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pus�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 CP r Slreet <br />E1425) 257 �'PQSTING JAN 0 3 <br />HAACR BFOS CONST IN <br />3922 67TH AVE NE <br />EVERETT WA <br />4253342790 <br />PHONE: <br />005317005U0601 <br />TAX PARCEL I.D k }j��] gQ�fgE - EASIf. 17O <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />?82Q5 <br />PHGNE: <br />PROJEC7ADDRESS: <br />Date <br />Public Works Permit a <br />Building Permit # <br />Planning Reference M <br />Public Works Fee $ <br />Guarantee 5 <br />% <br />?�iaiaoos <br />PW0509-023 <br />C050?-016 <br />525.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance with ihis permit and current City of Everett Design and Consiruction <br />Standards and Specifications. <br />� 3.�oI��� Lo�atioi lp1 der round petvi e 48 h�s. bef re y u di TOLL FREE NUMBER 1-800-424•5555 <br />: i_ ��..r_c p_ �ity .tcan��ac�� Mo'�11 <br />5, Connect all �oi�ftop JovnsFw�uts to the sir,le sEwr. <br />�. Fooftop runoff must I�e dischacned tc a eoof dovns�eut infilteation system pec riY.y <br />iif EV?1'<_�it Stoem h!anua: 3-2.F.�. 7'hB dF�pco:ciroatB 31Zc tL'�fli'h 13 3' Nld2� 2' (!�RF� 3Dd <br />L��� LOtlq. $BE 3it3CI1N�?I1C fCL L90Cr_ �jt?Y311J. <br />l <br />�==�i-��-�; /1,../..� �(', I In� <br />Approved br Canslmction Dale <br />. / ` ' :*l ? _ G, l`� <br />� ' 4: � ll.' ' �i L__ _L / <br />fINAL INSP— ECTION� <br />ApprOved as ConsVudud � <br />w <br />f a a+s <9 <br />... �A Cil.n 1-� �--� � W <br />.���- ii7`�: �M�I`i <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />r <br />�/� <br />Y / <br />� <br />O <br />� <br />Z <br />O <br />_ I <br />O <br />a <br />The undersigned cwneuapplicant hereby agrees to hold and <br />save harmless ihe City of Everetl trom any and all claims br <br />damages. costs, e•penses. or causes of action that may arise <br />because of installalion and maintenance ol the impmvement or <br />other ngM�ol�way use hereto appli d for and �urlher agrees to <br />ro ove s am upon noti b irom th it�and t��i i c? publi� <br />T \ <br />M �� <br />\VORK AUTHORIZED B� THIS PEPh1IT A1UST BE STAFTED WI7HIN 1�i0 DAVS OF OATE PERh11T IS IxSUEq ANDTHEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COhiPLETION. THIS PERMIT IdAV fiF C�NCELLGD �V iHE CITV J^ON ANv STOPPAGE OF WORI<O��iH15 PROJECT OVER 90 DAVS DURATION. <br />