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� PlJBL1C WORKS <br />PERMii <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evmeit, WA 98201 <br />�425) 257�1�70 �„� n f 7 <br />_ : �;..:liVG _ <br />OWNEF NAME LAI{ELAND AOhtES INC ^PP� <br />ANDAODRESS: AND <br />Po sox. 'szo5 <br />EVERETT itA ?8�U3 <br />PHCNe 92535ti7767 <br />TA%PARCELI.D.a p096[i60010280G <br />��� 1 � <br />NAM[ <br />Date <br />Public Works Permit N <br />Building Permit d <br />Planninc� Reference H <br />Public Works Fec 5 <br />c�,�:,���� s <br />LAP,ELAND H<M4E5 INC <br />PQ B<!y, t�45 <br />EVEREIT pA <br />PHONE: Q�I[t.iJGT�Ii� <br />DESCRIPTIONOF ��7 fj�lpgE - BASIC 2111A �bACARI� <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />9721 13TH AVE W N <br />OS/07/2003 <br />% <br />PWO:i05-011 <br />C0305-006 <br />$25.00 <br />982U3 <br />3 <br />L4T 3 SIICFT FLAT Ii1202-19-U2 <br />t. All calls fur inspection shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shal! be peAormed in accordance with Ihis permit and currenl Ciry of Everett Design and Construction <br />Slandards and Specifications. <br />3. Call Location Undergrcund Service 48 hrs. before you diy. TOLL FREE NUMBER 1-800-424-5555 <br />W <br />�. Connact [ooftop downspouts to the dr3:nage yyateic pcovidad f�c this lnt. � <br />5. Install eeosion cunt.cal IDrci3llYE$ as detecmined by khe Fublic tJocks insp?ctor, such � <br />a� silt fence, steau balee, aasle�, oc eeo:,ion blank�t�. � <br />6. Remuve erosiun contxol measuces upon completion of the p�c�ject prior to final <br />approval of the pecmit. � <br />7. All exr_avated matacial fcum fnundation, sid�walk and deivevay� �hall be hauled to O <br />an appruved, permitt?d site. Ho Wastinq of material is alluwed on this buildiny lot. <br />a. Contact the tdukilteo Watee Di:,tcirt for r_onnectinq peuvi�ions foe thi9 buildirol'�`� <br />wster and sewer secvice�. <br />,N_ EG. <br />41. <br />,� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless the City of Everett fmm any and all claims for <br />dama9es, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other righFof-way use hercto applied lor and fuAher agrees to <br />remove same upon nolice Ir m the Ciry and to replace public <br />property�amaqed thereby. <br />, ������� <br />SignaWreol pph[ant Oate <br />IVORK AUTHORIZ[D BY THIS PERPAIT MUST BE STARTED WITHIN 190 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUEO <br />TO C01.1PLETION. TH�S PERMIT MAY BE CANCELLED �Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS FROJECT OVER 90 DAYS DURATION. <br />