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PUBLIC W�RKS Date °4,°1,2°°' <br /> . Public Works Pertnit a pp0304-004 <br /> PERMITBuildingPermitN C0304-004 <br /> PUBLIC WORKS DEPARTMENT Planning Reference a <br /> 3200 Cedar Sireet Public Works Fee S <br /> Everett,WA 98201 $25.00 <br /> �a2s�zs��eaio APR 2 9 2004 Guarantee$ <br /> t0 POSTIN6 _--- <br /> OWNER NAME �GACY HCM�S Nil I11C APPLICANT NAME <br /> ANDADDRESS: ANDADDRESS�. LEG�CY BLWE"i 11O INC <br /> 1816 S IJ\I� STEVLNS RD 1816 9 L711� STEVENS RD <br /> L711(E STEVENS iW 96."+.58 Llll� S7ZVENS � 98258 <br /> PHONE: QZS334OS�J PHONE: Q2S3.S4OS�S <br /> TAXPARCELI.D.a 00990700UU03300 PROJECTADDRESS 961h �5 <br /> DESCRIP710NOF ��j $QUSE—BASSC ��ZSB <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS L� Jj �W� P�'� <br /> 1. NII c.�lls for inspection shall be made:� �rs in advance• phone (425)257•8810 ��.� �,, :�.. .:�-. <br /> 2. Ali work shall be performed in accc��� with this permit and current Ciry of Everelt Design and ConsWction <br /> Standards and Specificatic�s. - <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-024-5555" _ . � <br /> ' � <br /> 4. Connect aide sevec pe� City "atartdacd f'a 601, 602, 604. =+ ' . �,A <br /> - V! <br /> 5. Connect rooftop downspouts to the drainage ayacem provid�d for this lot. - `'� <br /> 6. In�tall e�oaion r_ontcol aea�uces an determined by the Yublic NoCk� inapectoc, auch � <br /> as silt fence, strav hales, svAl?s, ur erosion blankets. � <br /> 7. P.emove eroaion control measures upon completion of the pcoject prior to final � <br /> appcoval uf the pecmit. <br /> 8. hll excavated material f�om foundation, sidevalk and driveways ahall be hauled to O <br /> an appcove�i, pecmitted site. No vaating of matecial is all�vad on this building lot. � <br /> N <br /> �J <br /> ACKNGWLEDGEMENT OF CONDITIONS <br /> � 7he undersigned owneriapplicant hereby agrees to hold and I <br /> �3 save harmless the Ciy of Everefl iran any and all claims for <br /> Appi ed�or Consu iio o �e damages,wsts,ezpenses,or causes of action thal may arise <br /> because ot installation and maintenance of the imprrnement or <br /> /� � �__�v other right f-way use hereW npplied lor and fuMer agrees to <br /> �� Z—[7 rem , me upon notice from ttie City and to replace public <br /> tt <br /> FINAL INSPECTION pr d �h b ���� <br /> qpproved as Constmctetl Date � � <br /> Sig Wre ol Applicanl Date <br /> TO COMPIETOION.TH S PERMTEMAY BE CANCELLED BY�THE CIN�UPON ANYO S OPPAGE OF WORK ON THIS PRQIEC OVER 90 DAYS'DURATIONPURSUED <br />