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puB��c woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cetlar Slreet <br />Everett, WA 98201 <br />"25'��,��QSTING FEe z o zoo2 <br />5506 BEVERLY BLVn <br />EVERETT WA 93203 <br />PHONE: ( 425) 347-0230 <br />TAXPARCELI.D.k S31iOO.�.�UHOOOB <br />DESCRIPTIONOFNEW HOU.�,E - BASIC .�.lOG <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />ANDADDRESS: <br />PHONE: <br />Date 10/22/2001 <br />Public Works Permit a P���� 110 -0 2 0 <br />Building Permit • <br />Planning Relerence a <br />Public Works Fee S <br />Guarantee S <br />PROJECTADDRESS:tiSS.G WETMORE AVE <br />1202-25-20U0 <br />Co���-o�s <br />525.00 <br />I <br />i. All calls lor inspeclion shall be made 24 hours in advance - phone (425) 257•BB70 <br />2. All work shall be performed in accordance with this permil and current Cily of Everett Design and Construction <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800�424-5555 <br />4. CONNECT SIDE SEWEP. PEF CITY STANDARD �J601, �j602, �tiO4. � <br />5. INSTALL A ROOFTOP I[VFILTRATION S'YSTEM PER SEC. 3-2.6.2 OF THE `r <br />STORMWATER MANUAL. LENGTH: 16', WIDTH: 3', PEPTH: 2.5' USING SANUY — <br />LOAM SOIL FOR CALCULATING DIMENSIOhS OF TRENCH. � <br />�� ��. / �� /o/ <br />A roveElo�rj /y� struction + ate <br />.��'V" .�`��� o���� <br />FINAL INSPECTION <br />Approved as ConslructeA Date <br />10-26-01 <br />tl <br />c,UiLO <br />SRCHG <br />Dfii.VE <br />PLUM6 <br />McCH <br />}� <br />SFWEF <br />UIi�ITY <br />TOT AL <br />v:09PM <br />110018 <br />881.75 <br />4. ��0 <br />�5.00 <br />99.00 <br />60.00 <br />1.t0034 <br />'r'O.OD <br />1�?6.G0 <br />�435.:5 <br />a oes�o4 <br />1 <br />• <br />Z <br />O <br />'rw <br />VI <br />A0 <br />CHEFL .^.'�3b��F <br />ACKNOWLEDGEMENT OF CONDi i'IONS <br />The undersigned ownerlapnlicant hereby agrees to hWd ond <br />save harmless thc City of Everett from any and ail ciaims for <br />damages, costs, expenses, or causes oi aMion that may arise <br />because of installaGon and maintenance of the improvement or <br />other right-ol-way usc hcreto applied tor and furiher agrees to <br />remove same u oNce om the Ciry and b r� ice public <br />pro a <br />"i�%� <br />Signature ol leant Dale <br />WORK AUTMORIZED BV TNIS PERMIT MUST BE STAqTEO WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND h1EREAFiER IS TO BE DILIGENTLV PURSUED <br />TO COMPLETION. THIS PEFMIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />