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I <br /> Date�L� — - - ---- <br /> PubLc l'Ja�Ys P�nm�;= <br /> Application For eia9.Deo�._ __— . <br /> PUBL(C 1iVOR�C� P� Rllil �l" ��°�°W��ksF�o <br /> taial fee S <br /> LissApp:FeaPYitl $ <br /> Print or Type Only �:�����=�o�� s <br /> ;r7eridian Aggregates Co�any <br /> (Burlinqton Nortliern) P.O. Box 839, GranitePalls. Y7A 98252 (206)691-773� <br /> Owner Mailing Addrese City Zip Phone <br /> (53Ii1P clS �3bOVe� <br /> Applicanl Mailing Address City Zip Phone <br /> Describe Proposed Work ='he piroposal 1S 'FA CY�dtE and onerate: an area for retail/who_'.esale _ <br /> sales of sand, qravel, a4arecTate and rociceiy rock on a site of appro�te-� 2 ,2 acre�. The <br /> proposal will include 6 to 8 stockpiles of materials <br /> and a si4ht-obscurin landscaoe buffer alon the we t r 1' � <br /> Project Address�it known� East of Chestnut Street, North of 15th Stseet � <br /> Attach four(4) copies of plans lo�proposed work- Draw to scate and note the following as applicabte: s <br /> • Property Line� • Centerline olstreet � <br /> • Outline and dimensions of all existing and • Indicate North <br /> proposed stiuctures on 1he lot • Show any proposed grading changes <br /> • Existing and proposed utilities • Show measuremenis u <br /> d� <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMITCONDffIONS � �i <br /> 1. All calls for inspection shall be made 24 hrs. in advance� phone 259•881 5. � '� <br /> 2. All work shall be Gerlormed in accordance with this permi� and current City ol Evcrett Design and Consiructior, <br /> Standards and Specifications �, <br /> 3. Call LocaGon Underground Servlac 4f3 hrs- belore you dig.TOLL FREE NUMBER 1-$0�•4?_4•5555. � I, <br /> � � <br /> ///�p <br /> _P <br /> � <br /> � <br /> ACKNOWLEDGEMGNT OF CONDITIONS <br /> Tho undersigned owr.er/applican�hereby agrees to hold and save harm- <br /> ---�— less the City of Everett Irom any and all claims for damages, costs. <br /> expenses, or causes of action ihat may arise because of installation <br /> and maintenance of the improvement or other righl�oFway use nereto <br /> Approved for Construction �,�— applied for and further a�rees lo remove same upon notice Irom the <br /> - City and eplace p li amaged thereby. <br /> FINAL INSPECTION Date �'Z �/ __ <br /> Approved as Constructed SignaWre c`Appl c i� Dale <br /> everett PUBLIC WORKS DEPARTMENT WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN <br /> � 3200CedarStreet 180 DA1'S OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO <br /> Everett, VJA 9F3201 BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY 6E <br /> Phonc: 259-8Ei t 5 CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS <br /> PROJECT OVER 90 DAYS DURATION. �— <br />