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^ �+ Date '�/_'tj_nn?
<br /> P���'�il'�0���7 ;( ,y :f,;i�' PublicWorksPermilk YWOil -01;
<br /> PERMIT `,�,-,; , ca-4��
<br /> r� Building Permit# C0 712-l�1:.
<br /> PUBLIC WOR!{��{IEP9aTF�7�1J;j` Planning Relzrence�
<br /> 3200 Cedar Slreel
<br /> Everett,WA'-8201 nr� Pu61ic Works Fee 5 c�.c, ,;i�
<br /> (425)25b8910 �,:`.�:' ._. . p
<br /> ' EL��.�. ;;?��rn ll .Guorenfee / /QT�7e / �^�n i
<br /> i/
<br /> :_ �.�L:'� ..1=ii,i..' �
<br /> OWNERNAME !. �LEL APPLICANTt��ti�.; —�
<br /> ANDADDRESS: :�'IARVIN TSI•IOTHY A ANDADDRE , � }�-p
<br /> l PX�II'; 7.i'�'� �
<br /> 49_'5 23F:D P.VE ?'� ;. S I', ';�..;'1
<br /> EVlF£TT WA ��?20' ,,;::fi"ii;b
<br /> PHONE: f�?S�i1S_'•�S'. I S��EIt PHONE: ill.�'n,� I�17
<br /> ` 0 �' ''� -:-�r�. —
<br /> TAXPARCELI.D.# i� � �� PROJECTADD�E i'
<br /> p09:414Err�17��ii 1 II�lE., _ �,� ,� :�is�_9Tc; � .
<br /> - i� �ii:� �
<br /> DESCRIPTION OF � _ fljjFTSr t r
<br /> PROPOSEDWORK. �EFJ-�^!�r ( �` �R IC 1 �l �:�.'
<br /> 1 i.11��C,.A � :n�;�.�:r � I ,
<br /> ' � � ��_r �e �� �� TO POSTING � �
<br /> I — —
<br /> PERMITCONDITIONS LC�'S 1' t� 18 ELi�!"F 986 YL.T+m i�F
<br /> EVERETT
<br /> 1. All calls(or inspection shall he made?4 hours in advance.
<br /> 2. All work shall be performed in accordance with ihis permit and current Ciry of Everetl Design and Consiruction
<br /> Standards and Specifications. W
<br /> 3. Call Loca�ion Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555 �
<br /> ��. C��=I771!2�.L ::l'�c J•'•dd1 ��.r?L CiY�. S:3Il.j�C,1 9�?i hlil � r:Q_� nliQ. Lji:L�: �:Il t�1P_ Ei:1:=-lii�7 �1:8 �
<br /> �@WBC C•7 ch=• e;civc.in:; )?U11C�1f1C1 ID3'f (]22rf �n }�0 CeCOUC2C� i1rr:� T3rnTillf'CtA�. SlCi? S2W?L �
<br /> i�:�C tfl�_' ❑�'� t�Ull�lfl4 IIIUFt �7�'_ E�� diameter out Yp C�i� �'_'Ll�C Nd1i1.
<br /> �t . Cr�nn-�•t all roc�ftop down:,•puut� to th� �ide sFw�er. �
<br /> � . The r_ont�actn� mu,t meet with the Yublic Foe}:� In�per_r,_� r„ ij19n1L9 potential O
<br /> drain2ge YOIIC'_h� F`ClOT t0 C+�'ainnim;i L}l� ��T0�9C* .
<br /> . Io,tall �CnSlnll conrrnl me,asura:: as deU=rmined by thN Yublic �7orAe insp�crnr, ::urh �
<br /> , ��i.]t fence, �trav Y�31B`;� `%uJ1E'3 OC E'C�79ion blank,rt�.
<br /> _ . T:emc�•:= aco:ion C9R`L'pl @^_3a�10E9 �11i�J❑ cnmpletinn nf th._ t��n��?rt ��jpr Yq Liq31 Z
<br /> ap�n:c•,�c�l ot th�= pee�mit. �
<br /> �. i,ll exi:avated material fepm fi�unclaticm, sid�valk and d�ivuvay=: shall be hnuled tc�
<br /> an ap�roved, pe�nitted ;i[e. No •.ra.ring n' mar�rial is allov�d on this buildina loc. `
<br /> lv , No dict, mud, Lnr�:� ec cl�i�ri� to bu +r�c1:Fd untr� L'G3dwsy. r
<br /> 11. No building marFei�ls r_r_, be �t3cked r_�u sidewalk, and :;ideWal.F:s to be kept rlean �
<br /> uid op�n foi ped�st.ti2n t[avel. O
<br /> i:: . Adjuet watFr metee l,or: 1" al?r.,v.= sida��all: �rad?.
<br /> __ . P,�mov2 and repl,rF ^ucbr <lULC@T' 817� �1�_M7y�}; 39 pex r_i*y of E•aerett St�n�ard Flan a
<br /> � 's 30.iA 5 3Go an this pco�:•os:zi•� fcontaye as dicect�d by th� "ruhiir i�oeks In.-,pertoc
<br /> fi.e. a,ll unused diivewaye: r�ncl any bco}c-rn oi damaqed acea mu�,t L�� iaplacedl .
<br /> =C�P. I'IBLIC &li�F}C� INSF'ECTI��Y`- CALL E�tlUF F.LLEt! .yT 92�-33li-7v03.
<br /> � ACKNOWLEDGEMENT OF CONDITIONS
<br /> � The undersigned owner/applicant hereby agrees to hold and
<br /> ij / J o �v� save harmless ihe City of Everett irom any and all claims lor
<br /> --ix�� �yyL _�� damages,costs.ezpenses,or causes oi action tYmt may arise
<br /> n ro� r onsimc�ion Da because ct installation and maintenance of Ihe improvement or
<br /> / olher righl-ol-way use hereto applied lor and lurther agrees to
<br /> L �� 11� Z'- Q� remeve same upon notice from ihe City and to replace public
<br /> �� propedy damaged thereby.
<br /> FINAL INSPEG O ��r/J
<br /> Appwved as onstmcted L1ale �--' �,/ ;,L���<� �� ZS/��-p
<br /> �l-__� /"— CY
<br /> SignaWre ol�Applic�� D e
<br /> f0 CO�PLET�ION 7D BYPERMIT MAY�'E CANCELLED BY�THLTCITY�UPON ANV�STOPPAGE OF WOFiK ON TH'3 PROJEC OVER 90 DAYSIDUR T?ONPURSUEO
<br /> OATABAH,INC.
<br /> EPWPp:061
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