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- PU�LIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98207 <br />���ZSZe���TING APR �2004 <br />P <br />ANDAD�FESS32O7 109'fFi PL SE <br />EVER£TT pA <br />PHONE: 42$379�7�f <br />TA%PARCELI.D.p — <br />�ESCRIPTION OF � � <br />FROPOSED WORK: <br />PERMIT CONDIT�ONS <br />APPLICANT NAME <br />ANDADDRE55: <br />es2oa <br />PHONE: <br />PP.OJECTADDREE <br />/ <br />/ <br />Date 11/05/2003 � <br />Public Works Permit N �����10��0 <br />Building Permit q <br />Planning Reference # <br />Public Works Fee $ $�5.00 <br />Guarantee S <br />1. All calls for inspection shall be made 24 hours in advance - ahone (425) 257•8810 <br />2. All work shall be per(ormed in accordance wilh this permit and current City of Everett Design and Construction <br />Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-0.24-5555 <br />4. Connart cooftop duwnspout, ru the deainage 9y::L@IY peovided foe thi� lot. <br />5 Install eeusiun C'��f1YC��1 �easures ,s detErmined by the Publir. Wvrks insX�ct�c, 3uch <br />as silt fanra, eccav bale�, rl�idl�o, �.e eeusion blank?Le <br />6. kemove eeosion contc�l measui�� upun completion of the pcoj�ct pcior tu final <br />approval of the peemit. <br />7.h11 eacavate�i mate�ial fenm fuundatiun, sidw�+alk and deiv«svayr. ahall be liaulad t�a :3ii <br />approved, peemitted site. lk� vast.ing c�f ma�ee�ial is allo�r_d on this buildiny lot. <br />B. Contact Mukiltec� W3Y0C Di.tcict for r_onnertinq pcovisien� fue vatee and 9P_4lEC <br />SCCl'1C�3. <br />9. A spcinklec sy�tem is ce!�uieud f��c this Luilding in r;�µqp1a311�tc14�i16h kt%^PH <br />cequieement:� oi NFDA 5Yan��acdr 13D. H 311005 <br />RUILD 1105.75 <br />SRCHG 4.50 <br />MECH 60.00 <br />FLUMR 84.00 <br />DRIVE 25.00 <br />TOTAL 1279.25 <br />/ p 3� <br />Appr ed br C nstmc�ion Date <br />� "�Sl�(T'ti...e. `r��� � <br />INAL INSPECTION <br />AppmvWasConsimded Da1e <br />A OM5432 <br />w` <br />1�' <br />'�A <br />V/ <br />W <br />O <br />� <br />��� <br />� <br />� <br />0 <br />CHEF;: 127�,5 <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 for <br />damages, cosls, expenses, or causes of action ihat may anse <br />because oi installalion and maintenance ol lhe improvemeN or <br />other rigin�of-way use hereto applied tor and funher agrees to <br />remove same upon notice from the City and b replace public <br />propeny damaged thereby. � <br />�"�__,1 _fi_ y�� <br />Signature ol Applkant Dale <br />WORK AUTHORIZED BY TNIS PERMIT MUST BE STAFi7ED WITHIN 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAfTER IS TO BE DILIGENTLY f'URSUEO <br />TO COMPLETION. THIS PERMIT MAV BE CANCELLED BY 7HE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />