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PV��I� Y■O�Rv� <br />P�RMIT <br />PU�LIC WORKS DEPARTMENT <br />3200 Ced'ar Slrcc� <br />Evcrclt, WA 98201 <br />,.,��,�57-��STING ��_ N�a <br />o�vriE� r�an,�� H�N JEFF <br />ANDADDRFSS. <br />FMB-A96 021 ST kT 9 HE <br />LAKE STEbBNS WA 98258 <br />�'HONE q252990800 <br />,nx Naaceu o. p �809010020100 <br />DFSCRIPTION OF <br />r-i�o��oseo vdoivK NEW HOUSE-'BI� <br />PERMIT CONDITICNS <br />PHONL <br />PROJECTAUDHESS: <br />�� <br />oate <br />Public Works Permii k <br />Buildinc� Permit a <br />Planning Relerence N <br />Public Work; Fee 5 <br />Guarantcr, S <br />S91ki BTH AVE W <br />_,'17; 200>I <br />PW0402-016 <br />ro4o2—oi� <br />5::5.Op <br />vLENWix}D TiTDGE Ldf 1 <br />1. All calis lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All �,vork shall be pe�formed in accordance with ihis permit and current City of Everett Design and Consiruclion <br />Standards and Sp�,ci(ications. <br />3. Call Location Undarground Service A8 hrs. before you dig. TOLL FREE NUM9ER 1-800-424-5555 <br />9. Connect �ide �ewec pec City Standacd H'� 6D1, 602, tiD4. <br />5. �onnect CnpYtop dounspouts tu ti�e dcainage system provi�9ed for this lut. <br />c�. Install erosion Ct�I1LC01 IR2d9UC20 as determined by the Yublic WOCF:9 inspector, surh <br />as silt fence, straw bales, svales, or erosion blankets. <br />7. kemove ezosi.on conteol mea�uces upon completion of the peoject pcioc to final <br />ap�,roval of the permit. <br />8, All excavated mateiial from fuundati�n, sidevalk and drivevays shall be hauled to <br />an appc��ved, pecmitted site. No wasting of matecial is allr.wed on thi� building lot. <br />1.7.5;+, . <br />b;', <br />c,- <br />4�:. <br />^ <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/[]/�,..7(/�jy_ The undeisigned owner/applicant herebyagrees la hold and <br />�' '�• (' 'Al3-I �+ _� j� save haimless the Ciry ol Evereu from any antl all claims tor .... <br />Ap rvetl �r Con �clion Da�/ damages, wsts, expenses. or causes ol action ihat may aris� <br />G/ because ot installation and main�enance of the improvemenl or <br />/`�/ � /. other righbobway we hereto applied for and further agrer.s to <br />!� •'�f" ��-- "� ���� remove same upon notice fro lhe Ciry and to replace public <br />FINAL INSPECTION propedy qamaged thereby <br />Appiovetl ac Constmcled Data . <br />�i+ <br />Signalure pl ppliedn� � — � -Date -�- - <br />W <br />� <br />w�/� <br />V/ <br />W <br />O <br />� <br />L <br />0 <br />P�'� <br />v! <br />0 <br />Q. <br />,, �� <br />c:OEI: a1n i �Onl.',: U BY 11115 P[RCU7 h'JS7 nE SlnliTED v:iiHu� tti0 UlcIS OP DAIL PERI.t�7IS ISSUED AND iHEqEAFTER IS TO BE DI�IGENTLV PURSUED <br />I U CO:•f'U_ i�iU ; Tf f5 P�Hr.1lT I.iA'l 5F CAP:C[LLFU BY TH[ CITY UPON nNY SiOPPA�iE. O� tVORK ON THIS PROJECT OVER 90 �AVS UURATION. <br />