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PUBLIC WORKS <br />PERMIT <br />PU�LIC WORKS DEPARTMENT <br />3200 Cedar Street <br />e��«n, wn sazoi APR 0 5 2004 <br />�azs1�T'pB1p(1CY���C .._._— <br />Date <br />Public Works Permit q <br />6uilding Permit k <br />Planning Fieference k <br />Public Works Fee 5 <br />Guarantce $ <br />/ <br />1/7/2004 <br />rwonoi-oo� <br />C0901-003 <br />$25.00 <br />ADAIR ENTEFPRISES LLC IAPPLICANTNAME �AIp gg7ERpFtISES LLC <br />' ANDADDRE55: SZO�? 35TH AVE SE <br />1703_ 35Tii AVE SE <br />B4THELL W.A ?801' B01'AEiL 61A ?80i2 <br />PHONE' Q?5�Q31718 <br />TA%PARGELI.D.a ?BOQOlOO?OZOOO <br />GESCRIPTIONOF t7Ep AOUSE - HASIC ?265 <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />PNONE: Q?�?Qjj�18 <br />58?(� BTA AVE A <br />GLENWC.K�D RZDGE LOT 5 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pedormed ir acr.or�ianr.e with th'•� rarmit and current City ot Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUTABER 1-800-424-5555 <br />4. Connect side 9ewer pec City Standacd N's 601, 602, 604. <br />5. Connect eooftop �iovnspouts t� thr drainage syste�a peovid-ed for this lot. <br />n. Install eeosion r_ont[ol measutes as deteemined by the Publi� i10CIC9 inspectoc, such <br />as silt fence, straw bales, swal�s, or eLosion blankets. <br />7. Re�eve ecosion renteol tlB39UCt'S upun completiun ef the [JCO]F3CC �JC10L to final <br />appeoval of the permit. <br />8. All excavated material from foundation, sidrWalk and driveu2ys shall bE haulyd to <br />an ap�coved, pe[mirred site. No vasting ef matecial is allnwed on this buildinq 1�_c. <br />Z <br />G1-12-04 2:05?H O <br />� U401003 � <br />BUIi.D 1094.55 � <br />"iFCtl 60,40 <br />PLUM� 70„0� O <br />DSIVE 25.00 a <br />SRCNG ��,50 <br />tt 040100� <br />SEWEfi 7C.OU <br />UTILITI' 482.UU <br />ACKNO W I1ffOEiEMENI?Ol�C�ON D ITIONS <br />TQTAL 1936.(}5 <br />The unoersigned ovmer/applir,ant hereby agre�s',1¢(toltlidnd�i9?�S .0� <br />save Carmless Ihe City of Ever,�tt,ftperl any and all claims-tor <br />tlamayes, cosis, ezpenses, or`�aiYsi,lsuo� action thnt may arise <br />because of installation and maintenance ol the improvem�nf or <br />other right-of-way use hereto applied lor and further 2greos to <br />remove same upon notica trum lhe City and to replace public <br />pmperty damaged thereoy. <br />� J � <br />�, �����, - <br />Signa�u of Applicant Dale <br />WOi�K AU7FfORIZ[D OV THIS PER!dI7 MUST BE STARTEU WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE �iLIGENTLI' PURSUED <br />10 Cp1,7PtP7lON 7HIS PGR�nIi 1.!aV P[ CANCP.LEO BY 7HE CITY UPON ANY STOPPAGG OF WORK ON THIS PFOJECT OVER 90 DAYS DURATION. <br />