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t � <br /> . t — <br /> P���'^ �0���. Date 5i12iovi'c <br /> V , , <br /> PE1�F Ut� �-Li1��+��.Cilh1 1`+:�.i PublicWorksPe�mitkWOb05 •:��:i <br /> IT �t�-1 �CT51 BuildingPermilit Cllo05-02:: '� <br /> PUBLIC WORKS�D���F�7?���« Planning Reference# <br /> 3200 Cedar S,reet <br /> EvereU.WA�82Q��1i�. 51,j�If,.�J Public Works Fee S 5�q ,�:i ii <br /> �azs>zs��a�e,p � £4.50 < <br /> 1 h�� ��� � Guarantee., <br /> OWNER NA�y� ,I APPLICANT <br /> ANDAD�RE59�. EU��1 FFAIdIN�: ��(:�1 r .t.x .l ` ANDADDREC�S�o �- ��S�lu <br /> �0 5 5`-!�'' -0� <br /> GFANITE �'A:.i_' '�� �E$��k b7O.O0 <br /> PHONE�. "t�jilr,41'j�F7 1 SY5 �[�� PHONE: ;1!'�.� <br /> i - � `C <br /> TA%PAP.CELI.D. � . . ... OJ A9D- . HF:OE AVE <br /> �054,00�'ro�col� TL >�,CS��.,�. : 5 ��.:, <br /> oescr�ianoN o �, 5� IttLn r4.0 �.0 <br /> raoPoseo wor� <br /> ^ERMITCONDITIONS LC�T �8 d 'i?, bLlti'}; �7 �'� PIhiiii�RST <br /> DIV S V!�LlRd17 d PAGE iE <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be per(ormed in accordance with ihis permit and current City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1•800-424-5555 <br /> W <br /> 4. H�w �3ck.ing 3rr�9:; '✓111 I13Vr ':iJ r.cu;e icem a::ey iec rii� exisr�ng re�id�m.e ar 1P1? � <br /> Mi�11 C O"e <br /> � <br /> 5. Rooffop cnnoff must L-r dischH�ged to a xouf duvnspout infiltiation system p�c City � <br /> uf E��ecett Stucm Manual ?-�.6.2. The a��pcoximate �ize trench i� 7.5� wide, 2' de��: <br /> and 25� long. Seu attachm•rnt foi moLe �ietails, m <br /> o. Inatall ecosien contcol mea2uees pee City of Everett Sranduds foe �mall paec�ls O <br /> 7. No dirt, rud, roc}-s oe c:eheis ta be t[acked trnto r•nadv,��. <br /> �._�I:C3�_t '�ilC r''...J�i'= ii�_L�::: IR•-" ' �;��. `'3lli'.}': i� � ' ��-��Il" � <br /> " ,�.�-' „ _ " ' " " ` <br /> O <br /> � <br /> N <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � ' r J /i The undersic�ned ownenapplicant hereby agrees to hold and <br /> ,�.��/� ;��,�� c%`j..� �O .�7 Z� " save harmless the Ciry of Everelt Imm any and all claims lor <br /> nppmvea ior Cons rucuon Date damages.wsls,ezpenses,or causes of aaion that may arise <br /> 6ecause ol mstallation and maintenance of Ihe impmvement or <br /> - other right-ol-way use hereto applied for and further agrees to <br /> �i,�.,_ /% '-!�,_�,�. __ - - remov ame upon notic Irom the City and to replace public <br /> �NAL INSPECTION prop y�aged ihar y. ,_ <br /> Appmved as Constructed Dato �/ <br /> ��.. ��, _ C-, c: � _ I�//v—'—_ <br /> aNre ol pp6wnl Dale <br /> WORK AUiHORIZED�V 7HIS PERAfIT MUST BE STARTED WITHIN 180�AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br /> TJ COAIPL[7ION.1HiS PERMIT MAV OE CANCELLED BV THE CITV UPON ANV STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAVS DURATION. <br />