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r: <br />� 'i{ <br />� `Y <br />'a",�� <br />�. , � • �. ':: M <br />• <br />. �. <br />Fl If31_IC 6VORKS DEPAftT61EP:T <br />32C0 Cedar Sireet <br />[vem��. WA98201 <br />(��25) 257-8810 <br />o�^✓Ne� rdr,r,�e <br />nNonouRess:LEGnCY Hid•(ES NW IY.0 <br />181e S LY. S1'EVEtlS RD <br />LWiE ST�VENS IJA 98258 <br />P�ioNE: 9253390573 <br />APPLICANT <br />PHONE: <br />Da�e i; �/9��ii-+ <br />PublicWorksPermita p�p�n5-.��r.� <br />Building Permil u <br />Planning Reterence + <br />Public Works Fee S <br />Guarantee 5 <br />:Q705-(�pd <br />� -- , <br />TA%PAFCELI.D.a � PPQIECTAD�RESS � <br />004�Ofi00100100 --�---- o3aq�, a�m v u�y}��, _� <br />�ESCRIPTION OF I <br />PROPOSED WORK: NEW HO��SE - BASIC ?125 �, <br />�ERMIT CONDITIOMS <br />L7P 5 Z17TEkCITY GARPLF� '!�A�"TS <br />1. All catls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everetl Design and Construction <br />Standards and Specitications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />.:;treet frontaqe imprnvements, sewer and drainage to b� d�_ne pei appcoved plane on <br />,-parare permit <br />5. lnstall erosion rontrol measures as detecmined by the Tui�;:- 'vt:: sn::��ccr•,i, :;uch <br />,.c silt fence, straw bales, �wales, or eco�ien blankets. <br />��. No �jirt, mud, cock� �r d?bcis to be tracked onto road�� r; . <br />7. Pave dciveway and slope te side, collect and coute to t._:.r ._�' ❑ou::e, -m� p:r,_ _n a <br />7_1/^„ wa.^hed rorl� sump <br />:r�i�. ..___. _.. ,. _.,--'—�PIC�i„ r':�.li� r�II�� A7' <�-�: __�n..7dqq <br />I I <br />I � �� J <br />� - /17/( /�C�f��"r �-�/ �/�/ <br />�mved lor Constmction Dat <br />��� n � <br />�2s�-�t 1�r'�� --��—�. <br />FJN3LiF7SPECTION <br />4tpprovetl as Conslmcted Date <br />`��'�' !�'"' "� . ' _ i z -c,-� <br />► �:,��.i %" <br />ACKNOWL[DGEMENT O� CONDITIONS <br />The undersigned owneNapplicant hereby aarees to holtl and <br />save harmless ihe City of Everet� fmm �ny ar.d all claims for <br />damages, cosis, expenses, or causes o( action �hat may arise <br />because of ins�allation and mainlenance o( ihe improvement or <br />olher righho6way use hereto applied lor and lutlher agrees to <br />remove same upon notice irom the City and to replace public <br />property tlamage lhereby. • <br />r/ vu'� ���+Li..IC�/���'�j� �.l r(J-/ �7 <br />�Sigriawre oi A lic Dale � <br />'NGRK AITHOFIZED [3Y THIS PERMIT MUST BE STAFTED WITHIN 1B0 OAYS OF DATE P[RIAIT IS ISSUED AND THERFAI�ER IS 70 HG D4IGENTLY PURSU[D <br />7� Ofl,•,TI PTlnp� T�II^� PB71.'IT L1AY BE CANCELLED BV THE CITV UPON ANY SiOPPAG[ OP A70RK ON IHIS PROJECT OVER �0 DAYS DURATION. <br />�:.:....::.i� i.. <br />� '-'_.____.-._.._. _ . _'__ .__...._' _'___„ ___.._.__ _- __ -___ __.. -._ ---� <br />