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� PUBLIC 1AI�RKS Date <br /> Public Works Permit#"���'- '-"-��' ' ' <br /> P����� '. '� �_ �I)�,S <br /> Building Permit# <br /> PU81_IC WORKS DEPARTMENT Planning Heference# <br /> 3200 Cedar Street <br /> EveretL WA 98201 Public Works Fee$ �-i.i^ .�. �. <br /> 14?5�257-887U <br /> T� �%`)STING JUN 12 2006 c���.��tte s <br /> OWNER NAM�"E^ ' . ".�." ^".•' . ..... APPLICANT NAME' .. <br /> ANDAODRESg:.�'.. B7T.� i�'JF: li%. ANDA�UHESS: <br /> FVERE'I? ?:. �,- ,.r <br /> •F2�i:?34�i���. <br /> F410NE: PHONE: <br /> ; (:J <br /> ?AX PARCEL LD.�d� ',��'.' � . �. . pqGJECT ADDRESS"' . � � � <br /> ':}:� l�?�`lf�e; " . <br /> DFSCRIPTION OF <br /> PROPOSGU VJO(iK'. <br /> '-' 1 � � . ... . . . .,..� <br /> PERMIT CONDITIONS <br /> 7. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be perlormed in accordance with this permit and current Cily of Everett Desiyn and Construction <br /> Standards and Spec�(icalions. <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-M124-5555 <br /> W <br /> ,�h'L .'. ,�lfJi` i . . . �.^.� �. i' . . Al1...... ., , .. � , 1�• . � . � <br /> ::..:an�ct �oo;t q :io�nspvut� tt� thr siJ •�u�b . _ V� <br /> . ln�tall eeosion r�,ntrol ceaEuces as datecmined I;�: <br /> <<09? 425 3S?-i90S, �uch �ilt fence, straw balas, aw�a.l ,.c eco i,u r�l.�n� ts. - <br /> Al? excavated material tcon F��iriatinn, �ide� a)k, .in�i +e3e�4v7?y �ifi`s7j��,+�jg,�faul�ii � 'I <br /> . �' i .. . ! �1 �..: ! . i � . _ ... . .. .. .�. � . .. . . . '. . - � . ... i.j�O ��19 �qil:i��ll(] �:r'.: . <br /> . - . , . . . . . . . . � _ _ �idV16iJ. }�-' � II <br /> C �p <br /> r y li� <br /> � <br /> 0 <br /> - '.. ".n =�� � L <br /> r <br /> � <br /> � � <br /> � <br /> 1Cf<NOWLEDGEMENT OF CONDITIONS <br /> ,�.''� r. � . ' The undersigned ownerlapplican�hereby agrees to hotd and <br /> ��� �j;;��j(tt,�i,� � / �':;. save harmless the Ciry of Everelt Irom any and all claims for <br /> Appr e� or Construaion Dat� � damages.costs,expen,es.or causes ol action tha�may arise <br /> �- i /�' ,r/ / , because of installation and mainlenanr.e ol ihe improvement or <br /> �-�-� ���/ /' � . / , other right-ot��vay�se hereto applied for a d furlher agrees Io <br /> ,-r.::�- � -��`" �!' �� ' �temove 53me upon notice Irom the City ar�d to replace pub ic <br /> FINAL IN�ECTION � � property darhaged�he�eb ., ( I I <br /> Approvetl�as Ccnsimded Date ' 1��:, \�� � � � \ ��'y/ , I��. I'���� <br /> '� \ � '-.. • � � ��; <br /> � \—'�'__.,-. �_—._—_.: -_ <br /> ��Signat a IICpp�oanl� ���� �ale -�� - <br /> j �\ <br /> 170RK AUiHO(iIZED[iY 7HI5 PL'�;L11T I.tUS7�E STARTED VJI7HIN 180 DAYS OF OATE PE(1tdIT IS ISSUED AND THEREAFiER IS TIIBE DILIGGNTtV PUHSU[D <br /> TO COI.7PI F7ION.THIS P[FlI.7I i Lb1V C+G CAPlCELLGD�V 7HF CITV UPON ANY SiOPPAGE OF VJORK ON THIS PROJECT OVER 90 DAVS DURAI 10h. <br />