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� PUBLIC WORKS Dato 10/21/2003 j <br /> PERMIT PublicWorksPemiitq PW�3�o-0�4 <br /> C0310-019 <br /> Building Po:mit M <br /> PU�LIC WORKS DEPARTMENT Planning Reforence a <br /> 3200 Cedar Slrect <br /> Everett,WA9B201 PublitWork5Pee5 $?5.00 <br /> TW25���G qpR p 5 p004 Guaramae3 <br /> 1 <br /> OWNER NAME APPIICANT NAME <br /> ANDAODRESS'.16:�C 2qTH CT SE ANDAODRESS'. <br /> SOTHELi. WA 9801L <br /> PMONE. 4254862319 rHONE�. <br /> TAXPARCELID.• _.. t U CU_ PROJECTADORESS:']5j? TYEE FD <br /> OESCRIPiION Of �� <br /> PROPOSEO WORK�. <br /> LCYf 6 QF SAORT PLAT 99-032 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance• phone(425)257•8810 <br /> 2. �II work shall bs performed in accordance with ihis permit and current City ol Everelt Design and Construction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-024-5555 <br /> 4. Connect �ide ae�nae per City Standacd N601. W <br /> 5 ('onnect eooftop dovnspouts tc, tAe deainage system providecl fnc this lat . r <br /> o. Instal2 eeosi�n r.�7nt�ol meaeuees as deteeminad by the YuUlic Wock.s i.nepectuc, such ^ <br /> 3s sil[ fence, s[cav bales, sv,les, oc erosion Llankets . V/ <br /> 7. kemova ecoaion r_ont�ol meanu�es upon cnmpletion of tlie peoject pcioe to final M <br /> appcoval of the pecmit. Y.1 <br /> 8. Al1 excavated mat�eial ficxn foundati�n, sider+alk and driveways shall be hauled to O <br /> an appeuved, peemitted aite. No vaatinv ��f mateeial is alloved on this building lot. � <br /> Z <br /> �-16-03 031001Y O <br /> BUII.D 107'7.75 � <br /> NECH 60.00 <br /> PLUME 84.OQ O <br /> �RTVE '�.`,.00 <br /> SFCHG 4,5(1 a <br /> H 0311024 <br /> SEWER 70.60 <br /> U7ILITY 1296.00 <br /> WATEF 130.00 <br /> ACKNO WII�ID�EM BQ$"iD2`�CO^'�'T'7NS <br /> G� =h` 2747.�5 <br /> ^ The undersigned owncrlappl��ar�agrees to nold anA <br /> � �� a� n3 savc harmlass tha Ciry ol Everc rom`any and all claims br <br /> App ovetl Ipr Con51ror,0on oa e tlamages,costs,eapenses,or causes oi action that may anse <br /> ,(� � because ol inslallalion and mainlenance oi the impmvement or <br /> //�G.�. other righl-o6way use herel�applied lor and further agrees to <br /> � -�.r-� <br /> /�/ � remove o upon notice Irom Ihu City ond to replar.o public <br /> FINAL INSPECTION pmpe y�maged thc�rebY� ///� <br /> Apprc;vM as Constmned Daie <br /> SignalureolAppliCanl Date <br /> V�nflK AUTHORIZED�Y TMIS PERMIT MUST BE STAFTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUED <br /> TO COAIPL[710N THIS PERNiT MAV�E CANCELLED HY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVE'�i 90 DAYS DURA710N. <br />