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. � <br /> - PUBLIC WO�KS De'e "15,2°°' <br /> PERMIT PublicWoikSPertnilN �oo,a,-a,s <br /> Buildino Penait 11 <br /> PUBLIC WORKS DEPARTMENT Plar�.iing Nelerence Y <br /> 3200 Cedar Strect �,Q� <br /> Everett,WA 9B2J7 'rublic Works Fee S �„� <br /> (425)257-8010 Js�o uu <br /> — Guarantee 2 <br /> OWNEFNAME �'�8� C�;lr RPPLICANTNAME <br /> AND ADDfiESS: AND ADDRESS: <br /> 10708 Ip1a� ,Nf�1C)11 Y)1y <br /> EVERETT �1 98204 <br /> PHONE: 206300455q PHONE: <br /> TnxPARCELI.D.M OOSSZSOOOO4C00 PROJECTAODRESS: lO�OB �SHINC"�N <br /> DE:CRIPTIONOF FILL Itl DITCH <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall be made 24 hours in advar,,:e-phone i425)257•BB10 <br /> 2. All work shall be peAormed in accordance with Ihis permit and current City of Everett Design and Construclion <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOIL FREE NUMBER 1-800i24-5555 <br /> W <br /> 4. Leave section on the north end of the ditch open a lenqth of 3 to 4 ft to <br /> facilitate clean out of the pipe. t�ltecnatively, pcovide a Catch Basin lype 1� pec A <br /> City Standerd 402 (copy attached) V� <br /> W <br /> O <br /> � <br /> ;U3�?` Z <br /> _, �0.uC'� � <br /> - �0.„i. <br /> , . � ! `i � `,•� <br /> ,lM..".'.' '��• <br /> N <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> '���(��, Thc undersigned owner/applicant hereby agrees to hdd and <br /> �/- Owo � ! • t� � /F � J savc harmless Ihe Ciry of Everetl from any end ell clalms for <br /> n veo lor Constmci�on ,�e tlamages,costs,ezpenses,or causes ol aMion that may arise <br /> because ol installation and maintenance of the improvement or <br /> �/ othcr rightobway use hereto appli�i for and fuMer agrces to <br /> �� � L (i"E�W�,./ /0��3/J�} remove same upon notice from the City end to replace public <br /> FINAL INSPECTION property maged Ihcreb . <br /> ApProvetl as ConStmcted Date ' / � O�O `/ <br /> QyJ,y LI / T <br /> ` _ Signalure ol Appl� nt Date <br /> / <br /> WORK AUTMORIZED BV THIS PF.RMIT MUST BE STARiF.O wITHIN 100 DAYS OF DATE PERMIT IS�SSUED AND THERFqFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAv BE CANrELLE�BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRJJECT JVER 90 DRYS DURATION. <br />