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Dalo S /tF.;?li( ? . <br /> �� PUBLIC �ORKS ' PublicWorksPcrmiic E'w07n5-04i� <br /> PERMITBuilaingPermitd �=iiji15_��� <br /> PU6LIC WORKS DEPARTMENT Planning Fleference= <br /> 3200 Cedar Slreet <br /> Everett,VJA P8207 Public Works Fee 5 S?5 .Q p <br /> �425)257�8810 <br /> Guarantee 5 <br /> OWNEfi NAIdE APPLICANT NAME � <br /> ANDADDFESS: GELLERS�!N CONSTF,OCTIJN ANDADORESS: OWNEF. <br /> 1408 48TA ST SW <br /> EVEFETT WA 9B2n3 <br /> rHONe: q25_'S?6704 Pr+ove I <br /> lA%PARCELIO.n �pF•055C19i�01� PRQ�ECTADORESS: �`19 THCWISON AVE <br /> CIBSCRIPTION OF <br /> rnoroseowor�K: NE41 HOItSF. <br /> i � <br /> PERMITCONDITIONS SHORTPLAT 1202-026-05 L(YP � <br /> 1. All call,br inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with this permi�and currenl City of EvereU Design and Construction <br /> Slandards and Specilications. � <br /> 3. Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-BOU-424•5555 ` <br /> r <br /> ?. r�nnert side oewr per City Standard q'� 691, �02, 604. /A <br /> . �onnect reoftop docm�pouts to the drainaqe system provided ioe this lot. V� <br /> d. Instal] - rnsion control measure: as determined by the Public G10CIC3 insFectoe, such /�/� <br /> �:� silt fE .l?� atrav F�d1BS� 3N31ES, or erosion b1anY,ets. V'� <br /> 7. Remeve Fcosien control me3�uces upon completion of the peoject peior to final O <br /> appceval nf the pecmit. ' <br /> 8. All excavated mc�rorial fcom foundation, sidewalk and dcivevays shall be hauled to <br /> ,n approved, permitted site. No v;�stinq of material is allowed on this buildin4 lot. �J <br /> ��. No dirt, mud, :o<�k� oc debzi� to be tracked ento re3dway. �� <br /> !i�. No building mat?rials to be stacked on roadaay and roadWay to be kept clean and O <br /> ���en Cor pedestrian travel. � <br /> I1. P3ve drivevay from the front property line out tn :hF street paving. <br /> tirct utrrI.I�' u��F}:S INSYEr�rr�ll. C'.ALL RANPY' AT 925-33n-7903 V/ <br /> OI� <br /> . • ��y�i�ai; 11�1�/CF _ ii <br /> 7 <br /> � - � ACKNOWLEDGEMENT OF CONDITIONS <br /> � � � The undersignetl ownedapplicant hereby agrees lo hold and <br /> � � I save harmless the City of Everett from any antl all claims lor <br /> ' ':t.'f���y, SJ/ J <br /> �i ?ppro rClor Consimcnon Da�a damages,cosls,ezpenses,or causes of action Ihat may arise <br /> I � because of installation and maiNenance of Ihe improvement or <br /> ^7 �,-/./ othor righ4of-way�_e hereto applied lor and further agrees to <br /> � � �'� (—UQ remove same upon notice Irom�he City and�o rep!ace public <br /> � n AL MSP CTIO p�ny dama tl thereby. <br /> I Approvret';Conslructed Date i �/ <br /> �./L <br /> ! _' __ _ S�gnalureotApplicanl Datc <br /> l'dOHK AUTHORIZEO f3Y THIS PERIdIT tdUST BE STARTEO WITHIN 180 DAYS OF DATE PEPh11T IS ISSUED AND THEREAFTER IS TO BE�ILIGENTLY PURSUED <br /> I O C01dPL[TION THIS PERh11T MAV�E CANCELLED UY TN[CIiY UPON ANY STOPPAGE OF WOFK ON TNIS PROJECT OVER 90 OAVS DURATION. <br /> Il�.i <br /> patqBFq IN[ <br />