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� PUBLIC WORKS Date 11/Z/2001 � <br /> Pp0911-005 <br /> Fub�ic works PermnL110411-003 <br /> PERM 1 T BuilOing Permit• <br /> PUBIIC WORKS DEPARTMEN7 Planning Releience� <br /> 3200 Cedar Street 525.00 <br /> Everen,WA 98201 Public Works Feu E <br /> �azs�zs���o �UJI11V�7 APR 04 20 5 Guaranteo5 <br /> CWNER NA� A46 621 ST RT 9 NE APPLICANT NAME <br /> AN�AD�R ANDADDRESS: <br /> L71AE STEVENS tt)1 98258 <br /> 4252990800 <br /> PHONE: PHONE: <br /> TAX PARCEL I.D,� PRNECT ADDR . <br /> OLSCRIPTION OF <br /> PROPOSEU WOPK: <br /> � <br /> PERMIT CONDI�IONS <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 this permit and current City of Everett Design and Construction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> 4.Cor.�;�ct aide aeveC per City Standard N'a 601,602,604. W <br /> 5. Ru�.fiop runoff ■ust be discharged to a roof dormspout. infilt.ration aystew per City � <br /> of Eveiett Stocevatec Manua: 3-2.6.2. The appcoxiaate ei:e trench ie 3.5' wide, 2• �, <br /> deep, 25' long. See attacluent foe eore detaila. � <br /> 6. Inata;.l ero�ion conteol eeanurea aa detecmined by the Yublic ib rk� inapectoc, auch <br /> as ailt 1'ence, atra�+ balea, svales or eroaion blankets. M <br /> 7. Pave �9rivevay feo� the fcont propecty line out to the ateeet paving. ��� <br /> O <br /> � <br /> Z <br /> 1�GZ-44 2:'�6FM O <br /> N 411003 <br /> EU1LG 1384.15 � <br /> SRCHG 4.SD � <br /> FlA4 CF; 10.9� O <br /> NECH 90.00 <br /> PLUMB 120.00 a <br /> LIFIVE 25.00 <br /> q 411027. <br /> SEWEF 70.00 <br /> ACKNOWLEDGEME��OFCOt�81T��IS 1700.57 <br /> / a The undersigned ownedapplic�n�i�ayagrees to hdd and <br /> ����y�z /��/ �� save harmless the Ciry ol Everen irom any and all claims lor <br /> n r en ior Consuutuon� Da� damapes,costs,ezpenses,or causes o(aqion that may arise <br /> v i because ol installation and mainlenance ol the imprwement or <br /> � , /� � / �J 1� othefghl=ol-way us� eto app6ecl for and fuMer agrees to <br /> '' ��tI���(/ � / — J rertlove same upon notice m th�' lace public <br /> N �L�N PE¢TION �— �roperty damagcb thereby./ <br /> ApprovM as Constructed Date <br /> IL � �-!. <br /> Signature o IwaN ate <br /> WOfiK AUTHORI2ED BV THIS PEFMIT MUST BE STApTEO WI7HIN 180 DAYS OF DATL PERMIT IS iS5UE0 AND TIiEREAFTER IS'O BE DILIGENTLY WRSUED <br /> TO COMPLETION.THIS PERMI7 MAV BE CANCELLED 6Y THE CI1Y UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATiON. <br />