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� � PUB�ic woRKs <br />PERMIT <br />PUBUC WORKS DEPARTMENT <br />3200 Cedar Slrcet <br />Everett, WA98201 NOV p 8 2004 <br />`"25'���WOSTING -- <br />OWNERNAME �IaI'II T�BE <br />ANDADORESS: <br />13500 LR CITY iT11Y t� <br />SEATTLE iiA 98125 <br />P"oNE: 2069486283 <br />TA%PARCELI.D.n DOS7BBOOQOi6O <br />�ESCRIPTIONOF �O gOCSE - SASIC ??QB <br />FFOPOSED WORK: <br />APPUCANTNAME <br />ANDADDPESS: <br />PHONE <br />Date <br />Public Works Pertnit N <br />Building Permit M <br />Planning Reference M <br />Public Works Fee S <br />Guarantoo $ <br />4008 ffiGH ST <br />i <br />4/19/2004 <br />Pi0404-021 <br />C0404-019 <br />$25.00 <br />PERMIT CONDITIONS LdfS 16 8 17, SPQTE I.i�11D CO, 2ND <br />DIVISIOA <br />1. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be periorrrad in accordance with ihis permit and current City of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Connect aide sevec pec City Standaed /'a 601, 602, 604. <br />5. Connect all rooftop dovnspouta to the side �ever. <br />ti. Inetall ecoaion contcol �eaeurea aa detec�ined by the Public tiocka inepecto[, auch <br />an silt fence, stra� balea, awale�, or eroaion blanket�. <br />7. Renove ecoaion control neaaurea upon completion of the pcoject pcior to final <br />approval of the pecmit. <br />B. ]�11 excavated material frcr foundation, aideualk and driveveys ahall De hauled to <br />an appcoved, pe�mitted site. No wanting of matecial ia allo4red:on !fiia Duildinq lot. <br />?. Install a 7ype I concrete drivevay per City of Everett Stahdard N307. <br />10. Contact Public tiocks inepe�:tor (Dennis, 425-339-7403) fnc:coneultation pcioc to <br />drivevay installation. � <br />.:::➢Iil <br />_ .th' <br />_I!�£ ;i4 �, <br />_,16'= ?;�. <br />.��� d. - <br />W <br />O <br />� <br />Z <br />O <br />� <br />N <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to Iwkl and . <br />s�ive harmless the Ciry ol Everett irom any and all claims for �' <br />damages. costs, ezpenses, or causes of action that may arise <br />6ecause of installation and maintenance oi the improvement or <br />other righ!�ol•way use hareto applied for and turther agrees to <br />remove same upon notice irom the City and to repWce public <br />properry Aamagetl ther h ., � <br />� '�I ��L � `' `� <br />, µ� � <br />SignaNre ol App wanl Dale <br />WOFK AUTHORIZ[D [3V 1MIS P[(�MIT MUSi E3E STARTEO WITHIN iB0 �AYS OF DATE PEFMIT IS ISSUED AN� THEREAFTEP IS TO BE DILIGENTLY PURSUED <br />TO CO�dPL[7ION THIS PERhtIT h1Pv E3[ CANCELI.E� BV 7HE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. � I <br />