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� PU�LIC �I,/O��(� o��,� a; ,>, ,;,: - <br /> PublicWorksPem:it# PWU204-00$ <br /> PER�iII� BuiltlingPermita CO204—GO4 <br /> PUBLIC 4VORKS DEPARTMENT Planning Relerence M <br /> 3200 Cedar Street <br /> Everett.WA 90201 Public Works Fee S $�5 . 00 <br /> �azs�zs�g.eeiop p�(� SEP 3 0 2002 <br /> t � t� (;J i 1 IV U Guarantce S <br /> OWNERNA�J@ ,7 F, 7 �I7,�J,ITY CONL'T. APPLICANTNa'.!e <br /> AtJD AUDRESS: AND ADDRES� <br /> 514 E DAVi�S i,�-�iiP pp ;�or-; <br /> LK STEVE:;�; i�i;, �,::;:;C,;; <br /> PHONE ti.:Jj'441iL) PHONF�. <br /> TAXPARCELLD.p �j(�;�i(�i73(.1;3.':(�(1QUj PROJEC7A�DRESS'. :_:Il:j :;'�)iti :_. 0 �� <br /> DESCRIP'fIONOF IVY.I'� IiUUc��.� — L'�j�;�(' " , ; iif�'j iiili . <br /> PROPOSED WORH: " '` � <br /> P v! <br /> PERMIT CONDITIONS � � � y � - � �� � -' � ' <br /> 1. All calls for inspeclion shall be made 24 hours in advance -phone(425)257-8810 <br /> 2. All work shall be performed in accordance with Ihis permii and current City of Everett Design and Construction <br /> Standards and Specificalions. <br /> 3. Ca!I Locat�on Underground Service 48 hrs. before you diy. TOLL FFEE NUMBER 1-800-424-5555 <br /> . .'l�71llt'�'l. �1_ t .uJll".t��� UUW1YJlu ill : j.C' � `��_. lS -U ::�_6��1 . � <br /> iIA :;prinklec ;:ystr�m i rer7Li r:-•d [or t1ii�. build: . _; �;, , <br /> rn> requirement�: of NFDA Standards 13U. � � <br /> All e,ccavated material from foiinclat i.on, sidewalh and dL :�: , � ,,: 1 <br /> L� hai�led t: an aPproved, permitt�-•d id�, wasting of mat� � : 1 '. _ � <br /> a : =�;;oNd or� � �:i:� biiiLaincr inr . 04-10-02 1:50Pt1 � <br /> � G04004 <br /> BUiLD 1105.� � <br /> SRCHG 4.50 <br /> HECH 80.00 � <br /> PLUM6 9Q.00 �, <br /> _'� I�:. � � - � .; i:- � CtRIVE 25.UC� <br /> ����;��__�, ����� �. . � �-,' �L� ��Il a 204�1� �-• <br /> ��J U �EWER 70.00 � <br /> I�1� :�.;F� '� Z��j� � TOTAL 13F3.25 n <br /> Il 11 CHEFi 1383�5 <br /> l�t'i 1 <br /> ,,;�r i�.`,.';�;i;1�. i'�� A OM74h1. � <br /> , ;nir: :;<�r, i, :::; <br /> ACKNOWLEC�EMENT OF COPJDITIONS <br /> !�!1` � �1 q O� The undersigned owner/applicanl hereby agrees to hold�nd <br /> ��i� T / save harmless the Ciry of Evermtl from any and all claims for <br /> n mved�or nstmcii Da damages,costs,expenses.or causes ol action ihat may nrise <br /> becauso ol installation and maintenance ol the improvemenl or <br /> r_�� l' other righbol•way use heroto appfied for and furt�er agrees to <br /> '� �" ���� r �U � remov upon notice from Ne Ciry and to r�lace pubhc <br /> FI AL INSP CTION pro rry dam ed ereby. � / <br /> Appmvetl as Constmcted Oate / / )V /� t <br /> L� 1 ( <br /> Sfpnalure tApplicam , ----' pa��, --- <br /> WORK AUTHOFi�ZED BV 7HIS PERM1IIT 1,4UST�C-STARTED WITHIN 700 DAYS OF DATE PERId,T IS ISSUED AND THE(7E E-TER IS TO[3E LiLiG[NTLv PUPSUED <br /> W CO"dPLETION.THIS PERMIT A7AY OE CANC[LL[D BY TME CIiV UPONP.NY STOPPAGE OF\'lJRK ON THIS PROJECY OVLR?J D:�YS�URATIO� <br />