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PUB�IC. WOR1�S�,1,:�:����., �.�:��t
<br />PIERMIT ' , `'�;
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<br />PUBLIC WORK,S rJGPART,MEJJTI?1 L�
<br />3200 Gedar Street
<br />Everett. WA982Q}rll �������.t�'7
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<br />APPLICANi NA1,1E �'J
<br />ANDADDRfiB$f_� �,��i
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<br />PHONE'.
<br />OWNERNAM[
<br />AtJDAD�HES�: SCHFII ��i,i.
<br />Pi, 80;; ?r��l
<br />MAF:YSVZLLE
<br />PHONE: 9�5�705065
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<br />W.R � F,i��i270
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<br />TA%PARCELI.D.# ,_,�jq514012n'q0 1 E�-��).
<br />DE�CRiPTIONOF t��� PlIFj
<br />PflOPOSED WORK:
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<br />PERMIT COIJDITIONS
<br />Date
<br />Public Works Permit K
<br />Builtling Permit k
<br />Planning Relerence #
<br />Publi�Jorks F .S
<br />G /a; /C-
<br />i;�c�_��� "
<br />Pwo8o1-n14
<br />rnanl-ni?
<br />S�S,i�i��
<br />2 ��'D� --
<br />i0 P�STING ocT s�� 2ooe
<br />PROJFCTADQRE55�`_,�,-14/.{li1B H!�1T AVE NASE
<br />' AS C071::.;�7'fg
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<br />LCTS 2�] c:'�. E'_�.CE 1'� sF:IC:,!•�;
<br />i' I}t:i'1' F.DDR - .
<br />1. All calls for inspection shall be mado 24 hour in advance.
<br />'. All work �hall be perlormed in accordance with lhis permil and current City of Everett Design and Conslructioc
<br />Standards and Specificalions.
<br />3. Call Localion Undergrnund Service 48 hrs. before you dig.'iOLL FREE NUMBER 1-8D0-424•5555
<br />.. ,.'"r.;:�=r- '.li e.:..,ft��;�� do:risp�_•�r; ._ tiie oid� .-=•�rac.
<br />r, Tht• ['OIILC3CLOC IRl13C I!MPf'2 V72}l L}1= t'UfJ11C WOL%9 i!15�:�ar[•JC Cp !jl::^_Ll.c.:: F�.JLc'flLl��
<br />�irainage eoutir.g peini to heginning the prcojert.
<br />c�. instali. erosciun control mea�ure� f�er� CiCy of EV@7.-BYY SYsnd-ned� for �mall pax-cei-�
<br />7. F:emove ecosion r��i�r��;l mea�uce� upon r_�mpletien of the pcojo_r_t FC10C *_o final
<br />,r�pc,-:val ot tne pe�mit.
<br />:. All excav�ted macerial frum found.at.ion, sideualk and drivevays shall bu haule�9 tu
<br />v, apprc�vNd, pezmit'ted :�ite. hn wa,ting of mateeial i� allowd on tL•is buildin9 L-*.
<br />-. t�0 C�ll:t� IOU.j� L'nr}:� ^L' �?'t�Cl.'", Ci� �IF' CC�'JC�Pti OTIfO CO3iIW3y. '
<br />'0. No I�uildin� m;3t«�eials r�; i:� �rack�_•d �:n eeadaay and eo3d�ag to be kept cl�an ;....
<br />�:�pen for pe,:leytiian tC:3v,rl.
<br />'.'1. Adjus* �arar mero� I�na 1" a6ove rifewall: geade.
<br />��. Remnv� ;nd replace �.urt, matt�� and e;idewalY, a� pec Cit�r of EvF��ett ;' :.^...�;, :---,..
<br />,•�s tn57; s. ?uo on this pcopc,�al's feon-age aa �iicect�rd b_� tlie Yublic WocF:a ie,:�_.,;_-__e
<br />_.e. all unused dr�ve�:ays ami any bcoken or damaged area must t�e replaced).
<br />1";, pave �jrivew,ay from the frnnt ��n�,arty line �;oY tn the 311�;• na�•imi.
<br />'..9. A car.ch basin as per City Stsndard Plsn 890' ,.ith s: ..._ tc;r r_ Sr:r,n �_ �:' !-.
<br />•�}1�! i� ce,�uieed foc _he paekin�� a��,�.
<br />;�OP, Pt�°LI� W�;P.KS ZitSFE"TT41i, C.AL: ..,_ ...:' 4:`-:;�s�-'7v;...
<br />Date
<br />�
<br />ACKNOWLEDG"M6N f OF CONDITIONS
<br />The undersignetl owner/applican: hereby agrees to hc�d antl
<br />save harmless Ihe City ol Ev:�rett Irom any ana al� claims lor
<br />damages, costs, ezpenses, :c causes of action that may anse
<br />because of installa�ion and mai�teriance ol Ihe improvement o;
<br />olher nght-ol-way use herelo applied lor and lurther agrecs to
<br />remove samx upon notice irom ihe City and to replace puhlic
<br />propeqv dem�nan iher=h„
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<br />S�qnalure ol Applicanl Dam
<br />�':iJ! ":l.UTHORRED BV r1ii5 PEFA+.IT MU3T OE STARTEU WITHIN ifi0 DAY$ OF D:17H PEI".AT 191�SUED �ND THEPEAFTEfl i5 TO HE DILIGENTLY PUREUEU
<br />1�' i(.`: PLETION THIS PERh71T �dAV �E CANCcL�EU Br i iiE CI' Y!'�ON ANY S I CPi'AG� CF W031( OM THI$ PFOJEC I OViJP ::' p.^,Y5 f�Uf7��TION.
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