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PUBLIC WORKS <br />PERI�;�T h':.;;`-�:�;�.,-,. ,, <br />���; <br />PU�LIC WORKS OERA,R�TI��jN�(� J(J3.4 <br />3200 Cedar �ircel � � <br />Evcrett.WA987�01.�,'�u. �I �; / "t: <br />(4251257-B81b �'� � 8i.,., <br />1 5 C S� ..`�l"� <br />01VNER NAME <br />ntionoor�ess ��SON DENNIS <br />531 PECI;S DF: <br />EVEi.ETT <br />PI10NE: 425����061 <br />7A% PARCELLD.a <br />00541?00000 <br />DGSCPIPTIONOF NEW DUPLE}: <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Date <br />Public Works Permil q <br />I[� �uilc'ing Pcrmit a <br />1 <br />Planning Relerence a <br />Public Works Fee 5 <br />Guaranleo $ <br />3/17;'>U05 <br />FW050�-023 <br />cn5o3-oiq <br />s�s.ou <br />I. ��I.HJ ANDLA�Dfi[SSF'E���•I�?�.F: <br />l Uiil VE 5 �5.00 <br />�,, a!���3 ��o�o�`f0 F�STING n�� , a.,.c� <br />: Fi[.:'iF. PHONE: SI'O.OU <br />�. S��) �E�� .�.;.H�i�I.�S�� <br />1' <br />ld <br />Li+f 1 SHOF.T PLAT 1�Q2-009-i11 <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be periormed in accordance with this permil and cu« ent City of Everett Design and Conslruction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FHEE NUMBER t-B00-424-5555 <br />4. Connect �ide sever pec City 5tandard �'001. <br />�+. Rooftop runuff must be �ischargecl to a�oc�f dovnspou� infi;cracion systen pec City <br />��f Eveeatt Ste[m Manual ?-2.0.2. The appeoxunate �ize teencli i:� :.5' wide, 2' deep <br />and '�5` lonq. See attachment for mc�re details. <br />. Install e:osiun �:ontcel I�B39UC05 •3.4 detecuined by the Public Woeks inspectoc, sach <br />as silt fence, �tia� bales, svsles, u� erosion blankets. <br />'. semove eeesion cunteol measuees u�+on r_empletiun of the �>coject pciee to final <br />approval of th= peemit. <br />d. Ali excavated mateeial fcom fuundati.on, sidevalk and dciv.±vaye shall be hauled �_ <br />;n ;ppcoveii, p�_�:mitt-r�9 �ite. N_� ti�nstiny o: If�dC�_'L'ld] �s allowcl _m [his buil•:liny lot. <br />� <br />'. l 0l3 GS <br />A� vetl lor Con5lruciion Y atc <br />� <br />� <br />(.L (- L.� � �' I �I'C��: <br />fINAL INSPECTION <br />Approvetl as Conslrucletl D.W� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />F- <br />,�A <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned ownedapplicant hereby agroes to hold and <br />save harmless tho Ciry ol Evcrett from any and all claims tor <br />damages, cosis, expenses, or causes of aciion ihat may arise <br />because of installation and maintenance ol the improvement or <br />olher righbol-way uso hcrelo applied for and lurthcr agrees to <br />removo same upon notice from the Ciry and to replace public <br />- � pioperry aged ih y. <br />/ � <br />-, ' ���-- � L-��--a J= <br />Si�nalu o ol Applicant Da� <br />WOPK AUTHORIZED BV THIS PERAIIT MUST 8E STARTED WITHIN iB0 DAYS Of OAiE PERMIT IS ISSUED ANU THEREAFTER IS TO BE OILIGENTLY PURSUED <br />10 CO!dPLET10N. THIS PEPh9T MAV BE CANCELLED �Y 7HE CIN UPON ANY STOPP�IGE OF WORK ON THIS PROJECT OVER 9C DAVS DUPATION. <br />