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\ / <br /> PUBLIC WORKS Date 12/3/1999 ' <br /> Pub�ic Works Pertnit u PW9912-007 <br /> PERMITBuildingPermitp C9912-007 <br /> PUBLIC WORKS DEPARTMENT Planning Reference a <br /> 3200 Cedar Slreet <br /> Evoren,WA°8201 Public Works Fee 5 $ 20. 00 <br /> (425)257•BB70 <br /> TO POSTING ���Z`-G� GuaranteeS <br /> OWNER NAME <br /> ANDADDRESS'.4906 23RD ��' W ANDADDHESS: 4906 23RD A�' W <br /> EVERETT WA 98203 EVERETT WA 98203 <br /> PHONE: (425)775-4581 rr+oNe: (425)775-4581 <br /> TAXPARCF.LI.D.M PROJECTADORESS: 10105 MERIDIIIN 11VE �LO Z <br /> DESCRIPTION OF NEW HOUSE <br /> PROPOSEO WOPK: <br /> 3936 000 037 0200 <br /> PERMIT CUNDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance- phone (425)257•8810 <br /> 2. All work shall be performed in accordance with this permil and current City of Everet� Design and Conslruction <br /> Standards and Specifications. <br /> 3. Call Location Undergrou��d Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4. As per public works approved site plan. W <br /> 5. Install an Dispersion trench built as per Section 3-2. 6. 2 and Figu=e � <br /> 3-2. 2 and Table 3-2. 3 of the city StormWater Management Manual (copy � <br /> stapled to this permit) . Disgersion systems should be backfilled to the (n <br /> surface with gravel to allow for overflow. Call Public Works for an M <br /> inspection prior to covering trenches. W <br /> � <br /> � <br /> Z <br /> � <br /> A� � <br /> 'J O <br /> � a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � Thc undersigned ownedapplicant hcreby agrees to hold and <br /> L'J/�C.�/ save harmless Ihe City of Evcrett Irom any and all claims for <br /> pp b�or unstmc�ion Dai"e ' � damages,costs,ezpenses,or causes ol action Ihat may arise <br /> � because of installation and maintenance of the improvement or <br /> F^_�^�D other right�of-way usc hereto eoplied br and(urther agrees to <br /> �,�e � ,,,,�;.. � remove same upon notice'rom ihe Ciry and to replace public <br /> FINAL INSPECTION prop rty damaged ther by. <br /> ApproveA as Constmclea Dale y�„ .. ,y'� / ��O <br /> Signature ol Applicant Da�e <br /> 1YORK AUTfiORRED BV THIS PERMIT MUST BE STARTED W�TM�N 180 DAYS OF DATE PERMIT IS'SSUED AND THEREAFTER IS TO BE DILIG[NiLV PURSUED <br /> TO COhIPLET10N.THIS PERMIT MAY BE CANCELLED BY THE CIlY UPON ANV STOPPAGE OF WORK ON TNIS PRQIECT OVER 90 DAYS OU(iATION. <br />