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PIiBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slrccl <br />Everetl, WA 98201 <br />`'z5,25'-��o POSTING.�� <br />)IVNFR NAAfE ' ' � �� ' APPLICANT NAME <br />�NonooRess�13� HIGHLAND AVE ANDAD�RESS <br />EVERETT WA 9E:01 <br />PHONL. 1 4.�,5 J,�,�,�.'�IQ[iO <br />TA%PAqCELI.D.• ��� <br />DESCRIPTIONOF � � 1� i' <br />PROPOSED WORK�. <br />PW <br />PERMIT CONDITIONS <br />PMONE: <br />PROJECTAUURESS: <br />io�a/zooi <br />Date / <br />PWO110-004 <br />Public Works Permit a <br />CO110-006 <br />Building Pcrmit q <br />Planning Relerence a � <br />;4ii.U0 <br />Public Works Fee S <br />Guarantcc S <br />1. All calls tor inspection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be pedormed in accordance with this permit and curreN City ol Everelt Design and Construction <br />Standards and Specitications. <br />3. Call Localion Underground Service 48 hrs. belore ou dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. A� pec public woek, approv�c� plan d�ted 10-15-01. <br />5. Femove and re��lace �-urb, gi�tter and sidewalh as peL aity of Everett <br />sran3ard plan '�'s 305A f, sOb, oi: this propos�l� Erontag� as ciirected by <br />th� public woil:� inep�ctoi (i��. all unus�ad r3iiveways and ar,y UruY.en oi- <br />damaged areasi. <br />5. Tightline all ro��Ltop .an�_i �it�e euiioff ro t-he si��le��wec. A CE as ��r <br />city standard p'_an q402 wi*h � ��_i� LL_�p i.:: requir��d Lor tLe paved <br />parking area off the alley. <br />W <br />H <br />N <br />W <br />O <br />� <br />Z <br />7. Si3es,_wec st»11 cunfurm tu �_iry o[ Ev,_.�-�t sLan�lard plan SI'c' 6n1, O <br />6 0 � & o u 4. 02-04-02 4:43PM <br />`� (v-�s ai <br />l.Uf15{N111V11 Vi111.+ <br />-� � �i'-S�. <br />FINAL �NSPECTION <br />ApProved as Consimcted Daie <br />p 0110006 � <br />BUILD ].441.75 <br />SRCHG 6.50 O <br />DFIVE 40.00 <br />PI�W6 154.00 a <br />YECfi 120.00 <br />A' 0110043 <br />SE41ER 70.00 <br />UiILITY 1884.00 <br />ACKNO WYl3�i5 EMBI9�OOWCONDITIONS <br />TOTAL 4916.25 <br />The undersigned owner/applicant hereby agrqee��r�16. �S <br />save harmless the Ciry ol Evgref;�rQ� y and'�II' lor <br />damages, costs, expenses, dl� cM�t�A��action ihal may adse <br />because ol installation and maiNenance ol ihe impmvement or <br />othm right-of-way use hereto applied for antl lunher agrees to <br />remove same upon notice fmm ihe City and b repWce public <br />pmperty damaged thereby. <br />2_y_a � <br />Si ature ol A�licanl Oaie <br />WORK AUTMORIZED OY THIS PERMIT MUST BE GTAfiTEO WITHIN 16� DAVS OF DATE PERMIT �S ISSUED AND THEREAFTER IS TO BE OILIGENTLV PURSUED <br />TO COMPL[TION. TMIS PERId1T MAV BE CANCELLE� �V THE CITV UPON ANY STOPPAGE OF WORN ON THIS PROJECT OVER 90 DAYS DURFTION. <br />