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pU BLIC WO1�!(� _1;�. � ,,: .� <br /> I Date <br /> ca..�. �._i;.': <br /> P�R M 1 T Pu61ic Nlorks Pcrmit a � - <br /> I Buitding Permit 7t <br /> !� PUBLIC WORKS CEPARTMENi Planning Relerence z <br /> 3200 Cetlar Streei -,... . � <br /> Everett,WA 98201 � Pubiic 1 orks Fee S <br /> � ;-� ,• tuO�J 1 3 20 7 <br /> � " ' �azs�zs��eaiyot�� �3r1�; ��(i�l�., — <br /> . .._. .. .._ .. G��araMecS <br /> ��,..... �.� <br /> OWNEFNAMEc�' " - '-�' - . .""" - ' ' �- APPLICANTNAfdE <br /> ANDA�ORLSSF�! EV7 c64�: ANDADDFESS. .. . . <br /> E\�RE'1? k+.� �d�1:S <br /> 925531p176 <br /> �HONE: �.' P�': (;,�'.. PHONE <br /> �.��.-, .._ �..��C._ ..... �,.. <br /> lAX PAFCEL I.D.N FHOJEf,T ADDRESS �� <br /> t1E4� HC;USE - FSASIC i!%i, <br /> DESCRInTIOtd Of . <br /> PROPOSED`NCRK'. . � ' <br /> - r.- <br /> PERtitITCONDITIONS E^y�,�mr �:�;g�: t,*n=, <br /> �. All r,alls for inspeclion shall be mede 24 I ours in advance- phone (425) 257-8810 <br /> 2. All work shall be per`�rmed in accordance �vith thi3 permit and current City of Eiere:t Design and Construction <br /> Standards and Specdicai�ons. <br /> 3. Call Location Underground Service 4b hr�.bebre you dig. TOLL FREE NUh19ER 7-800•424-555E <br /> . ('.JCR�rC ..i�'!a_ ;r.7EC =C [':.C}' ..'.dlli.,,C� '/'.` bl'i, C�'�_, r,14. � <br /> :. Runftop tunoff rausr^k�� dischacged to a i:nof ,:l_;��n:;r:���c .u:��t_:;cir.n . _ - � ...: p=�. _ __�-_ � <br /> �i EVt'C�tt SLl�C10 HI3I1l:3S �-.:'..Fi.�. � <br /> -. ?_ C'3:ch t�asin as pec� Cit.� St.anilacd Plan N902. with a _yas t::/� f�:'1� S��311�J3CG i11;i �= ,_. /A <br /> ., requiced for the packing acea. In9ta11 at the low rnd nf dcive+��ay and ��:nnect t > ' ��� <br /> �c. W <br /> h.- �nt�,_t �i mu�` m �t wit1� tS� PiYli,� W_�rl:� Insn ct.�r ,� disc:uss p�;tent;al O <br /> � 1.LI.3 l': _1 : _ .'.Y �.�� :-E:l.qi� : ] t . I. •...i•-._ . . <br /> � <br /> �_ , <br /> u., �� O <br /> F � <br /> r-, � <br /> ti.,.a r'n r-n <br /> 4� <br /> O <br /> CL. <br /> � <br /> ACf<NOWLEDGcMEN'T OF CONDITIONS <br /> � '�he undersigned ownar,'applicant hereby agrees to hold and <br /> �j/'. ��,� �', l!)'7,/D�� ssve harml^�s the City of Everett Fmm anv and all claims br <br /> nr,moved Consimcuon Da�e damages,costs,erpenses.or causrs of action Ihat may arise <br /> because ot inatallation and mzin!,nance ol the impmvement or <br /> � ///, � � mher right�ol-way use hereto applied inr and��riher agrees to <br /> �L e..� 7 remove�eme upon otice from the City anc'to replzce public <br /> FI L IN TION property dan — by. <br /> Appmved a Cons;�ucted Datc � r ... <br /> �' /U-//`C3 J <br /> 5' „ �o�Applmart Oate <br /> WOHK AUTHOf7IZ[D�V iHlti�'^�r.ilt IdU3T O[STnRTED l"JITHIN 180�AYS OF DATE PEfl�+117IS ISSUED AND THEREAFTER I�TO BE UILiiENTLV PUFSUED <br /> f0 COIdPLG7l0!J.THIS PERtdll tAnY G6 Cn�ICEI.LED PV iHEi CI7Y UPON ANv SiOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DJRn?ION. <br />