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�o;ia�zoti to:u r•n� azs zsa t�aa ew,yc vernroior.r @aoot;000i <br /> 7 Tmv� R� D�,�s ��6. �6�� 0 �9� -- �-#fN V� <br /> /.:.�. ,`—� ���11�11�C� G�J�G�I:�� I�I�G�{f`�''dq'u I>alc: 1011372011 <br /> 1`� Public Works Pr.rmit It: PW 1110-OOB <br /> G� . City of Everetl Puhllc Works Deparlmcnt puildinp Pe�mit N�, <br /> C�/ {Ob' 320D Cetlar Street <br /> EvcrMt,Wn 9820t plannin� RCferencC#: <br /> (425)257-8810 <br /> Pubiic Works Fee 3: S Z5,00 <br /> Other S: <br /> OWNER NAME AND ADDRE55: APPLICANT C1AWE AND ADDRESB: <br /> NELENLArFERTY TANKS BV DALIAS <br /> 1 J02 RUCKER AV E 17552 6ALLINGER WAY NG � <br /> EVERCTT Wn 80201 I-K FOREST WA 90155 <br /> PHON[: 425760�678 NIIONE: 2D63650291 <br /> TAX PARCCL ID M SITE ADDRE£5: 1702 RUGKER AV[ <br /> OESCRIPTIOtd OF PROPOSL'D WONIt: <br /> HEMOVE RESIDFJJTIAI.OII.TANK <br /> PERIJIIT CONDITIONB <br /> 1 �II calls for inspection snall be made 24 hours in advance. <br /> 2. hll worh shall be pedormed In nccordance wlt�Ihe permil antl wrrent Cily of Everett Dr.sign and Constructlon Slantlafd5 <br /> a�d Speci.�iwlions. <br /> 3. Call Locelion UnderA�und SeMce 40 hrs beiorc yau d'g. TOII FREE NUR�BER BN <br /> 4,ThC undercigned ownCf is rC9pOns�bb lof 11nanWng Ihe tenK cbsurerremoval and any subenquant Geanup <br /> ac9ons IOat may be necessary.The owner and appGcanl mu5�comply wilh all appliwhle reguWtiore,indud�ng the <br /> slete N�odel Tozice Conlrol Ad,throughout the cbsure D�oce,s. �' G7��� <br /> 5. Install Croston conlrol measures as determv�ed Dy the PUDIIc 1NorY.s InsoecPor. h• �, � <br /> 6. Keep Cily sirr.CtF R sidewalks clr.an al all limes. No tllrL mud rocks or debns lo ba Ir�cked an roadway. _ c ���� <br /> 7 PII cYcavatcd malcrial,hall tc houled lo a�approved,perniHed recrivinq si�e. , �'- " �� <br /> B.Any damaye Biis�cjacl may cause to Ihe stieel,curb,guller and sldewaik s�al1 De reDairetl or replaced a(Lie c � <br /> Actorminalwn o`thc PubYc N�b�k,Inspcclor ' � <br /> / .Col � �;�-� <br /> V � ,!,; <br /> ;�'_, <br /> / t <br /> � �/�la �`_' ,-- <br /> ocT 1 ; ` � �� '� <br /> `�!7-r . Zo/j O . �-�1... _r� � <br /> r� ° r.i i <br /> �(��„J�•��. �»�:� � � <br /> ��� ����i . � ::Q:, .—..: <br /> 'SSq�� ' 1�,. a — — �-��:�._. <br /> %i���i —'�•,_� <br /> AGKNUVJ[�GLMI"NT OF COfJOR10N5 , . ,_� <br /> T M undenlpned ownei�apph[ant hCmby Aq�oe,to�a1tl ond <br /> :nve�armless In?City ot Evereli hom�ny antl aU deims to� <br /> d;Hno�r.P,cosL'.,c1DCn6es,or UVFe6 0l action Ihnt may BnSI' <br /> //'l��,/ /i��r� x[auRe oGnatxllatmn pM mninlrnenco ol ihc improremenl <br /> � (J �f/ /Ol� or ot�er rgni-o�-wa�ur.n hereto nppUM lo�anC Iwlhsi apreos <br /> �� � m�emm e sune upon nGticc IrOm I�n Gty anA to rcpWco <br /> p vr.UforConlrucion D Ie � publicprcpenydamagedMereOy. <br /> FMl�L WSPEG710N U�te ,���lilti��1� �)Ci�. ��� L� 1 I <br /> pppmvetl ns f.onslnmted Signa�ure of 2 I]nlc <br /> ��J��'� <br /> wOaK AVmm�R[D m mis MPHt'�+nz7[iE STAa1t0lVRMifI 1B0 DAYS OF DATE PERMR IS ISSUFO ANC 7ML4UJ�IFN IS TO BE DILIG@nLY <br /> PUi�41E0 70[,YIP�I+lETfOR iHIS PF�"'n�1�1�flE W7CRIFO BY TH((RY UPDNl�KY SfCIMpGE oF VK1HC ON TM6 iNO1EP WLX 900nr5 WRATION. <br />