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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everett.WA98201 -:, " ` °,n� <br />SLi' '+ J L�W <br />,4z5��8�OSTl NG ...............:................ <br />OWNER NAh1E ��j�lAii�=F:�.TH l� 1'LE �G I�.�,-'i:'�-' nrru�� <br />AND hDDFE55�. AND AD <br />1_517 59TH h'JE SE <br />El'Ekr'.TT UF. '��-'i5 <br />PHONE: .;?5_37Qr�15 � PHONE: <br />����� ����'� � <br />� :'4l�yj,r'Qll�]i�;�Jli <br />D[SCRIPTIONOF j;�,�� [j�,-,t'Cr <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />PROJGCT <br />Daie <br />Public Works Permi� # <br />Building Permit # <br />Planning Relerence # <br />Public Works Fee 5 <br />Guaramee S <br />!'�Ii� iY }��.'I.._._.... �..._ <br />.`iEE F.:^::.'._.-� <br />"r:OJD05-Oio %, <br />c�:h� 5_oi? <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-881G <br />2. Ali work shall be perlormed in accordance wilh this permit and curran� Ciry ol Everett Design and Construction <br />Slandards and Specifications. <br />3. Call Location Underground Service 48 hrs. be(ors you dig. TOLL FREE NUMBER 7-800-424-5555 <br />y. ('pRI1F�=r :1�? �t.�aMC ���]L i"'ti ,.'.311�j3Ci� dr,(�1. <br />. Connect i�oft��p dovnspouts t�_� the dcaina_:a _ -..r: i•�_•r_<:�,•.i t-- "-h::c i:t. <br />, Th,c contcactor muer tneer vith tha PuL-li�. �•;!'�:a :n:.�e: �� iyv-__'-�:p�� - i_r. ,:,.-, <br />�-ential drainaqe zouting prior t.� Leyinning the peujert. <br />. Ii19td11 �COa1Q[1 C�?I1tC01 mea:UL''?a 3; �f?LFCIGII1N�j ��V thr PU��Z1C i10C�i9 ii1.7�J0CL0.�, %...., <br />,.. silt fence, s�cav bales, swale�, ��c eiosion blankets. <br />.=.emeve erosien conttel measuca: ui�on co:rpletien ef *.he penj�rr �ciex tu fir.::: <br />;;:c_val of the pexmit. <br />�. n �^3'•7}1 �?d91❑ ,i9 (�EC r1C}�• •`iU]Il�],i1�1 %'!.i❑ �Ylly V1CI� �] i73�, iLdli l',bC $td11��3C�1 Y�a�:❑ >.:'-��. <br />�:.:�U;�r,i fo[ th� p. r.in<I nie::. � ( �^���11 <br />I(�. �/o D�ri-�!'hud��C�C-S� o�� (��'��'��S ���e. �vnc cct On v <br />I <br />������ s"�-L� <br />�' FINAI.IN CTION <br />Aopiovetl:�sConsimcleA Da�e <br />W <br />H <br />V/ <br />O <br />� <br />e <br />�°� r- <br />�'�Tr ✓�" 1 A �� O <br />�P�p�,��' ?po6o <br />� � <br />S�,�'L�7T <br />Ps. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner�applicant horeby agrees to hold and <br />save harmless �ne Cily of Everett iwm any and all claims tor <br />damages, costs, expenses. or c„uses of action that may arise <br />because of installation and mainlenance of Iho improvement or <br />olher ric�ht�ol-way use hereto applied lor and lurther agrees to <br />remove same upon nolice imm the Ciry and to replace public <br />propeny damaged the eb <br />,�ylL.l_���._-��� ����/ .H <br />Sig��uru ot App6Cant Da�e <br />IVORK AUTHORIZf:O DV TNIS PERMIT MUST UE STARTED WITHIN 180 �AVS OF DATE PERMIT IS ISSUED AND TNEREAFTEH IS TO BE DIUGENTLY PURSUED <br />TO :OMPLETION. THIS PEHMIT M11nV [3f CANCELL[D �� iH[ Cliv UPON AN'f STOPPAGE OP WORK ON THIS PHOJECT OVER 90 DAYS DURATION. <br />