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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />���5�P0��'�NG APR 2 1 2004 <br />NDELL SCMT DEV I1K <br />207 104Tfi PL SE <br />EVERETT oA 98208 <br />PHONE: QZS379O7OD <br />TA%PARCELI.D. M538�O�J0�5��0(I� <br />DESCFIPTIONOF �p $OUSE - SASIC ??S:; <br />PROPOSED'NORK: <br />PERMIT CONDITIONS <br />PHONE: <br />Date 11/9/2003 <br />Public Works Permit app0311-009 <br />C0311-001 <br />Building Permit k <br />Planning Reference R <br />Public Works Fee 3 SZ5.00 <br />Guarantee 5 <br />PROJECTAODRESSlUSS:: ?IST hVE ii NLdP � <br />LOT � uF SH�RT PLAT 120?-OB-02 <br />t. All calls (or inspection shall be made 24 hours i.� advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with this permit and currenl City of Everelt Design and Construction <br />Standarde and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024-5555 <br />9. Connert cooftop dnvnapauC: to the dcai.nage �y.tew pcovided fuc thi9 lot. <br />5. Install erosion contcul measurFs 33 determinFd by the Public 4locks inspectar, such <br />aw silt fenre, ateav bale�, 9Md1�9F,� oe eeosien blankets. <br />6. Rem�vF eeasion control Ae3:OL'u� upon complet.ion ��f the pe�jFct pxior tu final <br />appenval ef the pecmit. <br />7. All excavated matecial feom foundar.inn, sidevalk and dciveways �hall be Itauled to <br />an app[ov�d, peemitted site. No vesting of matecial is allr�ried un t.his buildiny lc�t. <br />@, fbntact the Mukiltee Watec C�i:,teict for ronnectinu pe��vi:,i�4f4� qh58Pl;uilding•9 <br />v3L?C and sewec sec��ices. q 3].1001 <br />sun.n ii�o.sr <br />SRCHG 4.50 <br />W <br />F- <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />MECH 60.00 �... <br />FLUNE 91..00 ,A <br />ORIVE �5.00 �O <br />TOTAL 1331.05 <br />CHEF; 133�5 <br />A Ohf5431 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciry of Everett irom any and all claims lor <br />damages, costs, ezpenses, or causes ol action Ihat may arise <br />because ol inslallation and maintenance of the improvement or <br />other right-ol-way use hereto applied for and funher agrees to <br />remove same upon notice Irom ihe City and to replace public <br />prope tlamaged thereby. <br />^MW� �/�/ �, <br />SignaWre of Applkanl Date <br />WORK AUTHORIZED BY THIS PF.RMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSU[D AND THEREAFTER IS TO BE D�LIGENTLV PURSUED <br />TO COMPLETION. THIS PEFMIT MAY BE CANCELLED BY TME CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS UURATION. <br />