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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everetl, WA 98201 <br />(425) 257�8010 <br />��; 3�[J�i_'j!u <br />01YNERNAME CHF2ISTENSEN IiENNETA S M7�RttEE <br />ANDnDDRESS�. B?O7 74TFI PL NE <br />MAR35VILLE liA 98270 <br />riioN� 3606510958 <br />rnx rnaceu.a . 0090154� <br />oescairnoN or- NEW AOU: <br />PROPOSED WORK�. <br />PERMIT CONDITIONS <br />FEB 0 7 2005 <br />APPLICANi NA <br />AND �DUFiL55: <br />PI10NE: <br />PROJECTADDf1ESS: ? <br />Datc <br />Public Works Permit a <br />�uilding Pcrmit Y. <br />Planning Rcicrencc a <br />Public Works Fec 5 <br />Guarantee 5 <br />MCDOUGALL <br />£!1/2004 <br />PW0406-001 <br />C0906-001 <br />1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257�8810 <br />2. All work shall be per�ormed in accordance wilh this permii and currenl City of Everet� Design and Construction <br />Standards and Specilications. <br />3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />$25.00 <br />4. Connect aide ae�c pec City Stsr.daed No01. <br />5. Connect eooftop dovnspout� to the drainage �ystem peovided foc this lot. <br />6. Install erosion control measures as deteemine�i by thE Public Works inspector, such <br />39 silt fence, �t[aw balea, awalee, oc eeesien blanketa. <br />7. Remave ecosion conteol measuces upon completion of the project prior to final <br />appcoval of the peimit. <br />8. P.1] excAvated matecial from fou�dation, sidevalk and drivevays shall be hauled to <br />an aprcoved, permitted aite. No w�.ting ef matecial ie alloved on thie buildina lot. <br />9, Ex;Sf„y c,ty s,�eu��c,E a,��„�d <br />9�uo� Co„ ci-�.on. <l��f/ c�a�ha�c <br />1 �P [4c� d by �1l,e a,��ne�^, <br />�r� ��'[�,sv��u��/�4 <br />G u� <br />i <br />i <br />'�/ii��� /'1��.UJ <br />� FINAL INSPECTION <br />Appmve�xConslmClr.d Dale <br />! 1, /� 1 <br />T�IiS �i'"Y)�%�r/YS Tnrn7tyC /S /h <br />o�ir�� Cont�rucfivh /r��l� 6C <br />�If L'r: <br />?,CKNO�VLEDGEMENT OF CONDITIONS <br />W <br />H- <br />� <br />N <br />W <br />O <br />� <br />Z <br />O <br />� <br />� <br />� <br />a <br />Thc undersigned owner/applicaM hereby a�rces lo hold antl <br />aave harmless Uw Cily ol Everetl Iran eny anA all r.laims for <br />damages, cosls, efepenses, or causes of acUon that may arise <br />because ol instatlation nnd main�enance of ihe improvement or <br />olher nghbol-way use herelo applied lor and lunhcr agrees io <br />remove same pon notice Ir�m Ihe and to repinCe publiC <br />property dam ed Um�reby <br />_� 7�1x�L �1 ��151'ri2f�1 <br />SignaNre ol Apphcant Dale <br />i <br />WORK AUTHOPIZED BV THIS PER�dIT AtUST �E STAHTEO WITHIN 1B0 DAVS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS TO 8E �ILIGENTLY PURSUEO � 1 <br />TO COR7PlGilON iHIS PEHMIT f.fAV OE CANCELLED DY iN[ CITV UPON ANV STOPPAGE OP WOFK ON TNIS PROJECT OVER 90 DAYS DURATION. � <br />