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� � . - , . ,, . - / <br /> ������ ����� Date .��/ ::.o/�ii�)- <br /> PublicWork�Perrnitq PW02UJ-�% �� <br /> P�l�MIT BuildingPermita G����-�-' ='' <br /> PUBLIC WOFKS DEPARTMENT Planning Refemnce N <br /> 3200 Cedar Street public Works Fee S . . . '.����� <br /> Eve2reSll1.2WA 982(0�1 <br /> (i 1Vr71�J�ING SE_�_-----, Guarantee5 <br /> OWNEflNAME J b J OUA.. 1��Y (_'ON..�iT. APPLICANTNAPdE J fi ,J QUALIL �i �.��li�.:,T. <br /> ANDADDFESS'. ANDADDRESS: <br /> 5i4 E UAVZE:S LOC�P Pi� �FH 514 F. DAVIES L�%ul� Ri� �BH <br /> LF; STEVECIS FiA Sr:=:�';,> VK STEVEN.S FIA �)'::5::'. <br /> PHONe: 4�5334411 °� PHONE: l��jj44175 <br /> PROJECTADDR[SS: ��- <br /> TAXPARCELID.p UI)j0.'.yfi� }Il ;_;I)IJ �- ,...� �';�:UI'IE(i E.. _ <br /> DESCRIPTIONOP 14EVi F?n�i:',c, - P.Li.�E I']-.LC;F. F;ASIi' :,_ .. , <br /> PROPOSED WORK: <br /> .'I'i <br /> �1. 1 Vr �17V ' t rLN1 <br /> PERMIT CONDITIONS 1 'U_:-tl�1.:-O 1 <br /> 1. All calls for inspection shall be made 24 hours in advance- phone(425)257-8810 <br /> 2. All work shall be performed in accordance with tnis permit and currenl City ol Everett Design and Conslruclion <br /> Standards and Speci(ications. <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 7-800-A24-5555 ' e1 <br /> Ii1 <br /> � . lf�lii:�,CL 'alr?�. _,.�Wi_I ]���I ('i `. y `.-.�LJIIQ.J1'�aU I�i! � � li(1J f� t.U'. . � <br /> ',_ . FiV�!LL.I(J LU110� . . I➢615� }JB ��1J� 1"IEtC�P-'�� �I� ct LOUf C�OWR::L7Ulli- 11'1i11C 9i.iu11 � <br /> yst�m pei Cit=y �f Ev��r�tt. Stozm Munual �-� . ti . 2 I4idt.}i 3' PeF�LIi � . �� ' <br /> _,e�igth 24' <br /> Znstall a Type I concrete dri3eway per City of Ev�r�rett St.�r.d,�rd '0' . <br /> -. . Pave ciriveway from the fzunt pioperty line out. tu t.n,:, .>tr�•�t. pavic��_; . O <br /> Ali excavat.ed material Lrom tha Eo>>n�:,��t i:�n, sOhi*10e0F1:1,47PMd drivuways� <br /> !�lc_ - Cl t.0 ��F }7-lU1PC3 t0 clfl -IC�i'1� .� '_ � 1� �IP.�': � -_ • -'�i � �=� �d0 Wc�'�Q.�]q Ui <br /> nat_� __� _ ��r, eh,. ��, i� `.�1 � i�; i-�,� BUILD 1�00.95 Z <br /> SRCHG 4.50 O <br /> HECH 80.00 <br /> PLLIMR 98.00 � <br /> DRTVe �5.00 � <br /> tt 204005 <br /> SEWER 70.00 '� <br /> U7ILITY 1613.00 � <br /> '➢"OTAL 3091.45 <br /> C}-lEifC 30ii.45 <br /> A OM7460 <br /> ACI<NOWLEDGEMENT OF CONDITIONS <br /> � The undersigned ownedapplir,aN hereby agrees te hold and <br /> 3 � save harmless the City of Everett from any and all claims lor <br /> App vetl iConsv �on Dote damages,cosls,expenees.or causes ol action thal may arise <br /> / because of installation�nC maintenance of the improvement or <br /> � other righ4ol-way use horeto applied for and turiher agrees to <br /> � � ,2 )-O Z remov came upon notice irom the City and to replace public <br /> FINAL INSPECTION pr erty tl�mag Ihereb . — <br /> Appmvetl as Constmctetl Daic �-� I � � � � L � <br /> Si�nalure IApp!ic t Date <br /> WORK AUTHORIZED BY�fHIS PERh11T MUST BE STAPTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEDAND THEfiLAFTER IS TO BE DILIGENTLY PURSUED <br /> 70 WMPLETION.THIS PEfl1AIT MAY BE CANCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON ThIIS PROJECT OVER 90 DAYS DURATION. <br />