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PUBLIC WORKS Date bi3/2U05 / <br /> PERMIT PuhiicWorksPermittt PWU50o-004 <br /> C05Uo-GOb <br /> Building Perm:�# <br /> PUDLIC WORKS DEPARTMENT Plan�ing Referencc N <br /> 3200 Cedar Street <br /> Everetl. WA 90201 Public Works Fee$ 5�5 .p,) <br /> (42J���OSTING NQ� 1 0 Z005 Guarantee 5 <br /> OWNERNAME hLEXANDEF. FEED COHSTP.CD'TION AFPLICANTNAMG <br /> ANDADORESS: �,G EV:: Z9bF ANDADDRESS: <br /> hL4RYSV?LLE W.A 98�70 <br /> PHON[: SbUES710i'� PHONE: <br /> TAXPAflCELLG.p �BOSL�OO�O31!%U PROJECTADDRESS� qq��.� ;^kn AVE SE NLl)T' ? <br /> U[SCRIP710N OF J � J1� � <br /> PROPOSEU WORK: <br /> PERMITCONDITIONS SH4F,T FL'nT li:U2-017-02, LC!T : <br /> L All calls for inspection shall be made 24 hours in advance- phone (425)257-8II70 <br /> 2. All work shall be performed in accordance with this permit and current City of Everelt 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. r_onnect :ide ses�n_r per C.ry ;tandar.d !'s 6�i1, 602, 'r;04. W <br /> 5. Ruoft•�p �unof£ must bu clisi�haigec; to a io��f ciovnspout infiltcatinn system p�c plac � <br /> eequiceiaents (see attached} //� <br /> t ��:�F'-. V� <br /> 6. Th> conteactoc must meet with the Public WucY.s IIISF�2C.._nL �O !liscu�s potenti9j2 <br /> 1jC31113q@ C6Ut R�� �C:OC t_f� �)r_i�ill(11i1�] tht9 �)C�?]l'Ct, � .' ' � -� - � .. .L� /� <br /> 7. Install .=cn i��n cuntrol measui-rs pet rity of E4�c t��t�t,�4c�s=f�e �RjaSj patculs O <br /> a. RCI(1�'VF �COS1' il �.OI1LCVl If1�3uUCE5 U�:OII COIIIj?INil!;Il Of YTjF �T����LrtX (r�lOL'zfC:;blil�' <br /> appe_�val of the peemit . � � ` �.' � <br /> 9. Install �-unit mailbox cli�:rer ar ��3r}: r�f �!alk - _ <br /> �;-;:. � <br /> tq _ �:_.. <br /> �---., <br /> l. � � <br /> -t�i �H Si � � <br /> ....I_;)�. Ca 4H is.� �—• <br /> �� l t [ i�s f r �-' //� <br /> `nr � � �c � ��c.. . �� <br /> .�.:_ 1 _1 �-� �' �o <br /> F� ' � -� O <br /> _ , . <br /> ;� - <br /> =_ � a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �./ �� _'�Z�� : / The undersigned ownedapplicant hereby agrees to hold and <br /> � �QIQ,s save hamiless the Cily of Evemtl Irom any antl all claims for <br /> A ovetl lor Constmction ,r,e f damages,costs,expenses,or causes ot action that may arise <br /> 6ecause of installalion and maintenance of the improvement or <br /> ` : U p a olher righl-obway use hereto applied(or and furiher agrees to <br /> Lv���/,�x�Y �� ��--•�b^ remove same upon notice irom the City and to replace public <br /> �TAL INSPECTION prop rty damaged ihereby � . / <br /> Approved as Consiructed Date �-�/��t {'�r — ,��/� ! �//�/�S <br /> � � Y( y� <br /> Signalure oi Applicanl Dale <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WI7HIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGEN7LY PUPSUED <br /> i0 COMPLETION.7HIS PEFiM1T�dAY 8E CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />