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� � <br /> PUBLIC VIIORKS °„= ' ' ;' '� <br /> PERMITPublicWorksPcrmila �t.;���:a-�,�,�., <br /> BuiltlingPermilA '��1�Od-!��!5 <br /> PUBLIC WORKS DEPART�dENT Planning Relcrencc a <br /> 3200 CeQar Street <br /> Everetl,WA 98201 Public Works Fee S � :i 0 . U U <br /> �azs�z e,o,,,..—, �i� SEP 2 3 2002 ' <br /> �� �'�rJ�j (�y t7 Guaramee 5 <br /> OWNF.RNAME �. APPLICANTNAME <br /> ANOADOflESS'. Lnf:EI,AND H��ME�� II�C 4NDAODRESE: <br /> PO BOX 32Ch <br /> EVEP.ETT WA 5&:'G '. <br /> PHONE: ,'����5E17f•� PHONE' <br /> TAXPARCELI.D.a PROJECTAD�REyS�. <br /> �0;:5U'i3Cs;0`UU1 �':ii9 KRU�fE[? A.VE JjLiii ` <br /> DESCRIPTION OF <br /> PROPOSED WORK; 1JEI4 jyl 1 i_I,�r; �� E i1'-,i 4� ., _:�'� <br /> r.i� <br /> PERMITCONDITIONS ��:�'1 % Vi� �'F.uh'1 i�I,Ai' __�:i,�. _ ,-. , <br /> 1. All calls lor inspection shall Ne made 24 hours in advance- phone (425) 257-8810 <br /> 2. All work shall be perlormed in accordance wilh this permit and current City o! Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Localion Underground Service 4E hrs. belore you dig. TOLL FREE NUMBER 1•800•d24-5555 ' , e <br /> W <br /> v _ Ac�.esc t.0 Uiis 1ot mu�;�. Le frum R�omer aiicl the drivirway shall be no � <br /> a�ura tnan 12 f�et wi3e tor a distance .�f at least 20 feat. f.um Kto;r,�;,c � <br /> J,v�_ . <br /> '- . ConnEct all rooftup downspouts to �iie slde ;ewer. <br /> �:, . All �xcaval.�>d m�tPr� 1 from fot�nrl�t-ion, �.d�walk an� r3iiveway : 1. .' 1 � <br /> � . ii�, 1. �i i :� _�n �1 . � � i irP..,i . . � :.�,:tinr.i ;_�� m Y.,_ri � l . .'. O <br /> :ii . u'., - - ,_i,i ' �,_:_, . ,.1 �:i�� : , ,�� . � <br /> 00.-1G-02 2:04Ph1 <br /> B 204005 Z <br /> 6UILD 111G.95 M <br /> PLAN CK 3.64 V <br /> SRCHG 4.50 <br /> MECH 90.00 ^ <br /> FLUMB 9].UO v� <br /> DRIVE 25.00 � <br /> II 204006 <br /> J:WER IO.00 a• <br /> TOTAL 2391.09 <br /> Citi�F: i39i..v"9 <br /> Fl OH7464 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> , /-t_ �//��0� The under;igned owneNappl�canl hereby aqrees to hold and <br /> s�I 17� � save harmless Ihe Ciry ol Everell Irom any ana all claims for <br /> a'iovcb Cons�r on am damages,costs,e:penses,or causes ol action that may arisc <br /> because ol installation and malNenance ol Ihe impwvemenl or <br /> other riglv�of�way use hemto applietl tor anA lurther agrees to <br /> / i <br /> C� — £'' --`2 F•O � remove same upon no� e Iwm Ih City and ta replace public <br /> FINAL INSPE�TIOM p ed the by. <br /> ApprovM es Cons!mUed Daie <br /> �-- — <br /> /�U J L <br /> Signa .ol Appl¢ant pate � --- � <br /> WORlC AUTHORIZED BV THIS PERMIT A;UST BE STAqTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUED AIJD THEREAFfER IS TO BE DILIGENTLV PUPSUED <br /> TO COMPLE710N.THIS PERMIT A1AV BE CANCELLED OY THE CITV UPON ANY STOPPAGE OF WOFN ON THIS PROJECT OVER 90 DAYS QURATION <br />