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PUBLIC WORK3 <br />PERMIT <br />PU�LIC WORKS DGPAR71dENT <br />� 3200 Cedar Stwr.t <br />Evcretl. WA 98201 <br />�� ,az,,25;�P�,A r�OSTING �uN o <br />i uJnn�i�irss TE1lOFF GkANT <br />P(; BOX 64 <br />?tUKILTEO <br />r110N` q258761104 <br />TAXPARCLII.D.n <br />o�scnirnor� or <br />r�iaorosrov�onK NEW HOUSE <br />PERMIT CCND'�fIONS <br />n.i�rucnrvi rvnrnt <br />nrao nnrr�ess <br />47A 98275 <br />F'HOI:f: <br />IPROJLCTADJR[SS' <br />oa�e <br />Public Wc:ks Permit a <br />6uilding Permit a <br />Planning Reference n <br />Public Works Fcc S <br />Guarantee 5 <br />TENOFF GRAIdT <br />PO BOX 64 <br />MUKILTEO <br />42587b1104 <br />12/11/200� <br />PW0212-016 <br />�o���-oo� <br />$25.OU <br />�7A 98375 <br />T�JlD <br />LOT 1 OF SHORT PLAT 1303-14-01 <br />L NI calls for insoection shall be made 24 hours in advance - phone (425) c:;7-d810 � <br />2 All work shall be perlormed in accordance wiih this permil and curronl City ol Evemil Design and Corstrucbon <br />Standards and Speclicalions. <br />3. Call Locatlr n Underyround S�arvice 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Conne�t side sewer per City Standard �j's 601, 6G3, tiO4. <br />5. Rooftop runoff must be discharged to a roof downspout infiltration <br />�ystem per City of Everett Storm Manual 3-2.0.2. Width -3', Depth - <br />2.5', Leagth - 3�'. <br />6. Install erosion control measures as determined by the Public works <br />inspector, such as silt fence, straw bales, svales, ox erosion <br />blanlcets. <br />7. Remove erosion control measuros up�n completion of the project prior <br />to final approval of the permit. <br />3. All excavated material from foundation, sidewalk and drivewa��s shall <br />be hauled to an approved, permitted site. No wasting of material is <br />allowed on this building lot. <br />9. City charts indicate that there may be sewer & water service lines <br />that run across this building footprint. These lines will require <br />relocation per City Standards if within the footprint. A sewer <br />alzeration permit will be requirc3 if appl'_cable. <br />/� � <br />` -�/ �o'�-.•� �,` /�: G �. <br />App�wod I�Co tructr., j tle <br />�=1�-= �.,- 3-0 3 <br />f-IIJAL INSPECTION <br />P��pmvetlasConslmdM Date <br />ACKNOWLEDGEMENT OF CONGITIONS <br />W <br />H <br />� <br />W <br />� <br />� <br />Z <br />0 <br />'r^ <br />v! <br />U <br />a <br />Pie undersigned owneri. pplicant hcr� i agrces to hold and <br />sove harmless the City ol Everett Iwn, ry and all claims for <br />damages, eosts, expenses, or causes ol action Uiat may anse <br />because ol installation and maintenance ot Ihe improvement or <br />olher righ4ot-way use huelo applied lor and further agrces to <br />remove same upon notice irom Ihe City and to replace putaic <br />pmporty ama ed Ihereby. <br />�- — notrc?. " (� _� r��_ 03 <br />.11ure of A anl / Ddle <br />IVORN AUTHORIZLD BV TH;S PERMI7 MUST BE STARTED WITHIN 1fl0 DFYS OF DATE P[R�dIT IS ISSUED AND THEREAfTER IS TO BE DILIGFNTLY PUFSUED <br />10 CO`.'PIGTIO�J. THIS PCRM1IIT'!AY GE CANCELLED �Y THE CITV UFOV ANV SWPPAGF OF WORK O�J THI> PP.OJECT OVER 90 DAVS �URATION � <br />