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PUBLIC WORKS PERMIT Date osio»2o�0 <br /> Publ�c Works Permd � PW1006-007 <br /> � C�ry of Everett Pubhc VJorks Department Bu�ld�nq Permit # C 1006-009 <br /> , ,,,, 3200 Cedar Street <br /> � � '� Everett WA 9820� Plann�nq Reterence # ~ <br /> '425) 257 8810 <br /> Public Works Fee 5 5 25 00 <br /> Other S <br /> OWNER NAME AND ADURESS�. APPLICANT NAME AND AODRESS <br /> CAGLE COUNTRY CONSTRUCTIO�J <br /> PO OOX '304 <br /> �,,1PRYSVILLE b'�'!� <br /> PHONE�, 3G0454:,1J; PMON[ <br /> TAX PARCFL IDN 28051 i0031 ?)30� SITE ADDRESS: 1509 'OOTH ST SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> NGW HOi!S't I�ASIC 3351 <br /> � — <br /> PERMIT CONDITIONS <br /> 1 �'��I Calls lo� insped�on shall be made 24 hours in advance <br /> 2 G.V work shall be perfermed m accordarce with Ihe permd and current Crty of Everetl D^s�gn and Construc',on Standards <br /> �nd Specd�ca;�ons <br /> 3 rall Lecat�on Undergrcund Serv�ce 48 hrs betore you d�g TOLL FREE NUMBER 871 I -, <br /> 4 The cortraclor must meet wdh the Public Works Inepector to discuss po'enPa dra n�ye rouling pnor to begmninq ' <br /> the pro�ed w <br /> 5 Insta�l eros�on contrel measures per C ty of Everett Standards for small parcels ��'-� <br /> 6 Nc dirt rr�d rocks or debns lo be tracked onto roadway ' � `� � � � � � � ;/� <br /> ; No b�dd ng malenals to be stacked on s�dewalks and sidewalks lo be kept c'AaP afjd`o�mT.Tofipede,Stna�;haveL � <br /> _ '" �;': :`:' O ' <br /> YOUR MS�'FCTQR IS Ct IFF I iNDP.1�N 4:5-339 ?404 � <br /> i.. <br /> �, : �' ;z <br /> ;^ =0 <br /> . V . r- �'�Ii <br /> � � �iL'i��i� .r. � �-� <br /> , �,�:•'. . . -' i_�.. 1 .._. a ��:; .�!.T <br /> �� � <br /> �� .� <br /> � . k", <br /> TO POSTlNG ' z' '� <br /> ACKNOWLCDGf-WtNI Of COND11ipNS <br /> 1 he�r�dersigned ownerrapphcanl hcieby agrees lo hold and <br /> _ .____ . _ _ __._— s;rve harn4ess Ihr Ody ul hveretl Irom any and all cla�ms lor <br /> d�images,custs p^nses or wuses ol achon tl�al may;mse <br /> becausr_ ul inst� ahon and rna�Menance of Ihe improvemenl <br /> ����,�� /�/� or olhcr nyhl�n way usc!�eielo apphed for and �urthcr agrees <br /> v� to remove cm e upon noGce Irom Ib.e Cdy anA to replace <br /> Ap roved 'o• Construction U�'� �pu hr,prpp y dary�agen e�' <br /> _� �: <br /> }A���'_<<� ` � /� �J ��C� <br /> F SpECTiON Date � d7_�o ' / <br /> Approved as ConSVu:�ed Si 1p ure ol Appi�c7p � Datc <br /> YiURNAUTHpfU(tUb� THISVtN"II '4US� At: SiAFffUWIIHIti15UL�v50 lf I�RF11�I�i;`UtUAY.DTHtNtAI7C415TONFDIL;GC'JTIV <br /> 1'URSULU IO(O'��CLC110�! �HIS�N11911 1-1ar P.E(AN;LI I fD I7V IML CITV UP01! M1� O^fAGf Ui�tbONN pf!1MI5 PHOJECi OVf 0.��0 DM1YS UUHATIO'V. <br />