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PUBLiC WORKS Date 11,2,2000 :.' <br /> Public Works Permit N ppt0011-003 <br /> P E R M 1 T Building Permit A <br /> PUBLIC WORKS DEPARTMF_NT Planning Reference M <br /> 3200 Cedat Street <br /> Evorett,WA 58201 Public Works Fee$ g 33. 00 <br /> ' (425�257•8810 <br /> Guarantce$ <br /> 01YNERNAME Randy Boutain AP�LICANiNAME Rollin Carlson <br /> ANDADDRESS: 1710-EI1CJl.a11(� j�V2 ANDACDR_SS: 1607 Edgemoor Ln <br /> EVERETT WA 982'� EVERETT WA 98203 <br /> PHCNE: PHOI:E: � 42rj�C�01-l4r.Jc� <br /> TAXPFRCEUD.M PHOJECTADDRESS: 16(�7 Edgemoor Lr. <br /> c�aoausEov.�ati: ReNove approz. 200 cy of dirt <br /> Pamit applied Ca by Dan Bovey 425•353•6777 <br /> I�ERiAIT CONDITIONS <br /> � NI calls lor inspection shall Le made 24 hour,in advance-phone(425)257•8810 <br /> 2. Ail v:nrk sh:.11 be performed ir,accordance Niti this permit and current Ciry of Everett Design and Construction <br /> Standa�ds and Specifications. <br /> 3. Call Location Underground Service 48 hrs. bef�re you diy. TOLL FHEE NUMBER 1-800-424-5555 <br /> 4 . f:eep r_ity strcets clean =.t all times. W <br /> 5 Prcvide any erosiun control as directed by the Pub'�Ic Works � <br /> Trspector. '�A <br /> 6 . This fiil is to be takQn irato the county and dumped. v/ <br /> T Gc���k 7`0 � donz r,�i�hi„ • ffie Q�^C2 s/�vwn oh m <br /> f�ie �*�ac/e�✓ d�aw:.S, ov�lf., O <br /> 7 <br /> Z <br /> � <br /> �__ �..� <br /> _:, - � <br /> _ � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � Thc untlersigned ownedapplicarn hereby agrees to hold and <br /> � �� a- O p save harmless the City of Everett fwm any and all claims for <br /> np �oved�or wnstmc- n o. e damages,costs,expenses,or causes ol ac�ion that may anse <br /> /�� l because ol install�lion and maintanance ol the improvement or <br /> / �// -�/Q f other right�o4way use hereto applied for and lurther agrees to <br /> -rY��` y— remuve same upon nolice Irom Iha City and to replxe public <br /> FINAL INSPECTION � property damagCd hcreby. <br /> Approvcd as ConslruCtM Date / <br /> �9 fe <br /> _"-.� l � Oate (.l���d <br /> 1YORK AUTIIORIZED OY THIS PERMIT MUS��[STARTED WITHIN 180 DAVS OF DATE PERNIT IS ISSUED AND THEtiEAFTER IS TO BE DIL�GENTLY PURSUED <br /> TO COh1PLEilON.THIS PGRMIT MAY DE CANCELL[D BV iHE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 04YS UURATION. <br />