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� �us��c �o��.s <br />PERMtT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sheel <br />Evcrett, WA 99201 <br />c4z5� z5�-�d� ��$ g��y u NOV 1 0 <br />OWNER NAME LAKELAND HC,�MES INC <br />AM1DADDRESS: PU $OX S�OS <br />EVEF2ETT iTA 98203 <br />Pr+oNe 4253567 i b7 <br />APPLICANT NAME <br />ANDADDRLSS: <br />PHUNE: <br />TAXPAHCELI.D.p OOABOEIIOJOZBOb IPfiOJGCTADORESS: <br />DESCP�PTIONOF NEW HOItSE - BA5IC it198 (SACAF.Z) <br />PROPOSED WORKt <br />PERMIT CONDITIONS <br />Date <br />Public Works Permi� k <br />Building Permif M <br />Planning Relerence q <br />Public Works Fce S <br />Guaran;au S <br />LAKELANC� HC,iME; INC <br />PU SOX 3205 <br />EVERETT WA <br />925:;5G7767 <br />471�i 18TH AVE 9 <br />OS/07/2003 % <br />PW0305-012 <br />C0305-007 <br />525.00 <br />?8203 <br />LOT 1 SHc,�FT PiAT 12p2-14-U2 <br />1. All calis for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance wilh this permit and curreN City of Everell Design and Consiruction <br />Standards and Specifica�ions. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL �'REE NUMBER 1-800-424-5555 ',' <br />4. Connect cooitop downapout: to the d[ainage �ystem pcovidFd foc this lot. � <br />5. Install erosion contrul measuL•rs as detecmined by the Public Woeks inspector, such � <br />as silt fence, stcav balea, �wale2, ee eeoaion blankets. ♦A <br />6. P.emove erusion control measures upon completion of the pcuject prior to final Vf <br />appeoval of the peemit. p� <br />7. All axcavated matecial fcom foundation, aidewalk and deivev.sys shall be hauled to d�� <br />an approved, permittF�i sit.e. No vastiny of material is alloved on this building lot.. O <br />0. Contact the Mukilteo Watec L�istcir_r foe r_unnecting Feoviyion9 for this building's � <br />watec and sewer �ccvices. <br />AppmvedlorConslmclion Dale <br />i/// ! i 1 ,/_ / . <br />Dato <br />_ ZS-� 3 <br />� <br />_ � <br />__� 36�;n, - ^ <br />-_L� 99�. H � <br />;N iii�. � o <br />_Ji ic 34 � a <br />7 t .,� <br />. ..Y.. ...,. _ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby agrees to huld and <br />save harmless the City ol Everetl trom any and all claims for <br />d2mages, cosls, ezpenses, or causes of aclion ihat may arise <br />because of installation and maintenance of ihe improvement or <br />olher ri9hhof-way use herelo applied for and luriher ugrees to <br />remove same upon notice om the C y and to replace public <br />pmpetly dgrt�agctY thereby. <br />U ��� <br />SignalureolApplicam Date � <br />WnRK AUTHORIZED BY THIS PERMIT MUST BE STARTE� WITHIN 180 DAYS OF GATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COIAPLETION. THIS PERMIT MAY BE CANCELLEO BY TH[ CIfV UPON ANY STOPPAGE OP WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />