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11 <br />i <br />i <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />fa U1P.SFni1 i,J'ti 6. M7%Fr3F.A <br />624 MAI-n-,SBT LN <br />=- RETT WA 96241 <br />PHONE: <br />TAX PARCEL I.D.# <br />388613'0131i0 <br />DESCRIPTION OF <br />PROPOSEDWORK:ADDITION:/RETIOVATIONJ <br />PERMIT CONDITIONS <br />APPLICANT NAME <br />AND ADDRESS: <br />PHONE: <br />Date <br />Public Works Permit #r'Pi: i.-. <br />Building Permit# <br />Planning Re' 'once # <br />Public Works Fee S <br />Guarantee S <br />T4 POSTIN9PR o_ b— <br />PROJECTADDRESS: <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and cut.ent City of Everett 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 />4. the .ontca• _.a t;,U=t meet With the Public Storks Inspector to di _urc t•o eon <br />drainage routing prior to bWiinning the project. <br />Install erosion control measures as clete".ined by the, Public Worka--inrsprcrtor, s <br />Silt fear-e, ntriw :.ales, 5wale0, Or erosion blankets. F'n"F-` <br />All excavated material from ioundation, sidewalk and driven,hs gha t!� h�pled:? <br />it approved, "' pp permitted site. No wasting of material is allocrF+.t otr�hia buildfna 1'- <br />No dirt, mud, Locks or debris to be tracked onto roadway. <br />No building tuaterials *.a b.z ::tacked on sidewalko and aidewalk-z to be kept ci <br />-;.en for pede trian travel. <br />.'.IF,: :f4r1ECT,' ._ FAttDP ALLEN. 925_-i8-741_13 <br />4e lt,4zwr, 124ate <br />rove onslruclion Dare <br />NALI SPECTI <br />Approved as Constructed Data <br />'y) <br />,D• <br />.f <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City a to replace public <br />property darmaged thereb <br />i <br />Signaluro of Applicant Dale <br />T1 <br />7 <br />Cn <br />W <br />O <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION, THIS PERMIT MAY BE 1:ANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER DO DAYS DURATION. <br />EPWP (7106) DATABAR. INC. <br />