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btt�:/rwww:uaca: m ilr,�swinew-bagio,btm <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTh1ENT <br />3200 Cetlar Street <br />Everett, WA 98201 <br />(425�257-8�� pOSTING ��" 1 s <br />513 E DAViES L"u�Y kD �BH <br />LAICE S1'E'+'ENS WA 98�56 <br />F�iDNE 425�9908011 <br />TA%FARCELI.D.a ?BOQULOU�US <br />�ESCRIPT10Y OF �W HUUSE — <br />PROPOSED WORK-. <br />PERMIT CONDITIONS <br />APPLICANT NAIdE <br />ANDADDRESS: <br />PHONE: <br />1/Si21)OA <br />Data 1�i31; 2003 <br />Public Works Permit q pW�312-021 <br />cosiz-oss <br />Building Pcrmit N <br />Planniny Relerence M <br />Public Works Feo $ S25 .00 <br />Guarantce S <br />1. All calls for inspection shall he made 24 hour, in advance - pho,ie (425) 25i-8810 <br />2. All work shall be per(ormed in accordance with ihis permil anu current Cily ol Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBGR 1-800-424-5555 <br />4. r.onnNr_r side .�a,.rFe per Citp 5r_.sndard M's 6ii1, r;v?, riii4. <br />5. COflll?CC TOOItop C�oVn3K�ppt3 tq the deainage 3y3t�m Fil'UV1C�8C1 I6[ th13 IOY. <br />6. install PCO$1Qj7 rc�ntcol mea�ure:. as deteewined by che Yubllr_ W�>�ks inapecter, <br />a� silt fence, SCC84! ba1Fs, �vales, oc e[osion blan}:ets. <br />7. Remove eco9ion contcol measuces upon completinn of the proj�ti?QrD4ur5L�'r'efi��al <br />+ppep•d<il Uf t.hF peemlt. � 31�D33 <br />BUILD 1258.15 <br />SRCHG 4.SG <br />'fECH 80.06 <br />PLUHB 91.Or. <br />GRIVE 25.00 <br />II 4010G1 <br />5EWE; 70.Ofi � <br />UTII_itY' o00,GV � <br />WA`ER I36.U0 O <br />TDTA_ '_�6B.65 <br />C'i-9f-_t.•• _`�,� <br />J <br />such <br />W <br />f- <br />V/ <br />W <br />Q <br />� <br />Z <br />� <br />� i��HL'�';'FI <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersiyned ownedapplicanl hereby agrees to hold and <br />save harmless Ihe Cily of Everetl Irom any and all claims for <br />damages. costs, erpenses, or causes ot aclion that may a� �se <br />beca ftinstallation and maintenance of the improvv�.�enl or <br />ot r right-ol-wa use hcreto applied for and funn�� �grecs to <br />r move same u�p�n noti m the City and lo replace public <br />��2�/a �%, <br />vJORK AUTHORIZ[D BY TIf15 P[RMI7 MUST BE STARTED WI7HIN 180 DAVS OF DA7E PERMI71 SUED AND THEREAFTER IS TO BE OILIGENTLY PURSUEO <br />10 C01dPLETION. THIS P[RMIT IdAV �E CANCELLED BY THE CIN UPON ANV STOPPAGE OF WOR N THIS PROJECT OVER 90 DAYS DURATION. <br />