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� PUBL1� 1AIORKS Dato <br />��Q�.�T �1�-�:trLU`.i��..�,til) U!i:�rj PublicWorksPermits <br />°� REG-1 �Uli 3J Building Permit k <br />PUOLIC WORKS �P T,E 7 l'T � <br />3200Ceda�Y5lf�t'M�•J����_� PlanningRoterencep <br />Evcretl, W� 98201 Public Works Fco 5 <br />(425) 257-88i0 [I��"�l. '+l,il�l�. l:i <br />1 ,rj � r�/�,�;j Guarantce5 <br />OWNER NAME <br />ANDADDRESS: <br />PHONE: <br />TA%PAqCELI.D.p <br />DESCRIPTION OF <br />PROPOSED WORK: <br />5; iiizoos <br />PW0505-012 <br />"0505-014 <br />525.00 <br />10121 EVERGkEEN WAYl FLNC� ANDADDRES9:1.ri/.00 <br />��� WA ���,tl��2o4 ,,�,�°° TQ PO"TlNG A�� z 7 zoo5 <br />(L 9�J_?'r;.1..�_5 u <br />2069786997 i�je�l� PHONE: �I�7�I.�J _—'— <br />PERMIT CONDITIONS <br />ADDRESS: <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Cell Localion Underground Service 48 hrs. before you dig. TOLL FREE NIIMBER 1-800-42q-5555 <br />4. F;o�ftop runoff muat be disr.haenad to a �ovf downsp�:�1r infiltcation �y�tem �er City � <br />of Everett Stocm Manual 3-2.6,2. The approximate size trench is 3.5� uide, 2' deep <br />and 22' long. See attachmenr foe u�uee detaila. ��/► <br />5. Install eeosion control m�asures a� determin�d by the Public pucks inspector, such V! <br />a9 silt fence, �tcaw halea, s�.slea, ne eeosion blankets. M <br />6• keor,ve erosion cunteol mea.,ure% upon completion of the peoject peior to final {y� <br />appeoval of the permit, � <br />7. All excavated mat�cial fcom foundation, sidEvalk and drivevays shall bu hauled to <br />an approved, �+ermitr_eri site. Ne wasting nf matecial i� allowed ��n thi� building lot. � <br />8. Cuntact the Mukilteo Fiatee DistCict foe uunnecting Frcn•risions for this buildiny's <br />watar and eewer �acvices Z <br />HOTE: Gld drainfield at location of �1civ=way <br />dlllj L'a�)�.3�.r Wlt�l i�l'}� `u`a_l�i.i� �id$e_ L�:r:�i. <br />for Constr �lion <br />r�''✓��_��f' <br />�Ff� INSPECTION <br />Appmvetl as Cons�mctetl p��e <br />F.ecommend -,,y�� �;������atiun of r.,atecial � <br />!�^ <br />V / <br />0/� <br />�e�i� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Thc undersigned owredapplicaN hereby agrees to hold antl <br />save harmless the Ciry ol Everett from any and all claims for <br />damages, costs, expenses, or causes ol action that may arise <br />because of installation and maiNenance of ihe impmvement or <br />other righl-of�way use hereto applied for and furth?r agrees to <br />remove same upon notice from Ihe City and to mplace public <br />proDerty damaged th�reb . <br />/� � L <br />u.h� - � � p� <br />SignaNre ol Appli anl �e <br />WORK AU7HORIZED BV THIS PERMIT MUST BE STARTED WITHIN iB0 DAVS OF DA7E PERMIT IS ISSUE� AND THEREAFTER IS TO BE DILIGENTLY PURSUeD <br />TO CO�dPLETION. THIS PERId1T MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HIS PROJECTOVER 90 DAYS OURATION. <br />