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PUB�ic woRKs <br />PERMIT <br />PU�LIC WORKS DEPARTMEN"� <br />3200 Cedar Stre �t <br />Everett, WA 982U1 <br />c�z5� J5�-���,o��_ SE_ F� �•. <br />�_�i�� <br />GIV�JERNAId[ �GACY HOhIES NW INC APPIICANTN��ME S�� <br />ANDADDR[SS: ANDADDflES:'. <br />1816 S LAKE STEVENS RD <br />LAKE STE.'VENS WA 98258 <br />r�ioNe 9253340573 <br />rnxrnr�ce�io a Zg051700310500 <br />oescairnoN or �p g0U5E <br />rr�orosEo vaor�K. <br />PERISIT CONDITIONS <br />PhION[: <br />Da�e <br />Public Works Permit d <br />Building Permit k <br />Planning Reference u <br />Public Works Fee 3 <br />Guarantce 5 <br />9910 27Tfi 1�VE SE <br />9/13/2009 �" <br />Po0909-011 <br />C0909-011 <br />$25.00 <br />SHURT PLAT 1?02-30-02 LOT 5 <br />L All calls for inspeclion shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be performed in accordance with Ihis permit and current City of Everett Design and Conshuction <br />Standards and Speciticalions. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FfiEE NUMBER 1-800-424-5555 <br />5. Connect eooftop downspouts to the dcainage �ystem pcovided foe this lut. <br />6. Install erosion control measures as determined by the Public fiorks inspector such <br />as silt fence, atcau bales, svales ue ecosion blaukets. <br />7. Rerove erosion control measures upon completion of the project prior to final <br />appco�.�l of the pecmit. <br />B. All excavated material feou foundation, sidewall: and deivevays shalll be hauled to <br />an approved, pecmitted site. No vastiug of material is allo�.ed on this building lot. <br />9. A sp�inklee system is cequiced foc this buildinq in cempliance with the <br />re�uirements of NFDA Stan�ards 13D. <br />1G. Sa�+cut end of easement coad tu match dcivevay. <br />4(:4C . ' <br />11.1.1 _` <br />�.=;. <br />ic>.s. <br />6G. r.;, <br />:;, : <br />W <br />H <br />V+ <br />W <br />O <br />� <br />ACKNOWLEDGEMENT CF CCNDITIONS <br />f� . The undersigned owner/applicant here6y�agrees to hold and <br />!- � � � 4��L7�_ save harmless the Ciry of Everen from any and�al�.claims for .. <br />- npp�oved �or Cons�mc�ion a�e damagcs, costs, ezpenses, or causes ot action thal may arise <br />because ol installation and maintenance �of the improvement or <br />! othcr righl-of�way use hereto applied for and further agrees to <br />, l„��,�.i ���L��–Ol� remove same upon nolice Irom lhe City and to replace public <br />"INAL INSPECTION prcperty dam Ih by. �, <br />appiovetlascons�mclntl oati3 �,n( �� ) <br />�� �/�iL'–��r`�— <br />Signature of Aryplkanl Dale ���/O <br />�/ <br />WORK AUTHOFIZEU 6Y THIS PEf�M1T MUST BF S7ARTED 1Vi7HIN 780 GAYS OF DATE PER�d1T IS ISSUED AND THE(7EAFTER IS TO BE DIUGENTLY PURSUED <br />TO COMPLETION. 7HIS PEPAIIT D.tAY BE CANCELL[D BV THE CITY UPON ANY S70PPAGE OF WORK ON TNIS PROJECT OVER 90 DAYS DURATION. <br />