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.g, ��f Date ; • 1_. . �
<br /> ����'� -"' ��^ ��. . � :'i:"' � PublicWorksPermit# _'�r5p7�:.' .� .
<br /> PE�d1�111T ,1��:; ,-��,,, ,
<br /> �I 4 BuildingPermi�N � -
<br /> PUBLICNlOFKS,D�.PA9TPy1�NT�-;�_;;; plenningRelerenceN
<br /> 3200 Cedar Slr=et � " �
<br /> Evcrelt,WA 93201 �, o Public Works Fee S �
<br /> pi251257,-80�'9.'_. `. 1,1�.. !-,j . .
<br /> i � '^�� Guarantee5
<br /> � i!y�,: � :�1
<br /> ,-_-. _ __— -__ — __
<br /> I0 R PR 1 f 1'�6 � APPLICANTNAME
<br /> AI DAUURL55�. . .:. � . . f� �C ANDAODR[SS -- ^ ...—.. .11
<br /> - .,;�roea . ;,r:
<br /> ' Js ia721, P.I�E sL•' _ �� U�` I
<br /> ,t,c,Y�tIsa u'r, �na ,��n ``:,; : ' JUN 1 q(�(�
<br /> PHONE: +;!i�rlM,. . �'.�: . ,. �-� T� P�STiNG. . ° 4U{IU
<br /> t. PHONE: .......... ..sL..
<br /> ;rU5o872-l1
<br /> TF%PARCEL I.D.p PR0.IECT ACDRESS:
<br /> �f1552'0!iyri�i-ni ,;��:,r �;,,1.5--_ ��i. _
<br /> DESCRIPfION OF
<br /> PROPOSEDWORK: ?Ir;G7 j�jpll,�'i}:
<br /> PERMITCONDITIONS .-.-' 16 P[C�'!' �7 i�l�' ' . _ .. . . .
<br /> 1. All calls for inspection shall be made 24 hours in advance.
<br /> 2. All work shall be pedormed in accordance wi;h this permit and current City of Everett Design and Construction
<br /> Standard;and Specifications.
<br /> 3. Call Location Undergruund Service 48 hrs.hefore you dig.TOLL PREE NUh7BER t-800•424•5555 �
<br /> - ,:i�_:*'� _:dT`:Y ,. .: r b.: 1_', :!.t:it.i�.�i rn _� .., aC+tl',�:c.�ih it L:1rL':i':1 .n '�c'= . . _ _ . •
<br /> _ 7.v�catt Stocm t4ar.aal �-2.6.J. Tna appcox-roate tLench is 3.5', 2' d�eP ar.�9 ":. �/1
<br /> � �;��'r. See attachment for �aore details. Vd
<br /> . Ins[all ero�ion control messures �s detecmined by th? PuGlic Work� inspect.o�:, �� _ p�
<br /> . ��ilt f?nce, atea•a balea, s:�aln_s �r erosion blanlcet9. ���
<br /> . ?.11 excavated �azteclal feom foundetion, aideHal.4; and dcive:�ays 9ha11 be haui�•: `_ �
<br /> apptoved, p�rmittad �ice. Tlo Waating oi caterial is allo�d on thia building lot . �
<br /> . 'r7o �irt, nud, ror,ks oc debei� to be traeMed onto coadvay.
<br /> . t!c building mat.eriais to be sta_nked on sideval.ks and sidr.�,+alY:� ko be kept clean -: � 7
<br /> ar foc pede�teian tcavel. �
<br /> . ravo dciveway fcnm the iront pcopaety line out to the atcee± ; _ . �
<br /> �. Contact the Mukilten 4latee Di3tci.r.t fer r_onnec*.�ng piovisi���... . . ��� ,:. • „�� ��,��:.��� �-�. �
<br /> � .! er and ae�+?r aecvice�. q
<br /> . �. . ._ '1"j.�•,. '.'��T , r'1 . .. .`.�'. � . i::. �� �.r. , � , Y/
<br /> .. . . . . . . . O
<br /> m
<br /> ACK�JOWLEDGEMENT OF CONDITIONS
<br /> i A i � The untlersigned ownedapplicant hereby agrees ic holtl;incl
<br /> _ �t � '7 2� �7 save hartnless Ihe Ci�y ol Everett Irom any antl all clairns for
<br /> � "` U� ��'`" �5- � — damages,cosls,expenses,or causes oi action Iha1 may arise
<br /> prw�dlorConslruclion a�o
<br /> � because of inslallation and mainlonance ol ihe improvemenl ar
<br /> _ - _�� • � olher righl-ol-way use here�o applied for and futlhcr a9recs to
<br /> � � — . . -- remove same upon notice Irom Ihe City and to replaru;mbhc
<br /> FINALINSPECTION � - � � propertytlimagedlhmeby.
<br /> Appmved as Consimcled Date �i. �
<br /> 1 � , f� (7 . . �
<br /> , �1-£:' �_.,( �" � _
<br /> • . Si�jnpW(eotApp6caN-� Dalc
<br /> INORK AUTHORIZED�Y THIS PEFMIT MUST BE STARTED W ITHIN 780 DAVS OF OATE PERIdIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PUPSU@D
<br /> TO CORIPLETION.THIS PERl.11T MAV�E CANCELLED PY THF CITY UPC�J ANY STOPPAGE OF VVORK ON TIIIS PFiOJECT OV[R?0 JAVS OURf.TION.
<br /> ❑�tvN P:o67 onmunn.ulc
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