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. ' ����I� ■���■\� Date <br />RA 05-�:r:'U:i`i�l.efl) U;:?ii <br />Publir, Works Pc�mil N <br />�� ��/ �� F'EG l ��1.� ��' eui�ding Permit u <br />CT i <br />PUBLIC WORKS D�FiP,�RTl�C-N�� ��� J Plannin� Relerence p <br />3200 Cedar �Yreet' <br />Evere�t, WA 90201 �. � �� Public Works Fee S <br />(425) [57-8810 ���)^. t,l.,}(1�. �� <br />L� � w,� �I� Guarantee S <br />OWNER NAME <br />ANDADDRESS: <br />PHO�E: <br />5/11!2J05 <br />PWOSUS-015 <br />C0505-015 <br />525.00 <br />ARTTSAN HCY�S INC 1�'I�r APPUCA�TNe1�1� � <br />AND Af]DRESB. <br />10121 EVEFtGREEN WA%1 DriVE :°�i.09 <br />EVERETT wn t�_ 9azon $� ,7:'.7.�?'.:, T�? C�n�T�NG AUG 2 7 20�5 <br />2o6a7aeya� i�F►E�< ,,,,oNE: �1,7��1.?� • <br />TAXPARCELI.D.a 009806001209G <br />DESCRIPTION Of- <br />PROPOSED WORK�. <br />ADDRESS: q](�q 18TH T.VE W <br />LOT :' SAORT PIJ�T 12(I?-11-09 <br />PERPAIl� CONDITIONS <br />1. All calls (or inspeclion shall be made 24 hours in advance - phone (425) 257-8d10 <br />2. All work shall be pertormed in accordance wilh Ihis permit and current Ciry of Everett Design and Construction <br />Standards and Specifica�ions. <br />3. Call Location Undergro•.�nd Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555 <br />9. koofr�,p cunoff must be di:chaegPd to a coof downapout infilttation ay:�tem pec City W <br />oi Eveeett Stoem Manual 3-2.b.::. The appro:cimate sizF tx�nc•h is 3.5' vide, 2' deep � <br />and 22' long. See attar�����t foc moee details. <br />5. Install erosion control measures as deturroined by the Public WurY.s inspector, such � <br />as silt fence, straw bale9, swales, o� ecesion bianketa. M <br />6. Removr eeosion �rontenl mea9ure9 upon completion ��f the pc��ject prioc to final O��J <br />3K�proval of tha pecmit. � <br />7. All excavated matecial fe_�m fpundatzon, sidFualk and drivevays shall bE hauled tu � <br />an appcoved, pecmitted �ite. No va�ting of msteeial is all��wed on this buildiny lot. <br />8. Cuntact the Mukilteo Water Dist.cict fo� connecting F,tcrai�ions fur this building•s 9 <br />WdLEC �Il�j :;BWZC 9BCV10E9 O <br />r�^ <br />Y / <br />� <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicam hereby agrecs b hold and <br />save harmless the City of Everett fmm any and all claims lor <br />dama9es, cosis, expe.nses, or causes of action ihat may arise <br />because of installation and maintenance of Ihe improvement or <br />olher right�of-way use hereto applied lor and further agrees to <br />remove same upon notice (rom �he Ciry and to replace pu6lic <br />pro rty dama9ed thereby. <br />SignaNre af Appl! n1��� �f <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DA7E PERAIIT IS ISSUED AND THEREAFTER IS TO BE DILiGENTLY PURSUED <br />70 COMPLE110N. THIS PERMIT MAV BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS �URATION. <br />