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�u��ac vv���c� <br />PERINl17' <br />PUBLIC VJORKS U[PARTP.IENT <br />3200 Cedar Street <br />�-�. Evcrett, WA 90201 <br />(425) 257-8010 � <br />�U(,�S�i1� NOJID US <br />ow�,ver�rinni� �_caig [v�cc <br />nn�o nn��rvcs; p� � 9or. 1579 <br />5 N<�AGhtI Sfi <br />r�rioNe <br />TA%PARG[LID.a <br />UCSCRIPTIONOF U��USt3 <br />PHOPOSED bVOfiK- <br />P[RMIT CONDITIONS <br />�-�L APPUCANT NAME <br />nNnnoo�ess <br />�. �8291 <br />PIION6 <br />o;��� la:�o�,, <br />PublicWorksPennittl FWU307-U31 <br />��, ddutg Permit n <br />Pi�inning Relerence # <br />Public Works Fee 5 y1b, 48b.07 <br />Guammee 5 fi jO' i� dj' , ZO <br />PFGJ[CTADDRG&5.4�] �y jdLh ?44e ld <br />1(11ilIIl: $1YN ImPCp`/9WgRf: <br />1. A.II calls for in:.pection shall be made 24 hours'n advance - phone (425) 257-8810 <br />2. Ail work shall L�: per'�rmed in accordance with ihis permit and current City ol EverMt Design and Cons�ruction <br />Standards and Specilications. <br />3. Call Location Unde�ground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />�,. A� par app�uved plan dated 7-3-0;. <br />5. Seasonal limitatians apply t�a r.��N land alt�acinu a��ti.ity on r_hi:, sir.=. ;,.3mi <br />alteciny activity may be cest�iotecl tu thF periocl b�t�xen Apcil 1 an�J M�tobee 1-_�nv <br />�ctivity allee.md outside of thes�_ limits is at the di�ceeCiun �.f the rity public <br />�x�cks insF�ecto�. <br />o• Any wnck within the �trr-am IwfYec ur steeam Will bF ee�r.cicted by city �tan�ac�ij *.o <br />the peciod betr.�un June 15 and Suptemt�Fc 15, duiinq dcy wather only. <br />7. Censtruction �tay:ng acea� mu.-,t be lucated eutside of envic�mmenr_ally settsitive <br />aeea� and their Guffeis. G,m�tcuction limits shall be clearls markud in the fiFlcl <br />vith ucanye r_��n�tcur.tiaii fencim� oc an alteenarive a�ipcov�� hy the �_ity. <br />8. E�osiun contrul measuee� shall D� in p1dCE and inspe�_ted prioc tc� commencemenl .�f <br />vx�ck. Woek shall be don� se �:; tn �a.���ize tuebidity, eec��io�t, and otlier water <br />quality impacts. <br />9. hhan npecatinq maehinecY in pe near rhe wr.l�nd� an�i �rceam:�, axtcem^ cace sha7.1. 1:,� <br />taken to prevent any petioleum pr.Klucts, ,_��ment, chemic�l�, oc othui LOYlrr {�L <br />deletecious matecial� fe��m enteeiny the watec. if a spill deee o�:cue, wr�rF: .h:�ll I:e <br />8iirpFE•!� lIDtt1�CI13tB1� and DC?E's 3pi11 F.e�pc�nse �ection i:i�lit3�:'t.c�i?, <br />Appioved lor C �sVuc�n D:��vJ <br /><<�; /"'n= !'G� lPIC-7e� � <br />FINAL INSPECT�ON <br />Appioved as ConslmcteJ Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersignetl ownedapplicant hereby agre.�s Io hold and <br />save harmless the Ciry ol Evemtt Irom any and all claims lor <br />damages, costs, expenses, or causes of action lhal may arise <br />because ol installation and maintenance o� Ihe improvement or <br />other righl-obway use here�o applictl for and further agrecs lo <br />remove same u on netice trom ihe Ciry and to replace public <br />prqRerty dama d tCnrehy. <br />� �--- 7�Li /43_ <br />SignaWre fApplicant Da1e <br />6'JORK nU7HORIZED BY THIS PERid1T h1UST BE ST'r?: EO WITHIN 180 DAYS OF DATE PERP.IIT IS ISSUE� nND THEREAF7ER IS TO OE DILIGENTLV PUISUED <br />TO COtdPLGTION. THIS PEH611T MAY BE CANCF-LI.ED BY THE CITY UPON ANY STOPPAG[ OF IYORK OPJ THIS PROJFCT OVER 90 DAYS OIIRATION. <br />