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, �PUBL.i� WORKS P�RMIT <br />�� <br />r, �., ._�f L�..MP. I'.iL6�.'iiork�. DeG.�rtr•�-�1 <br />�� � , :,' �_ � -aar S�r�'rl <br />,;4 . Cver•�tt 'r:�', _�g:")1 <br />�_ . _,-3�:1�� <br />�01NNER NAME AND ADDRESS: <br />RFKDAIiL GORDON <br />f;9U8 EASNIEW AVE <br />C�ERETT WA 5820II <br />I <br />PHONE: .253372429 <br />inX PARCEL ID # 280530004G12C0 <br />DESCRIPTION GF PROPOSEC WORK: <br />PUHLIC V�ORKS FOR NGW SINGLE ! r�F;71LY D:'dELUMG <br />Uate 3r 1 1I201 �l <br />PubLc `��/orks Pennit #. PW140?-0OS <br />Buildmq Permit #, C1403-004 <br />f'lann!ng Re�erence #: <br />Public Works Fee 5 S 65.00 <br />Other 5 <br />APPLICANT NAME ANO ADDR[SS: <br />GIIURCH KnTHLEEN <br />PHONE ��7�33� �=��1 <br />SITE ADDRESS' '�.?�OS 13�1-1 DB SE <br />i HOi;iPSON SUBLIVISIfJN <br />1=�=RP;117 CONDITiONS <br />t AI; ca'Is (or �nspedion shall be made 2�: hours in advance <br />2 Ail work shall b� periormed in accordance vritli ihe permR and curren; City o` Everet: Des�n a�d ConsVuc; o� Sarda:ds <br />and Speaf�ca;ions <br />� Call Location Underground Serr.ce 48 hrs befcre you dio TOLL FREE NUMBER 81? —- <br />: Com�ect side sewer per City Standard m s 601, 602, 60� - u �;; � <br />� Conrect rooftop dovmspouts �c tne dramage sys;em provideJ fc ihs c� _ _ ,_ ,, ' ;z�' � <br />�_ Install erosion control measures as determ;ned by lhe Pubhc lNorks inspector�s�ch as �i ;znc^ 5 r �alesi • � <br />sr.ales, or erosion blankets i� � � i� .r _. c � �* � � � �. � � I <br />r' Aii excavaled material irom foundaUon, sidee�ak and driveways shail 6e?fiau'ed f a,n approved pemiitied s le , f <br />No :vastmg of rTialenal is alloeJed on Ihis bwlding lot "— _c� I „� � <br />i3 No diR, mud. rocks or debris b be tracked onlo roadway `•' '' �f; C <br />9 No bwldmg matenals to oe stacked on sidewalk/roadway and s�dewalk/roadway to be kept clean and ooer fer � <br />;�edestrian travcl � � � � <br />t 0 Ad�ust water meter box �" above side�:�alk grade � .'% <br />. C• � <br />, .,. �: � <br />Y� ��II I�I.IJi�: �:"� I� 1 �I'Sf'r.rU- '� CI)� ��.IY'nl:?il (�..f�� :,'��- .� `� .� '_.1 f f 111� QUBS��OPS afJdiUf Ip$�'0Q(IOJlSb L � <br />� _ [�' <br />, - -.i.i�� • i� <br />' '- .., . . � , �- . �„ '�� i.�. <br />.. - . . �'�� � <br />� � <br />L. _. . <br />TO POSTING ' ' `� �' � � <br />�1��� '�� '%Z -/�� <br />/�ppro.-ed `or Const'uchon Date � <br />INSPECTfON Date q <br />�ved as Constructed / —�4 �¢ <br />,�,�..HnC;.'�.ili'��.,I•.'f�r�'�.,i ._�_�r;;�.i�.,,:�'�.. <br />The undois�ync:l ovn'�Na{=?iicant he�dby dqiev, to h;,IJ _ind <br />save harmless the Cdy of Everett Irom any and all claimc,'o� <br />�arnages, costs, expenses, or causes ol act�on that may a� .,• <br />because of msla'iation and maintenance of the impwvem �•! <br />o� olher nghb o( �.vay use herelo applled for and furtl�er a��cces <br />h rce vc samc upcn nc�ic•. 1ro•r Ihe C�!y �rd Io r�pincr <br />F ,�ic p'op•:r�y d.�ni.i '.d �I-•�reby <br />_ �� ��+-���1.U-� U.G���/� <br />o! �pplica <br />uate <br />� <br />`;iORK AUTHORIZED �V THIS PERhi1T f�lUST 6F STARTCD CJII!il'rJ 180 DAYS OF DA'i[ PERFIIT 1> !SSUED f�Gfi I Hi RI !1f iFR iS TO 6E D!UGFNTLY <br />PUPSLIED l0 �OM1IPLF.TION. TH15 VCRi-11T ���9Y UE CAP:Cf'_LI [D !3Y ?HE CITY U�'ON qNY SlCPPAG[ OF VIGR'� G:': 1HI5 FkOJE� OV[R 4U DAYS DU�'v1f7JL. <br />P L1J <br />