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µ�� <br />�,_ <br />�_�- <br />';:� <br />PHONE: <br />TAX PAFCEL ID.X <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PUBLIC WORKS <br />PERMIi <br />PUBLIC INORKS DEPARTMENT <br />3200 Cedar Street <br />Everell, WA 98201 <br />(a25� 2�7-oeto <br />'r.-:i1•IAit LL,'" <br />3n04 2'RD AVE <br />ARLINGTON <br />3E040331U7 <br />PlEW L�UYLEY, <br />NE <br />Wh 9g�2? <br />Date <br />Public Works Per�nit # <br />Building Permit # <br />Planning Reterence # <br />Public Works Fee 5 <br />Guarantee� �y <br />APPLICANT NAME <br />ANDADDRESS � �i�j�,.Y <br />/ <br />! 1%7.'3007 <br />PW0711-n25 <br />rn711-n07 <br />525,QQ <br />9 'l� r'�r-�« <br />T� ����IN�i __APR G 8 2U04 <br />PHONE: <br />PROJECTAODHESS: <br />THSS PERMIT ALS�� r�i�,�F:, Tf� )7EF DU'rLE.l' AT =b27 LC:�AF.P AVE 1iAB <br />PERMIT CONDITIONS <br />Lc?TS 1_'• S 19, ; Li�r_c- gE;n, pLnT ,..: <br />I`JERETT i,:. ., <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be periormed in accordance with this permit and current Ciry of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />. rOf1i'.3�:1:. zii�j�� �EtJcC �JP_C �"1t•y $Cdi1�j3C� {!�,-�, EQj,� F;11?� 'r,Q-]. <br />-. r��nr,e_t :ll roofu�p cf-uwnsp_�uts to the ::id� .::rwc. <br />. Inst:all erosion cnntrol measuee, pee City of Evecett >Cand�edr; fn� :;��all �;3rr_el: <br />. Remrnre erosion r.ontr.ol measures upon completiun of the proj�ct prior tv finai <br />o-•roval ef the pecmit. <br />. All esr_avated mateeial from foundation, sidewalk and deiveway� shall be hauled co <br />�n .-,pproved, permitS�cl si*e. T!o vHsting of mateeial i� ,llo�•d on this buildin�-� lot. <br />. No dirt, mud, rock; oe det��ris tn be tcacked �nto roadvay. <br />=:�. T7o building mate�ials to t�e stscked on sid=walks and sid�wal}:s to be Y.ept clean <br />�nr.i open for pedestcian LC3VP_1. <br />'7. Adjust watee met.ee bos 1" abovF sidewalk 9cade. <br />_.. Rcmove and ceplar_e ruri?, guttec and �idewslk as pee City of Ev�rett Standaed Pl.an <br />�+�; 3n5A 5 30r on thi� proposal•s frontage a� directed Ly the Public Work:: Inspector <br />-.e. ali unused deivec:ays and any beokFn oe damaaed acea musr_ LF ceplacedj. <br />. A catch basin :.�s pee City 5tandard Plan �i90<^ vith a g:;s t�-,�� per Stac;l.-,cd Pi:+n <br />��1n i� CE'GU1C�_'lj for the parking 3CP3. <br />--- P�,F,i:: :�oLi;_; -n�F,=ct;c,ns _sll ka:.,: Allun �t 9='--':y_?ar:_• <br />� <br />V/ <br />Z <br />O <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant here6y agrees to hold and <br />save harmless lhe Ciry ol Everett irom any and all claims for <br />damages, costs, expenses, or causes of action ihat may arise <br />because of inctallation and mainlenance of the improvement or <br />other righFaFwa use F�C'to applied (or and futlher agrees to <br />remove�me on tic Imm the Ciry and lo replace public <br />prop rty d�mage r y. <br />. fj - � z/�/v % <br />Sign olAppii ni � Dale <br />!�� COMPLET�ION TD SVPERAI7EMAY BE CANCELLED 9Y� HE CITV�UPON ANV�S70PPAGE OF WURK ON ThUS PROREC OVER O�DAYSID RATIONPURSUED <br />� C:i' Q:OG� OATAOAR. MC. <br />V! <br />0 <br />� <br />