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� i'�y� i�Op,y <br /> p �+ Date - - <br /> PVBL� W��1,��7, :. rt,�nan?-n�? <br /> PE�MIT `'� � I' r�i, 16:�':I PublicWorksPermitN <br /> � � J 0186�f �nenz-o1e <br /> CT Bu�lding Prrmi�# <br /> PUBLIC WO�i�.(S.DEP, T � <br /> �. 3200 CedaF�S��eA'M�1�� Planning Folerence N <br /> Everelt,WA98201 �q <br /> 425 257-9 70 S,1,1i8.,�u Public WorFs Fee 5 $.., .Oi' <br /> ( 1 �...i. <br /> 1. I1�CN �'�.��,�� Guarantee S <br /> � r � _US!— <br /> i� -- <br /> OWNERNAME -� � i APPUCANTN�fd� <br /> ANDADDRESS: i't�P,T JO.`;F,FH 1 JCIVE ANLADDRE9&!•- f�WNp;➢ <br /> 29120 1315T AVE SE 1 � � �"'�'�'� <br /> SNOHOMISH 4TA � i�;11�i1;j <br /> 1 ALDG. �?79.�~� <br /> PHONE: �n'ilh(QQZBQ 1 F/C PHONE: �;18�.g1 <br /> TAXPARCELI.D.a ,1595Q02800100 ` �j PRQIECTAD ,E$I : _OOP Fl�?I'F.i�E �!,:'F' -- <br /> DESCRIPTIONOF _I �� E��'i? / ��) � <br /> PROPOSED WORK: �W R�� •rJ� �. rl.y<1 <br /> c1f �� �, �„0"� I <br /> 1 SI'S Gfl� S1•�f5,i�0 � <br /> �; / p `�8.-i :'�i. , � <br /> — — - - — ---' ---[ ,. �_ —a2--`-•-� _�:�.1� l.)D�_- ls -4-,, -- <br /> PERMIT CONDtTIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2 All work shall be pedormed in accordance with this permii and current City o(Evere�t Design and Construction <br /> Standards and Specifications. � ' <br /> 3. Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-024-5555 r <br /> � ` <br /> �. instaL .-� ,�•-.❑ cont�ol neasure� F,eL ��yt}• of E�,.�ca*.[ Stam:l_�,.;�_ foc sm311 p3CC21= � � <br /> All e:.cavat�. iaatecial iecm f��undati��n, sidewalk and dciveway^. sha11 L•e hauied t . /A ; <br /> ,c ���pruved, E�ecmit.ted site. No vasting of m,terial is allo4�d tm this building l�:•t . V� <br /> . No dirC, mud, roek, or Aehci� to be tcacked onto roadvay. M � <br /> - . Pave driveWay fr�m the front property line out to thF street paving. �V ' <br /> . If �pla�h blocks are u�ed foc drainage di�chaeqe feum ths ecof`op rh_.v mu;;r �� O + <br /> � , ;:�-ted sc� as nnte to impact the aill�inin9 property ' ' <br /> � <br /> 1 <br /> . . ... . . _ _ ., __. �. ...__ i.ic; ._:,��i�=.1� hl .�_r _ �,�ny � � <br /> O � <br /> �, I <br /> O I <br /> Tu �oSTING }c �� � �' a �', <br /> — -- � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicaM hereby agrees to hold and <br /> �c � � z� C� save harmless tho City ol Everett from any and all claims for <br /> � ' damages,costs,ezpenses,or caue_s ol action that may anse <br /> Ap ed lor Constmction a10 berUse ol inSlallalion and main�enance ol�he itnprovemeN or <br /> olhei right•o�w y use h eto applied lor and further agrees lo <br /> ' ..r0 remo��e sa o po otice om the Ciry and to replace public <br /> F�+ INSPECTION propetyd age thCreb . <br /> Appmvetl as Cans�-uctetl Data / <br /> .. �-z� -�9 - �'�G�k <br /> Signatm ol Applicam Dat <br /> N'OFiK AUTHORI�ED��Y TI115 PERIAI7 MUST BE STA(iTED WITHIN 780 DAYS CF DATE PERMIT IS ISSUED AND THEREAFTER IS TO�E DILIGENTLV PUPSUED <br /> TO COIAPLETION. n�.IS P[RG11T MAY BE CANCELLED DY THE C17 V UPON 4Nv S70PPAGE OF WORK ON THIS PR0.1EC7 OVER 90 DAYS OURATION. <br /> C PY:P I I�1 DATA6FR.INC. <br />