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. PUBLIC WORKS <br />PERMIT <br />PUBLIC WURKS DEPARTMENT <br />3200 Cedar Streel <br />Evcrett, WA 98201 <br />(425) 257-BB10 2 $ <br />TO POSTING sEP <br />otvN�r� Nnrn� <br />arvonoor��EF.ST PHRSE CONSTF.IICTIGN <br />5?U5 W HIGHLANU kG <br />EVERE'"T WA 9y��03 <br />PHONE: <br />92g5?.30229 <br />TA%PARCELID.a <br />D[SCRIPTION Of <br />PHOPOSED WOFI�l�1 $(iU$E <br />PERMIT CONDITIONS <br />I APPLICANT N/1Mf- <br />PHONc <br />Date � <br />11; �?f�uU"s <br />Public Works Pennit�0311-0db <br />BuilringPcrmita '��311—J39 <br />Planning Rrlerence N <br />Public Works Fr,c 5 <br />$25.00 <br />Guamntee 5 <br />LCrT'S 14 6 1:: BLUCY :;1 PIT�fiI�FST Di': <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specilicatiuns. <br />3. Call Location Underground Service 48 hrs. belore yau dig, TOLL FREE NUMBER 1•800-424-5555 <br />4. Connect s:de s�.nre pee Cit}• itan�i�rd q's 601, oU'�, ri09. 11-:5-q3 12'49-'�� <br />5• F��oitop cunofi must be dis•=haiged to a rocf do++nspout infilt[wt , U.1i034 <br />"f Evee�tt Storm MdIlU3i 3-2.r",.2. • � t��}l�ys��6pie� Ci[. <br />Wldtll ' = . C1g�)tit —2.5 . LEIl�T <br />i�. All e:ci•av3L=d matecial fcom founclaticn, �idewal}; 3nd iiiivevny„_ tiall ��� ��,�{ <br />an appco,n=d, �ectaltred r � nled t�: <br />I sit�=. Ne �aac._ing oi nak�_ri.31 is ��llo�.+�d ri��� h�.s bui�(tliYy lcr.. <br />i. Paw.� ,:IiiVaWdV iLo�c tha fiz��n piou:.et: .line out �_ th•- stceet �irfhg. 77,Qp <br />��R"tVE �S,i)0 <br />'LAN G; -i.5n <br />ERR. L'FCT <br />FL�iN CK -4.50 <br />S(�Cku" 4.50 <br />� U3].10�D <br />SEWcF 70.(�G <br />Ji.iLITY lc^56,00 <br />WA1kR 800.00 <br />TOTAL 3397.OG <br />/�/�rz.-� �f�y'�3 <br />APP«�M lu� Censtmcf�on [f��o T— <br />FIN/l�S�/ /.t�j�'�N'ZL_�/ % /_(i7_ <br />ApprovM as Conslrucletl Dato <br />C'I-If=E"' <br />A OM56).0 <br />ACKNObVLEDGEMENT OF CONDITIONS <br />W <br />� <br />V/ <br />1� <br />• <br />Z <br />� <br />'�A <br />v/ <br />� <br />:S?9�9 <br />Thc undersigned ownedapplicant hereby agrces to hold and <br />saw harmless thc Ciry of Evcrctt Irom any and all claims lor <br />damages, wsts, expenses, or causes of action that may arise <br />because ol installation and mainlenance of Ihe improvement or <br />olher right�ot�way use hereto applied for and further agrees to <br />remove same u noti i the City and to replace public <br />r c amag tl t e. <br />' _ _t � �^" � J <br />SignaWre of Appbca , � Date <br />WORH AUTI10R2ED BY THIS PERMIi A1UST �E STARTED \YITHIN 7B0 DAVS OF DATE PERMIT IS ISSUED AND THE�7EAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT AtAY �E CANCELLED OV THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />� <br />