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PUBLIC WORK� <br />PERMIT <br />PUBLIC WORKS DLPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 <br />�az5> �57-BB�ooST� I� � �-,;,'G 1 2 2004 <br />"1 <br />OWNER NAME APPLICANT NAME <br />ANDADDRE55: ROON JEFF ANDADDRESS: <br />PhID A46 621 ST RT 9 NE <br />LP�CE ST'EVENS YA 98258 <br />PHONE: QZ5Z99�8�� <br />TA%PARCELI.D.M ZBOQOZOOZOIOO <br />DESCRIPTION OF <br />PROPOSED WORK: NC'�1 EOUSE <br />PHONE: <br />PROJECT <br />SAME <br />Date <br />Public Works Per�Til # <br />Building Permit # <br />Planning Relerencz N <br />Public Works Fee 5 <br />3uarantee S <br />�;��;zoo4 <br />Pi10409-015 <br />�o4o4-a�� <br />(i" O,i-�.'� <br />.. ,. ,'i=.. <br />„ �;,:0 <br />_ 1Z=8. . <br />PERMIT CONDITIONS LOT G GLLNWOOD RIOGE <br />1. All calls for inspection shatl be made 24 hours in advance - phone (425) 257-8810 -���'� `- -"' <br />2. All work shall be pedormed in accordance with Ihis permit and current City ot Everett Design and Constfuction <br />Standards and Specifications. � _ <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-0245555 ���. <br />� _ _., ;� <br />4. Connect aide �eo+ec pec City Standacd N's 601, 602, 604. <br />$25.00 <br />r. i <br />5. Cormect rooftop down9pouts to the drainage aystem provided for thia��lot. <br />9. Inatall ecosion contcol mzasueea as detecmined by the Public i�ocka inspectoc, such <br />as silt fence, strav bales, svales, or erosion blankets. <br />11. Remove eroeion contcol meauucea ut�on completion of the pcoject p�ior to final <br />aaproval of the permit. <br />12 .A11 excavated material from foundation, sidevalk and dr.ivevays ahall be hauled to <br />an approved, permitted site. No wasting of material is allo�aed on this building lot. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />The undersigned cwner/applicant hereby agrees to hold and <br />save harmless thc City of Everett fmm any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because ol installation ar.d maintenance ot the improvemec� or <br />other right-of�way usc hereto applied for and turther agrees to <br />rem4yo.saeaullPon no�ire irmm the City and to replace public <br />Signal�re <br />Date <br />5 <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DA7E PERMI�f IS ISSUED AND THEREAFTER IS TO BE DILIGEYTLY PURSUEO <br />TO COMPLETION. 7HIS PERMIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />