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� � Pus��c woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />E(425'WA98201 JUL 10 2004 <br />'���STING <br />1\LBRIKTSEN KENDIU.L <br />6713 HIGHLIIND DR <br />EVERETT WJ1 <br />PHONE: 4252909023 <br />TA%PARCELI.D.• ____.___ <br />PRoroseo wo�nK: NEW HOUSE <br />& 11NGEL ANDADDRESS: <br />98203 <br />PHONE: <br />PROJECTADDRESS: <br />oere o��a��aoo3 <br />�� W�g Pe"^K • PW0302-024 <br />eutah�q Permit • C0302-030 <br />PlenNng Reference 11 <br />Pubiic Worka Fee S <br />Guarantee S <br />�J�".':�'�!. ,::('(;'-�1 <br />I1 :.l�ir2�l <br />:-..:'i[� .... � :.L . ..`.� <br />=1FE ;:` 0'•;. <br />-.'? _..0:' <br />_;it= _ ,Qi' <br />N ?('1!- <br />$25.00 <br />PERMIT CONDITIONS LOT 2 Oa� RHOR'�C"PI:AT 1202-16-02 <br />, " n _ci� '0 <br />1. All calls (or inspeclion shall be made 24 hours in advance - phone (425) 257-8810 �{ ��� c ry �,� <br />2. All work shall be perlormed in accordance with this permit and current City of Everett Design and�onstruction, .. <br />Standards and Specificalions. � <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-500-121-S�S� =� <br />4. Connect side sewer per City Standard �'s 601, 602, 604. <br />5. Rooftop runoff must be discharged to a roof dormspout infiltration <br />system ger City of Everett Storm Manual 3-2.6.2. Width 3' , Depth <br />2.5', Length 24'. <br />6. Install erosion control measures as determined by the Public Florks <br />inspector, such as silt fence, straW bales, sWales, or erosion <br />blankets. <br />7. Install erosion control measures per City of Everett Standards for <br />small parcels <br />8. Remove erosion control measures upon completion of the project prior <br />to final approval of the permit. <br />9. All excavated material from foundation, sideXalk and driveways shall <br />be hauled to an approved, permitted s1te. No s+asting of material is <br />allowed on this building lot. <br />l0. A sprinkler system is required for this building in compliance with <br />the requirements of NFDA Standards 13D. <br />!,� . 3 �¢ 03 <br />App vetl o onst i D e <br />�2� � -�3-U3 <br />FINAL INS ECTION <br />Approvetl as Constructetl Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />Z <br />� <br />N <br />O <br />a <br />The undersigned owner/applicant hereby agrees ro hold and <br />save hartnless the Ciry o1 Everetl hom any and all dalms br <br />damages, costs, expenses, a ceuses ol action Met mey ariae <br />because o1 installadon and maintenance of Me Improvement a <br />other righbof-way use hereto applietl fw and Nrther agrees lo <br />remove same upon notice han the City and to replece public <br />P�hY ��fl� thereby. <br />�,�,�,�'►nll�b.�.�. �-�5-�en'S <br />Sip�eturo d App � Date <br />WORN AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED ANU TTiEREAFfER IS TO BE DILIGENTLV PURSUEp <br />TO COMPLETION. THiS PERMIT MAV BE CANCELLEO BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HI5 PROJECT OVER 90 DAYS DUMTION. <br />