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Pv�aL�� wo�Ks <br />PE�NIIT <br />PUGLIC WORKS DEPARTMENT <br />�200 Cedar S�reet <br />Eve�ett, WA 98201 <br />(425)257-8810 <br />OWNERNAME f3EIL1+WN JEFF n DEE��:iL APPLICANTNAf <br />ANDADDFESS:pV $C:Y 1�7�i1 ANDADCRESS: <br />EVEkETT Ph 4i:::Dc; <br />ationE: �7253595E7� <br />PHONE' <br />Date <br />Public Works Permit # <4706G3-0 C.: <br />Buildinc� Permit # <br />Planning Reterence # <br />Public Works Fee $ <br />Guaran�ee S <br />if��7 <br />YO POSTING......`.:`::'....`...::...`.::�, <br />7AXPARCELI.D.# QQSQS90UOOO�O.i IPROJECTADDFiESSt,���� �n?�l.�N :iT <br />DESCRIPTIONOf 2.�EW F��UNL!�TION Fpit 14ip��D HOUSE <br />PROPOSED WOPK: <br />PERMIT CONDITIONS <br />EAS; iSyLF GF ia_�TS 7 S a FL.�.� ._ <br />FI}tEHUk:i"P LT::ISIi!TJ D <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Construction <br />Standard� and Specifications. <br />3. Call Location L'nderground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424-5555 <br />4. G�nnert �ide 7ewat ��a[ (_'1r.; �it3ii��acd !3r�L[�. <br />5. Install eeus_on c��ntcal �eeasuces pei City of Eeecett :;tandaL�9s fa� �mall }�ac•.el� <br />5. A�pe'_nklet systew is c««;uieed fee thi� buildino in aom�liance with <_he <br />requicements oi NFD.fi Sr.andan:is 1-D <br />7. No dicr_, mud, ror_k9 or ��ebci� to b�_ ttacked ,��tu L'o3��W3�j <br />8, No const.rtiction matecials, vehiclrs, dumpstFcs, etc. t.o k�e plac��:l �n pion;�ae.:l <br />C0.3CIWnj+. Foadvay to be acce,salile t�� emeeqen�y vetiicle� �t alI ti¢�ee. <br />9. Rer-v;nmend using a 2� ecoss slope foc nev toadway <br />10. hamov� plantec a1��ng easr. �ida of deive opj>o,ite r.hucrh. kewove and replar.� -np <br />yuil vith stcuctueal fill <br />11. Existina luminaiie to b-r. trmoved and -electrical circu_t hy an appaioveci �_:_____:. <br />contcactur <br />12. Fiopose� ioadway to folluw Stan;laid F303 fue struaturai constxuction <br />1'. In�tallatien of a fiee hydeant at Idadisen is cequieed fue the �.oneteucr-o:i <br />19. Gcik on a11EyVay 5h�11 be d-une pe1' l�t.t8r 3ubmitted i�n 2/�4/Ofi by Jeff :ielirn�n. <br />CansT.Luction will be adjusr.ad in fiald a� nea�i��i, Pro��,_,_..�i ��; fr.�il��w 3tsnda, ° ____ <br />steuctural construction. <br />_��,���-l��� 3 .3 c�k� <br />pproved lor Consiruction ato <br />�'.��/�^-r�/ `���� <br />/K�AL INSPECTION <br />App�wed as Conslmcted Oate <br />/--/G--D% <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicaM herehy agrees �o hold and <br />save harmless ihe Ciry of Lveretl Irom any and all claims for <br />damages, msts, ezpenses, or causes ol action ihat may arise <br />because of installation and maintenance of the improvement or <br />olher right�oFway use hereto applied tor and lurther agiees to <br />remove same upon notice irom the City anC to replaw pubiic <br />proper�y dam6�ed thereby <br />/ � // <br />Signai . of plicant � � U" � <br />';.;711K A''1THORIZED f7V THIS PFFMIT h1UST BE STARTFD WITHIN 180 DMS OF DATE PER�dIT iS ISSUED AND THEREAFTER IS TO BE DILIGEIlTLV PURSUED <br />.� 01.1'I ETIn;J Tfi15 PCHLIIT t.tAv BF CANCCLI �[19V TH[ CITV UPON ANY STOPPAGE OF IVO�ti ONTHIS PqOJ[CTOP[R 90 DAVS DJFA710N. <br />