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1� <br />�J <br />� ie+ <br />OWNEIi NAME <br />ANOAODRESS: <br />PHONE: <br />PUB�ic woRKs <br />PERMIT <br />PUOLIC WORKS DEPARTMENT <br />3200 Codnr Slreol <br />Evoro��. WA 98201 <br />(425) 257-P810 <br />iPIT RANDY a rv+�n t <br />71� GRAND AVE <br />EVEAETT WA <br />42�3354551 <br />7A%PARCELID.N �I)QSBB. <br />APPLICANT NAME <br />ANDADORESS: <br />ng�nl <br />PHONE: <br />Dnto <br />Public Works Parmit H <br />Building Pormil a <br />Planning fielorenco N <br />Public Works Fco 5 <br />Guaranleo 5 <br />o/l0i'007 <br />Pw07no_np7 <br />rn7nn_np7 <br />5�5,nn <br />JIM FIlfi{ERT, <br />DESIGN Ni�kTHWEST ARCHITECTS <br />3!�052934q1 <br />PROJECiAD�RESS�. ,� <br />DESCRIPTION OF <br />PROPOSED WORN: NE�1 Hn��SF � . . - - � - <br />iQ POSTING 2 -3 - �� <br />PERMITCONDITIONS LcYf'S l:t 6 13 SLit'Y. !?5 �;=,AMNIEW <br />ADON 'IK� EVh'RETT <br />t. All calls for inspection shall be made 24 hours in advance. <br />2. A�I work shall be perlormed in accordance wilh Ihis permit and current Cily nf Everett Design and Conslruction <br />Standards and Specifiwtions. � <br />3. Call Lxation Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br />. Pu�t �:on'col �111 I?E' CP';uie�i a� need=d �o :har neiahhoc� pc��peeti?� ace net � <br />;:i�.�.t��a, � <br />�., Side se�.*>r may need updating if undec poepos��d nev nac.,qe <br />. r�nnect all ceeftop dosmapouts to the side �ew�e. ,:i• m <br />'. Install ecosion cuntrol measures per City of Evetett Standards foe eaall Rarcels O <br />. Remove eroaion rontml meaeuree upon completioh of�,the pCn�yc.t prior te final <br />,� ��rnval �f the permit. "', <br />7. Nn dirt, mud, rock3 oc debri� to be tracked onto readvay. ` , <br />!��. No buildlna matecials to be stacked on coadvay�and e�adva}• c�_ b� kept c1Han and �1 <br />,�•n foe pedesteian tcavel. ^ � <br />ii. Remove and replace rurb, guttec and sidevalk ;s pec City of Everett Stanc7acd Plan O <br />a_ 305A fl 306 on this pcepaaal'a fcontage aa dicPaYeu bf the Yublic WeeF:� Inapecrot ` <br />:.e. all unused drivevaya and any broken or damage� area must be repleeedj. �— <br />,. Pave dcivevay fcom the fcont pcopecty line out £o•tlie st.eet peciny ot alley /A <br />-avinp. O <br />..-: pirpr,r- [7�,hF� I1l;PEC7'I�?N, CALL fiAtlDY ALLEN AT 4_'S-33?-7�i('' a <br />ACKNOWLEDGE�IENT OF CONDITIONS <br />/� 7ho undersigned ownerlapplicanl hereby agrees tc holtl and <br />� f- � � n save harmless the City ol Everetl Irom any and all claims lor <br />, �/.� % � �� L� damages. costs, expenses, or causes ol aclion �hal may arise <br />�� pppr .� Consvuaron 0 �o becauso ol installa6on and maintenance of the improvement or <br />I � .: + j �- `,— � other right-of-way use hereio applied for and further agrees to <br />, � f Z> � remove same u notice Imm the City and to replace public <br />ti� r <br />j FINALINSP ION ertydamag �hareby. �''� <br />Approve0 n �slruded Dato 1 y'` I n/�/"� � <br />Il/� � V y <br />_ __ SignaWre ol Applkam Data <br />V�ORN AUIHORIZED BV THIS PERMIT I,AUST BE S7AR7ED WI7111N iB0 DAVS OF DATE PERh1lT IS ISSU[D AND 7HEREAFTER IS TO BE �ILIGENTLY PURSUED <br />10 COIAPLE710�1 THIS PERIdIT IAAV L'E CANCELLED BV 7NF: C�TY UPONANV STOPPAGE OF WORK ON THIS PRQIECT OVER AO DAYS DURATION. <br />pAT118AR, ING <br />C�'IYP ii OG� <br />