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y� <br />. ;,, <br />�j� <br />i:� <br />OWNER NAIdE <br />ANDADDPE55'. <br />� <br />PHONE: <br />I 7A% PAHCEL I.D.p <br />PUBLIC W�RKS <br />�'ERMIT <br />PUBLIC WORKS DEPARTMFNT <br />3200 Cedar SLeet <br />Evemtt, WA 30201 <br />(425) 25?-8810 <br />-_._ . __ .. .. - _ _ . . I APPIIC/ <br />i AN��.Di <br />U: ` <br />. � . .._ . :�:L�!1LG �..1 ....i. <br />- ;;,li .lA ;i�;''. <br />.. ' � �' i' PHONE: <br />IDESCRIPTION OF <br />PROPOSED WOIIK: 'i'r.�: '.�"' .I'.'-.;. <br />?ERMIT CONDITIONS <br />��� IPRQIECTADDPESS: <br />Date <br />Public Works Permit x <br />Building Permit # <br />Planning Refersnce 1/ <br />Public Works Fae 5 <br />Guarantee S <br />_.., i' . ..,. <br />1. All calls (or inspection shall be made 24 hours in advance. <br />2. Ail work shall be pedormed in accordance wi�h ihis permit and current City of Everett Design and Construclion <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOL.L FREE NUMBER 1-800-424-5555 <br />, . � �, ; . ,,; . r �. , �, ��.: � - ' �., . . .. , . - . . . , . -� . . <br />���.: �[ �_ n.0 r=_t 4 �h �..I:.. i: .:: . .:.._ . . - . <br />naqe e�iu*,na priui Yo b� ��,innin�7 � he pco�e�t • <br />nstall u�o.,zon conticl IOCnSUCPS as d?teemined by +� <br />:ilt fence, at�au bale�, �vales, oe erosion blanket� <br />':� dict, mad, corks oe deb�i:, ta he trached onco ..^= <br />;ve JLivevay irr� the front pLopeicy line �ut tu x� <br />%. 4peinkl��r z��trn is c+3quxr.:d foc thia huildinq xn <br />��.. Lt'�lnent s nf NFPA St.t:ndsCds 1'D. <br />If installation of ch�; neyr dtivevap vill include con�t.cuctior. of .s. <br />�ra_r that 4' in height, an enqineered design, E�cmit and eeviev ty ti�•_ ,-: <br />' be .'eq,.iir.ed. <br />��R ('OTittE;r_TION 2C? FOP.CS MR.IN: <br />nsr.�ll one SYu ?1UL'9L'5 Piwp tHydromstic Fump Grinder) hyving 3 j—Z�G�� discb <br />impellar �ble tr, �15CI1dC�+-' `GPM at 9�' of head <br />o�ce maan to be :.' pip� :lis.harying [hrough a:'_" �leave tepped int� <br />pocti.on of tbe South �nd SFwr-c Inteccertor <br />'3p tc be ma.e try Speer Taps, oc Y.y a contcactoc oi th� City's � <br />ngtall a<" shucoff calve at th�> 3i�" line <br />r.stall a 2" che^.k valve st pua� and ar the mair <br />n9tali a 2" cleur,eff va.vF sr. �•uni, r�� a?.1..-.. .-tr,c! ._� _. <br />natall a `5 qal .eway-re :rjactoc c . . � •.c:. � • - -: <br />- , � KNOWLEDGEMEhT OF COfJDITIONS <br />r � <br />, %" � -� <br />�;. ; t : -, s � <br />��i AppovedlorConslmclio � Dale, <br />I fINALINSPECTION Date <br />, Appmvetl as Conslmcicd <br />� <br />O <br />F <br />0 <br />a <br />AC <br />The untlersigned ownerlapplicant hereby agrees to hold an: <br />save harmless Ihe Cily of Everett Irom any and all claim= tor <br />damages, costs, eapenses, or cau=es of action Oml may :+: ise <br />because of installation and mainlenance of ihe improvemenl or <br />olher righl-of-way use hereto applied for and !udher agrees to <br />remove same upon notice liom R�e City and to replace public <br />proporty damaged Ihere6y. <br />�.\ <br />�„�.ir....i .: ... <br />;Sig[ulureolADP�Kani� � ��I�' <br />70 CONPLFT�ION ED'BV�TMS'PE'RA �`M CANOELLED �Y�TFETqTV�l1PON ANaY ST�OPPAGE OF V OPK ON THIS PROJ�EC OVER n�D YS IDURATIpjJP'JRSULD <br />��:.�analv e�C <br />