �:��'-h <br /> LYNNWOUD 4TA 98037 H � 0411ii1i <br /> PIAN CI; l.C.�: <br /> r��ovE 9257729625 PHONE: E�U�I_D L^•96.1:; <br /> ru n <br /> TA%PARCELI.D.x � � PROJECTADD ss� .. InX DR i1D.00 <br /> OESCFIPTION OF VKl C _;,.W <br /> rr�oroseowoaK: SfiCHG � �+„5l <br /> � �'0'iAL 1530.:5� <br /> � I� �i:�l 1�30,5% <br /> A Ow 34: <br /> r �• t, , u TY <br /> PERMIT CONDITIONS - <br /> 1. All calls lor inspeclion shall be made 24 hours in anceJphone(425) 257•8810 <br /> 2. All work shall be performed in accordance with lhis per r(and currenl City of Everetl Design and Construction <br /> Standards and Specificalions. <br /> 3. Call Location Underground Service 48 hrs. be(ore yo dig. TOLL�=REE NUMBER 1-800-424-5555 <br /> 9. kun down:.pouta into ditch on Dako W <br /> 5. The contractor must meet with th Public �oeks InspectoL to discus� potential r <br /> diainage ceuting pcioc to Ueginnin the pcoject. ��/�' <br /> 5. Install eeosion control measur s as �ieteemined by the FuLlic Works inspector, such V/ <br /> as silt fence, stcav bales, swa _a, oc ecosion blankets. M <br /> 7. Remuve eeo�ion cunt�ul mea2 •e� upon completion of the pcoject pcioc to final �i,1 <br /> ippioval of the peemit. O <br /> B. Install 12" diameter culv ct pipe under proposed deivevay. Meet vith Public Works � <br /> in�pectoc on site to deteem�e pipe mate�ial. <br /> 9. Pave driveway feom the �cent propecty line uut to the st,Leet. paving. � <br /> lii. Cuntact the Mukilteo .'atee Distcict fur connectina �n:ovieion:� foe this I;uildim�'s <br /> Wdt<�L 3I1� 9A1J�'C 9EYVli'eS: O <br /> / � <br /> STI'�i��7'z���-S �P'"%d VF' — i�/n NFv/ �!�/�/STi��/�T/�^� (n <br /> Z'GC iJ /_ Z�3 —O� ^ �fr'c�vf= .�ei.:,l>'e=.� �✓oT i�/ s�'���'t � <br /> /iii� /.� <br /> a <br /> - '_� POSTI��,.,FEB 03 2008 <br /> � <br /> i' <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> / n The untlersigned ownerlapplicant hereby agrees to hold and <br /> � ,� �y /� d3 d� save harmless the Ciry ol Everelt Imm any and all claims for <br /> AppmvM lor Construcuon ate damages,costs,expenses,or causes ol aclion that may arise <br /> because of installation and maintenance ol Ihe improvement or <br /> other right-ol�way use hereto applied for and further agrees to <br /> remove same upon notiw Irom Ihe City antl lo replace public <br /> FINAL INSPECTION pfdperty ama�7ed lh eby. . <br /> Approved as Cunsuucletl Date % � ��1 I �. / '�^ 'l L/ <br /> '� � v <br /> `9(gn �e ol App:Ka Date <br /> lVOf1K M1U7HORIZ[D�Y THIS PERMIT MUST'JE STAH7ED NITHIN 180 DAYS OF DATE PEfiMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br /> ln CO!.�PIC:TION THIS PfRIdIT M11AY BE CANCELL[�(3Y 7HG CITV UPON ANV STOPPAGE OF WORK ON'HIS PROJECT OVER 90 DAYS DURATION. <br />