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'.� <br />/�J <br />v <br />PUBLIC WORKS <br />PERMIT' <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evorelt, WA 98201 <br />(425) 257-8870 <br />ANDADDFESS: .`iMITH AkISTY <br />1713 PUGET DF: <br />EVERETT <br />PHONE: Q252�],1815 <br />TA%PARCELI.C.A' � , . <br />OESCRIPTION OF <br />PROPOSEDWORK: (�fi ?-I�j!ly'F, <br />PERMIT CONUITIONS <br />Date <br />Pu61ic Works Permit b <br />Building Permit # <br />Planning Referonco # <br />Public Works Fec 5 <br />D_ � �O�I �Gyarantee�� <br />rl �i �� � r- <br />APPLICANT NARtE <br />ANDADDRESS: <br />JEFF I�OON <br />PACAFtI AOMES <br />Wh 99^O1 <br />PHONF <br />Q�5��90q11i1 <br />PRQIECTADDRESS: <br />/ <br />_; �,�oo,: <br />r,Ftilgn?.-iilii <br />f ��Q'-i��i�c <br />' �-r,iii: �)J <br />. �i7 D � <br />LOT 1� r'.iCk: 5 FE`,`e= _: �.�_- <br />i. All ca�ls lor inspeclion shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with Ihis permi� and current City ol Everett Design and Construction <br />Standardr. and Specitications. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />,. rcnne�t side se;.+�c pee r_ity Staroj.3C� +�'s r,nl, oi�,�., rq4. <br />. F:ooitop cuncff must be dis:har•7ed to a roof do4nspout infilteac�cr, �•�t�s: pe� ?�ry <br />i Everett Storm Manual 3-2.E.2. The approximate �i:e te�nch �i�,_3„5'�v�dr,,. Z� d�a�r. <br />i;J 25� lonct. See att.achmFnt for mi�ce detaila. <br />..� :-v m a c. —. <br />. Install ecosion rontcol mea�ure� pee r_ity of Ev��et�- �t8ndac�;�'�, m�:� raz-a1_ <br />. All e:ccsvated material fL��m ioundation, sideWall�an� dxii�evay5'sh`s'll �e�avs'�•:i t <br />�n appeoved, p�emitte+i �it.. Ao wa�tinq of material i� a�'icv���i on tiiis buil��i�iu lct. <br />. Nc�rlirt, mud, iocks or :lebris to be tracked onto r.oadv;.v. <br />'�� <br />- �-� ,. ' 'r -- '?_T_� rLig,- ,;� 4_: , vc-�40� <br />L <br />..y�tfM �' `•. <br />.. I-�1 �.� r C� M fA..~� r� f» C: <br />��a �aJ. <br />^.i���UIONr��rC N�^ �O _ <br />. i:l .`. �: b: C; <'n •�: c' n`�,�, 4. O <br />- � _;-,r-;.., 1� �18�0� - <br />C i��--�.�r-L-- .�C/ ���� <br />App�o%d lor Cansiruction ato <br />��� �__1-�-- <br />�INSPECTION <br />Approved os ConstructeO Dale <br />�-07-C�� <br />Z <br />O <br />_I <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDiTIONS <br />The undersigned owner/applicant hereby agrees lo holtl and <br />save harm;ess ihe City ot Everelt irom any and all claims for <br />damages, costs, expenses, or causes ol aclion that may ariso <br />because ol mstallation and maintenance o� the improvemem or <br />olher riqht-obway use hereto applied fa antl luriher agrees to <br />ranoi�e sa upon noUce trom the Ci and to replace public <br />`propert�a dthereby.,. <br />C_ � L <br />`� �/� �^— . z' (�f% <br />Signature ol Applican Date <br />�O COMPLET�ION 7�H S PERM TEMAY BE CANCEL EO BV� HE CITV�UPON ANV�STOPPAGE OF WORK ON THIS PROJEC OVER 90 DAVSID RATIONPURSUE� <br />i ra:r �; ;�,:..�, <br />ontaoan. in� <br />