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PU�LIC WORKS <br />PERMIT <br />PUOUC WOFlKS DEPAR7 MENi <br />3200 Cedar Strccl h <br />Evaretl, WA9�y �y,w�q {�EC 1 $ <br />(4251257-ABtiF.: '.7;)�,�Q <br />OYlNLfi NAMB unr.fv'� �.vna inv�_ uvn <br />nNonoon�ss1815 177TH AVE NE <br />ST7i�A0t1ISH WA <br />P�ioNE: 9252180410 <br />TN%PARC[LI.D.a ����� <br />DFSCRIP710N OF <br />PPOPOSED WORK�. <br />PERMIT CONDITIONS <br />9H?.90 <br />APPLICANT NAh1E <br />ANDA�DRGSS. <br />r��oNr. <br />Date 1; �/2005 <br />PublicWorksPcrmita P�����1-�u� <br />r0501--Uu� <br />Owltling Penni� M <br />Planning Relerence a <br />V'lorksFceS S`�'•��� <br />$ <br />1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257-II810 <br />2. All work shall be pedormed in accordance wilh this permit and curreN City of Eveiett Design and Consiruction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Cunnect side sewec pec City Standaed 1fti01.. <br />5, ronnect cooftop downspouTs to the drainage system provided foc this lot. <br />o. In�tall eeusion contcol measucrs as det�rroined L�y the FuLlic u��cF:s in�pector, such <br />d3 311t iBlli•r� B�C�H�.+ }JE11E'S� 3k�31C8� i�C E'LCr51O❑ blanl:�t�. <br />U1.-�1-0:; 10:13A�f <br />H SO1Q0� <br />EUILD 1964.79 <br />SFCHG 4.50 <br />HECH 1�0.00 <br />PLUMF 150.00 <br />DkIVE 25.Ou <br />q SOlO1B <br />SEWER 70.�0 <br />UTILITY 1613.GQ <br />TOTAL 3947.�9 <br />Z <br />� <br />� <br />� <br />� <br />a <br />C:FIE{: 3�,<7-2q <br />ACKNOW LEDGEM�jf��,��ONDITIONS <br />Thc undersigned owner/applicant hcreby agrees to hold and <br />� �� �� , save harmless the Ciry ol Everelt trom any and all claims lor <br />a„�rrven lar Cunsuucean oat damages, costs, expenses, or causes ol action ihat may arise <br />� because of inslallation and maiNenance of ihe impwvement or <br />other righbol-way use hcreto applicd for and further agrees to <br />f 4 �, <� �'� 1� �-�= `�-� � �' 1< <,> remove s�me upon notice trom the City and to replace public <br />FINAL INSPECTI(k! �; property dama ed �hmeby. <br />AppmvaA as Consnucled Dale <br />% 7�-r�> <br />5� of Appirc Daic <br />`,vORK AUTHORI2ED �Y THIS PERLIIT h1I15T BE STARTED WITHIN tI10 DAYS OF DATE PEFifdlT IS ISSUED AND THEREAFTFR IS TO BE DILIGENTLY PURSUc'D <br />IU COM11PLfTION. 7HIS P[RMIT 11nY �G CANCELLED UY THF CITY UPON ANV $iOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. ,�1 <br />�� <br />