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RKS <br />PUBLIC WORKS OEPARTMENT <br />3200 Cedar Streel <br />Everett. WA 98201 <br />�azsl-'s �s �»� n MAR 'j, , <br />i i �S� ���ta.,.........._ 1?.007 <br />OWNEP NAAfE � APPUCANi NMdE <br />ANDADDRE55�. FF,NASCEAT HCP1F'S LLr ANDADDRESS-. <br />11921 192ND L�R T7E <br />P.kLIhGTY�N ;A 9���: <br />PHONE: 3p"Ob91Z1�� PHONE� <br />TAX PARCEL I.D. # PR0.IECT ADDRESS: <br />nosaiaoi�onoaos <br />DESCRIPTION OF � � <br />PROPJSED WOiiK�. TIEl7 F.<`'14r . <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit # <br />Building Permi� k <br />Planning Reference # <br />Public Works Fee S <br />GuaraMee S <br />., _ . - / <br />F�t0oU5-�:_: <br />COb05-��_0 <br />...r.�lil <br />.,,. . i�: =:��'t`:° ::A'. �'i.. ."t_7'�..� <br />1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257-BB10 <br />2. All work shall be perlormed in accordance with �his permit and current City of Everelt Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER t-800-424-5555 <br />. Cunnert 91�@ �E:!@C �?�C ('1C}' :�t3i1��3C�� �!�9 C111� nQ;;� r��y. <br />. Connect L'OOftop dovn9p��Uts t0 the SYeee2 dr�inag� 5'.ystc-r. ;.'�::{ <br />r�, Install ecosien c�nteol mea�ue�s as detecminr•d F,y the cui-_�a.«-,ui;s-u�sj���-�*-_c" :4«'i' <br />.3`• 911C fznce, BLCciN bales, swales, OY exos.on Y�13lll:�t�..�_.y Qo-,�,- � � ~' � <br />7. Remeve eco�ion �rontrol mea.-.uees upon completiun of �� ���j��ia�toPinc: <br />;pproval of th� peLmit. �' �-' <br />. All ex�aeated matc�cin7 fcoa� foundation, siile4+alk anil ciiivevays shall D•r hau�;;�;i t <br />��_+ _ . h -na � .e; ria' _VA:•,r.�d on thi� huildinfi;lc�j`; � <br />• ' -., -- � - .. t . -- ... _ � � __.,_ _ .. — ':- - �et paving. ,__ <br />ti <br />. �- .� --, <br />. ^, � <br />,-, _,���� ,�� _ <br />' ih'='�r c,�''-�''c �E_ �n�, <br />5;�n�_ 1=-�'�'_,'_:^,,:;i= _ <br />�,-'r',.._. <br />% ' <br />v ��`� ����� / /� <br />«— .S �.� C.., <br />tl lar Conslmction Cat� <br />��l �1 3 / o <br />IN ECTION <br />vc �sConstmctetl Dato <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciry of Everett irom any and all claims for <br />damages, cosls, ezpenses, or causes ot aclion that may arise <br />because of installation and maintenance of the improvement or <br />other righ4obway use hereto applied lor and lurther agrees to <br />remove same upon notice Irom ihe City and to replace publ�c <br />/proBB� amaged �1 reby <br />// ✓��l �"'j� �—�C�-�C� <br />� n,:tur Appo . Date <br />VJORK �UTHORIZ[D �V THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OP DA7E PERMIT IS ISSUED AND THEFEAFTER IS TO BE DILIGEN7LY PURSUED <br />TO CORSPLGTION. THIS PGf7tdIT FAAV o[ CANCELLED BV THE CI7V UPON ANV STOPPAGE OF WOFiK ON THIS PROJECT OVER 9� �AVS DURATION. <br />