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PI�BLlC WORKS <br />P�RMIT <br />PUOLIC WORKS DC-PARTMENT <br />320D Cedar Strcet <br />Everetl, WA 9Q201 <br />(425) 257-8010 <br />�^ �':`'�iili <br />)1VHER NAM[ ��_I � .�� <br />NDADDRESS: 1816 S LAl{E STEVENS kD <br />LA}CE ST'e.'VEN.S WA 98258 <br />aHon�. 9�53340573 <br />rax rnaceu n a <br />DESCRIP�i ION OF <br />PFOPOSED WORK�. <br />PERMIT CONDITIONS <br />�Eg o 7 2005 <br />APPLICANi NAME <br />ANDADGRESS'. <br />rHaN� <br />Date <br />Public Works Permil d <br />Ouilding Permit q <br />Planniny Relerence k <br />Public Works Fee 5 <br />GuaraNcc 5 <br />09/09/2004 � <br />PW0409-006 <br />C0409-002 <br />$25.00 <br />1. All calls for inspedion shall be made 24 hours in advance - phone (425) 257-8fi10 <br />2. All work shall be performed in accordance with this permit and currenl Gily of Everett Design and Construc�ion <br />Standards and Specificalions. <br />3. Call Loca�ion Underground Service �d hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />�. Connect rooftop down�pnut% to the deainage sy9tem peovided foc thi� lot. <br />5. Install ecosi��n conti�l measuees as deteemined Gy th� Public t�i�rks inspector such <br />as �ilt fence, stcau Uales, flW31�8 oc een�ion blankets. <br />5. Remove erosion cuntrol measures upon completion of the project prior to final <br />appcoval of the peemit. <br />7. hll axcavated mate�ial Ye��m foun�iatinn, sidevalk an�i ucivevay� ahalll be hauled tu <br />an approved, pecmitted Site. No �aastiny of mateeial is alloved un this building lot. <br />8. Remove existing dciveway and ce-i.natall at Location shown on plot plan. Conoult <br />with thE Public Aork� Inspector b�foce beginning vurk on the drivFvay. <br />� �'r �-/�.. ���3�osC. <br />A. .merllorCPnsiruc nn D� e <br />/t' <br />�fi�'�`C �� i: � i-jl-GS <br />INA NSPEC:TION <br />Anpioced as Constmctetl Ootr <br />Z <br />09-',?B-U4 ll:19AM O <br />#I 409002 <br />E�UILD 1391.3:, � <br />SRCNG 4.50 'A <br />PLAN CK �9.12 v/ <br />MECH 90.00 O <br />FLUMB 13U.D0 a <br />DRIVE 25.09 <br />q 409027 <br />SEWEF 70.D0 <br />UTTLITY 1296.00 <br />ACKNOW 11��9EMEtJ�0F9Q:ONDITIONS <br />TDTaI. 3165. 97 <br />Thc undcrsigned ownedapplicant hereby agre � <br />save harmless the Ci of Evej�tyj�BA4 ������1E�, 97 <br />ty y and all claims lor <br />damages. ws�s, ezpenses, of�aa�Las�'dt;action Iha� may arise <br />because ol installation and maintenance ol the improvement or <br />olher righ4of�way use here�o applied (or and luriher agrees to <br />remove same upon no�ice Irom �he Ci�y and �o replace public <br />propetly d/ap� g ereb <br />�`z�r�1 ����-c�_ R/Zg o y <br />ignalure ol Appiic. 1 Dale <br />WORK AUTHOR¢ED BY THIS P[RMI7 h1UST BE STARTE� NJIiHIN 190 DAVS OF DATE P[RMIT IS ISSUED AND THEREAFTER IS TO �E DILIGENTLY PURSU@D <br />f0 COIdPLETION THI ; PEi7M1T M11AY BE CANCELLED BV THE QTV VAON ANY STOPPAGE `�F WORK UN THIS PROJECY OVER 90 DAYS DURATION. <br />