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���� �� ����� <br />�`��31V� I T <br />PUC�LIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />�a25) 25�-seio <br />ov�NrH rin e� <br />ar�on��or�5ss. L1:�AC'f flCd�4;5 t7f:� TTJC <br />181b S LY. STEVENS FD <br />LAKE STEVENS WA 98258 <br />rr+or+e: 9253390573 <br />rnxNnACEu.oa ppq�060�1100100 <br />DESCRIPTION OF <br />f'ROPOSED WORK: <br />HEW HOUSE - BASIC ?125 <br />PERI�AIT CONDITIONS <br />APPLICANT NAME <br />ANDADDRE�S: <br />PHONE: <br />PROJECT <br />Date 5i 7:'_OQ7 <br />PublicWnrksPermitk p00705-Oi:� <br />Building Pormit k <br />Planning Relerence a <br />Public Work< Fee S <br />Guaran�ee S <br />C0705-003 <br />525.Or� <br />LOT 3 ZNTERCITY GARDE'!S 17'ACT� <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All wor'c shall be performed in accordance with this permit and current Ciry of Everetl Design and Conshuction <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />.. :;t�?et frontapr- improvement�, ae�e and dcainsge t� be done per appto•;ed plans nn <br />`:".}iiI:3L"9 �c�YtOlt <br />`. Install. ecosion conttol measures as determined by the Public ➢ork.s inspectorF;;sucl�'--', <br />+o �ilt fence, straw bale�, swales, or ero�ion hlankete. '—�-'�-� '--`-" '"" � �� <br />��. No dirt, mud, roc• o �:�. _' ' <br />ks or debri� to b_ tracked onto rea�.j3}•y:'�' m��_; r't"n '�- ' <br />7. Pave driveway and slope to aide, collect and �oute trv�,ves� d�ho��;� e d��ipe�in a <br />�-1/2" Washed rock sump .. � " ' � <br />cn — <br />'�'�� r'_,_� `�.i-5 � J•PE��=TI=_�17, CA.Li CI,IFF AT 9�� '�"� ,4p4 O ;��' <br />- O , <br />�7 ..> v, <br />�' v? <> �" <br />- `.'.� ,z� <.� a � �-- �-- ^-. .. <br />� _i -,� • r.� .c� r -`o <br />n �� _ _ <br />I i � S _-i <br />� � � <br />i <br />�, <br />�0 POS�'!�� 3:-' `- `�`i <br />� _ _ __ _ -- - - -- _ <br />I �� <br />� �` `�� -���'/07 <br />Iproved for onstmction 9 tlo <br />as Cans�mcletl Dale <br />//-G �/ - �' �, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned o�vnedapplicant hereby agrees �o hold and <br />save harmless ihe City of Everett from any and all claims lor <br />damages, cosls, expenses, or causes of action that may arise <br />because of installation and maintenance of Ihe improvement or <br />olher righ4ot�way use hereto applied for and lurther agrees to <br />remove same upon notice Irom the City and to replace public <br />��pr c maged tY�reby. <br />����i�t�J 7�1i 07 <br />Signatureo Applieanl Oate <br />'.VOHK AUTHORIZED DY THIS PERMIT MUST BE STAFTED WITHIN 180 OAVS OF DATE PFF±tAIT IS ISSUED AND THERLAFTER IS TO �E DILIGENTLY PURSU[� <br />1 O COMPLETION. THIS PERMIT MAY BE CANCELLED BV THE CITV UPON M!Y STOPf'AGE Of VIOFK OIJ 7 FIIS Pf70JECT OVER 90 DAYS DURAilO1J. <br />ervm pra� onr,+nnvv. inc. <br />