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PU�BLlC WORKS <br />PERMIT <br />• PUBLIC N/OHN.S DEPARTPdENT <br />3200 Cetlar Street <br />�� Everett, WA 98201 <br />�a2s1 zs�-eeio <br />�� f�OST(IVG JUN 0 7 20G4 <br />OWNFR NAM.E APPLICANT NAME <br />ANDADDRGS�NDELL SCOTT DEV 112C AIJDADDRESS <br />3207 1pqTH PL SE <br />EV1�.F,ETT 6'h ��h_pd <br />PHONE ,yO�i'7�1)%Jn <br />PHONE. <br />TAX PFHCELID.p IPROJFCTADDReSS'. <br />5sazoi�n.r,5i�oono � <br />oescHianoN or- � <br />PROPOSEDWOf�K�«W Hl�USE — EA:7IC J�9`! <br />Daie <br />11i 05; 'UO3 <br />PubGr. Works PPrmit s �W0311-011 <br />Building Permil a C0311-OU6 <br />Planning Reference a <br />Public Works Fee S <br />5::5.00 <br />Guarantee S <br />PERMITCONDITIONS LOT�4F ;1HUkT FLtiT 12J��-_i4-U1 <br />I <br />1. .411 calis (or inspeclion shall be made 24 hours in advance -;•�one (425) 257-8870 <br />2. All work shall be perlormed in accordance with ihis permit and currenl City of Everelt Design and Conslruction <br />S�andards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />9. GJi111t.C(; C��UIY.O�J �jUWil��i011Y.: 'i. 1.{10 �j1'd1I11U�3 �}'P.LBI� (.�CV':i�1C�j i�?C :Ill.�. �-C1.. <br />5 In�tall er���ion ��onttol mras��ees as detecmined by the Fublic Wucks insp�ct_�L, <br />as ailt f�nce, rteaw bales, ,uale�, oc erosi��n 1?lanA=t:� <br />�J. Z:E'ffiGV2 e.'CG::1'171 �:i�IItLC�l measui�s upun completi��r. Crf L.11� ��C�Oj:•r:t FiL'lUL'� t.0 fin3� <br />a��3�co•ral of th_ peemit. <br />7.k11 er.cavated ma[eraal fcom foun�9ar.ion, ,ide��..�lk and deivev3y': SVl3]1 bE Il,3Uled <br />�PF'L<'vec3, p�xroitt�if site. No Wa3Ylfli{ of mateii;l is allov�cl cm this buildinp lot <br />}7. ';�pllt3<L i•iUi:11tE�= i13f�3C (�lii:Cl,:t, f=�C C�.JOI7'r�_Y'tili7 �iCp'i1:ilOI:E: f[�Y �+'�trjC Bll�j �.i_',�/eC <br />c_'✓1�"... <br />� <br />r 1/l ,ca%Y'.� �� �J' O� <br />np vMlorConslruct;on Dal <br />J' . �i / � <br />/ i_'�-'" �'„ ; l'✓."I �`'L' , �, /l � / <br />�INAL INSPECTION ' � ! <br />Appmved as Conslmctetl Da e <br />�•��_h <br />I_p 3t! <br />ACKNOWI.EDGEMENT OF CONDITIONS <br />W <br />� <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undcrsigned ownedapplicant hereby agrees to hold and <br />sme harmless the City ol Everett Imm any and all claims (or <br />dama9es, cosls, expenses, or causes ol action that may arise <br />because ol installation and mainienance ot Ihe impmvement or <br />othcr righl-o4way usc herelo applied tor and fueher agrees to <br />ieinove sam� upon notice imm the City and lo replar,e pr�iic <br />pmperty damayed Ihereby. <br />��.�f /'�-.ao_t,- ��� _u� <br />SignaNreolApplicant Dare <br />WORK AUTHOfiiZED BV THIS PERMIT 1.1UST BE START[D NJITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THGHFAFI ER IS TU BE DILIGENiLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BV THE CITY UPON ANV STOPPAGE OF WORK OI! TNIS ?ROJECT OVER 90 DAYS DURATION. <br />