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� PUBLIC WORKS Dete 1/21/200� <br /> PERMIT PublicWo�kSPertnAN P.o4o1-014 � <br /> coaoi-oia <br /> Building Pertnit N <br /> PUBIIC WORKS DEPARTMENT Planning Raference M <br /> 3200 Cedar Sirect <br /> e�e�en,wn sezo� AUG 1 8 2004 Public Works Fee 5 525.00 <br /> (4�`J 5'p�STI N 6 Gaarantee S <br /> OWNERNAME ���ILLL �,�5 I�C APPUCANTNAME (`���ILLE HC�'S IMC <br /> ANDADDHESS: ANDADDRESS: <br /> 3229 YCINORE ]1VE 110 3229 �7MORE 11V& �10 <br /> EVERLT!' R7� 98201 �V&RL"IT �1 98201 <br /> PNONe: 4253379079 PHONE: 4253379079 <br /> TA%PAFCELI.D.• 00392000000903 PROJECTADDflESS: �306 ZMl DR SL <br /> DESCRIPTION OF �p �US�—�SIC 2132 <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS SHQRT PL71T 1202-33-00, LOT 6 <br /> t. All calls lor inspection shall be made 24 hours in advance-phone(425)257•8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everetl Design and Consiruction <br /> Standa�ds and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 9. Connect aide eevec pe� City Standacd A601. W <br /> 5. Conntct rooftop dotisiapout� to the drainaqe syetea provided for this lot. r <br /> � <br /> 6. In�tall erosion ccntcol ��aaucae ae detenin�d by the Public Oocka innp�ctor, �uch N <br /> aa silt fence, atraw balee, swalea, or ero�ion blankets. <br /> 7. Renove e�oeion control mea�ucea upon cospletion of the pcoject ptior to final m <br /> approval of the pec�it. <br /> O <br /> � <br /> �q_��a �� 1-. h Z <br /> Yi- y c�wb_3i� � <br /> :uii_n 111.1.3:; <br /> 'ECN o0.0� � <br /> !'LU"B 94.CG i/� <br /> ?;I� ��.OD O <br /> SF.CHG <•,50 <br /> � 0401.037 a <br /> ;EWfF 70.;0 <br /> U1IL1Tt ?�95.OQ <br /> WA':F '30.V0 <br /> T.11 �� ?780.?5 <br /> ACKNOWLEDGEMENT OF COKBi�Q�S ,'�;rj,yg <br /> �: �.:_,E�.�: <br /> '� / � O� The undersigned owner/applicanl ha�eby agrees to hold and <br /> save harmless ihe Ciy of Everett Irom any anA all claims fa <br /> A roved lor nstmci . a�e damages,costs,expenses,or causes ol action ihal may arise <br /> because ol installalion arM maintenance ol the improvement or <br /> i : .' other righto4way use hereto epplied for antl furiher agreeS to <br /> l� �`�- —� � mmove same ❑notice from Ihe City and lo replace public <br /> ' FkJ INSP C ON property da etl ihereb . <br /> A�provcW xs Construcled Dal� ��� � ��n O � <br /> F� <br /> Sgnawre oI nppiKant T Daie <br /> WORN AU7NORIZED BY THIS PERM17 MUST BE STAPTED WITHIN 1B0 DAYS OF DATE PERMIi IS ISSUED AND TNEREhFfER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PEI7MIT MAY BE CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 D�VS DURAiION. <br />