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i� �� l G-i <br />OWNERNAME <br />AIJD ADORESS: <br />PHONE: <br />TA7( PARCEL IA.M <br />DCSCRIPTION OF <br />PROPOSEO WORK: <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENI" <br />3200 Cedar Slmet <br />Everett, WA9B201 <br />(A25) 257-8870 <br />SANC;Ha SUHABIP. <br />3p27 KRC��R AVE <br />EVERETT <br />9257370612 <br />NEW fiCME <br />PERMIT CONDITIONS <br />I�PPLICANT NAME <br />ANDADDRESS: <br />WA 98201 <br />PHONG: <br />PRQIECTAD�RESS: <br />Dalc <br />PubliC Works Permit � <br />Building Permit M <br />Planning Relerence # <br />Public Works Fee S <br />Guaranteo 5 <br />9i'=!2907 <br />PA070@-015 <br />C0708-00'_ <br />$Q5,p0 <br />1. All calls lor inspeclion shall he made 24 hours in advance. <br />2. All work shall be pertormeo �n accordance with this permit and curront City of Everelt Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />;. Conn�ct �id� ��ti.*�e per City Standard N•a bPl, 602, b09. <br />. Conm_ct ro_ftop dovnspout:. to the drainage system peovided foc this lot. <br />. Sn:;tall erosion control measuCes per City of Everett Standards for small parc?1� <br />. I,emove erosion cont[�l measurea upon completion of the pcoj.x>t�prior�tt� final t:' <br />3ppD�V31 nf th0 P�'Cmit. �J�;'-�'��; nr„i i.:'�. - . . <br />c. All excavated mateeial from foundaticn, sidewalk and dc�veWti� 3]talP�li� hatt2ed to <br />an appruved, peimitted site. No 4+asting of msterial is alj2�ved`on this buildi�2� lot. <br />�. No dirt, mud� rocks or dehria to ba tracked onte roedway. � <br />_U, Ho building material� to be stscked on sidewslks snd sic�,wal}:s to be kept �lean <br />;n�i upen for pedestcian tcaveL �'1 �,a <br />11. Adjust Weter meter box 1" above sidevalk 9rade. � <br />"� - <br />g�_��: r,rra_Ir r,��r_c;� INSnErmi<��iS �ALL RANDY ALLE4 T.T 425-33?-7� .,,.., "�„ <br />/ / � I'!, -J�HCN n`lfr�S .. <br />�1 sl <. O .i. Y �L� <br />� �I: `• • <br />�,I �.lJ , .� `L'. � . =a ='�� i�� f... � <br />��_ <br />TQ POSTING � � '' � `° � <br />- / .— <br />--- �./c l � ,7' 2 07� <br />Appr ed br Conslmttion D e� <br />�,L. S ' �2� a <br />FINAL INSPECTION <br />Approved as Conslmr.ted � Dalo �� <br />♦ <br />�_' �_a' _ Gl,l� /���—az� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner!applicant hereby agrees to hold and <br />savo harmless the City ol Everetl Irom any and all claims lor <br />damages, costs, expenses, or causes ol action that may arise <br />because of installalion and maiNen?:ice ol the improvement or <br />other righ4ol-way use hereto applied lor and lurther agrees lo <br />remove same upon notice Imm ihe City and lo replace public <br />property damaged thereby. <br />Signa(urc oi Applicanl Dale <br />\`lORK AUTFiORIZED BV THIS PERMI7 MUST BE STAFiTEO WI7HIN 180 DAVS OF DA7E PE(ih1171S ISSUED AND TNE(iEAFTER IS TO BE DILIGENTLf PURSUED <br />70 COMPLETION. THIS PERMIT MAV BE CANCELLED 8Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 OAVS DURATION. <br />❑'14P 1]: WI UATABAF.INC. <br />W` <br />r <br />'�A <br />V/ <br />W <br />O <br />Z <br />O <br />V+ <br />O <br />a <br />