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PUB�ic woRKs <br />PERtl�lI1T <br />PUBLIC WORKS DEPARTMEN7 <br />3200 Cedar Streel <br />Evcrett, WA 98207 <br />(425) 257-8810 <br />JIfIII ENTF:F.PRISF.S <br />117 @�FD DR SE <br />El2TtE1"I' 4tA <br />PHONE: _'O7SSOQ.'.?9 <br />TAXPARCELiD# n1n535ncouiann <br />. APPLICANTNAME <br />AND ADDHE55: <br />y�i-�,5 <br />PHONL: <br />�. � PFQIECTADDRE55; <br />DESCRIPf10NOF }jgU HO;•IE � '�-�� <br />PROPOSED W09K: � <br />PERMIT CONDITIONS <br />Daie <br />Public Warks Pci�nit ti <br />8uilding Permit /t <br />Planning Relerence p <br />Public Works Fee 5 <br />Guarantee 5 <br />/ <br />10%li'nn7 <br />PW0710-007 <br />rp709-01; ;' <br />Ii �i.. . l <br />;25.Oi1 <br />LM' 19, ._TH ST P.T�FTNEF.S DSV <br />1-DC�NOVAt! L.AtlE FRD <br />1. All calls lor inspeclion shall be made 24 nours in advance. <br />2. All work shall be perlormed in accordance with Ihis permil and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />;. I:ooftcp cunoff mnet be dic�.-h3cu�d t�� a cooi downspout inYil��arion syatem pec Citp <br />�.�z Fvaiatt �tocm Manual 3-2.6.�. The approximatr si=e tc>n�h is 3.5' Wi�1e, J' :ieup <br />.111� ���� long. Se.= attachmenr for mnce f�FCdi]S. <br />`�. ThH contr�actor mu�t me��t vlth thF PuLtic Woe�Y.s L�spector to discuss potential. <br />dcainaq� routin� peier to L�eginnin� the p�oject. <br />�i�. Install ecosion contcol me3sue?� as deteemin-rd by the Fublic 41oc}-s inspect��i, �uch <br />..,, ::ilt ftmce, srcav I?ale�, ,vale�, oe ecosien I?lanket.. <br />7. Remove ero�ion control measurus ❑pon complet�on of the project peinr to final <br />�FF«va1 of the peemit. <br />R. A.11 excavated material fer_.� foundation, nidevalE: and deivNWay:: �hall b� hauled to <br />�n ap��eoved, pectrntteci ::ite. No wastin9 of matecial �� sllo��d on this huilciin� lot. <br />��. No di�t, mud, eocka or deL+ri^ to I?e tracked onto r:o3dv.ay, <br />:0, Fav�r a[iv���+ay fcom thN front pcopFrty lin� out to the :>tie�* �a•,�in�. <br />`?� T'�.. �. .1.'�:� ;N`Jt= "?�:,.1l. ..'-.LL T.�L'�.1iD�i ... 4.J�-:�i4-'q�l" <br />�,���,�� ,� �, <br />Apprv✓c or onsiructioo 1� <br />//�%l i <br />C-�C-' /vL._ _�� � �C —�C <br />FINAI INSP[CTI <br />Approved as Constmcted Datc <br />W <br />� <br />'�A <br />Y/ <br />W <br />O <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undcrsigned owner/applicanl hereby agrees lo holtl antl <br />save harmless the City ol Everett from any an0 all claims lor <br />tlamages, costs, ezpenses, or causes of action that may arise <br />because oi installation and maintenance ol the improvement or <br />olher nghl-ol-way use here�o applietl tor and luMher agrees to <br />remove same upon notice Irom ihe Ci�y and to replace public <br />ProL�c�mage� iherebyr� �C/yyj� <br />/ � � <br />�.'ti._ rI ' <br />SignaWre ol Applicanl Oete <br />C:OfiK AUTHORIZE� OY THIS PERh11T h1U5T DE STANTED WITHIN I80 UAVS Of DAT[ PERMIT IS ISSUED ANP T�{EREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERA11i I.IAY BG CANCELLED 6V 1 HE CITV UPON ANY STOPPAGE OF \HOFK ON THIS PROJECT OVER 90 DAVS DURATION. <br />LPl\T �: pEl DATABAP.ING. <br />Z <br />O <br />r <br />N <br />a <br />