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PUBLI8 WORKS 12/16/'2005 <br /> Public Works Permit# 40512-026 <br /> PERMITL:0512-022 <br /> Building Permit# <br /> 1!!!!! PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200Cedar Street <br /> Everett,144100; <br /> 57-8810 98201 <br /> (425) WA Public Works Fee$ {l, <br /> 00 <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDRESS: j.. {j''jy fr is .y t AND ADDRESS: <br /> ERET1.' tori <br /> 12533 75748 <br /> PHONE: PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: <br /> DESCRIPTION OF <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4. Use of a "DLywell" OC rock Sump 2s recommended for. discharging roof downspouts. Ui <br /> Meet with Public' Works tn,s p .:°tCaE(Cliff Lindrl►an 425-339_..7404) to discus potential Imm <br /> drainage routing prior to beginning the project . Cl)5. Install erosion control measures per City of Everett Standards for small parcels. <br /> 6. Remove erosion control measures upon completion of the project prior to final <br /> approval of the permit.. <br /> 0 <br /> Z <br /> 0 <br /> V♦ <br /> 0 <br /> a <br /> TO POSTING \ ' 10 - Il <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> V61 <br /> save harmless the City of Everett from any and all claims for <br /> 4. .owed for Con'ruction damages,costs,expenses,or causes of action that may arise <br /> ♦ , because of installation and maintenance of the improvement or <br /> t t other right-of-way use hereto applied for and further agrees to <br /> 3 remove same upon notice from the City and to replace public <br /> INAL INSPECTIhIN property damaged thereby. <br /> Approved as Const ctei Date <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />