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pus��c v�oRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 CeAar Street <br />Everetl. WA 98201 �(j 2 p � <br />(425)257.�� POSTING_ <br />OWNER NAME <br />AND ADDRE55: Tar�``� ���. <br />4�4-�4+1,�SL' �8�8 <br />PhONE: E� <br />4Z5-29o- �,59rt <br />TAX PARCEL I.O. I <br />PHONE. <br />PROJECTADDRE55: <br />oescairnoNOF Install Culvert in existing diL-cl� <br />PROPOSED WORK: <br />I� <br />PEHMIT CONDITIONS <br />oe�e s�za/aooi <br />Public Waks PeanN � PW0105-039 <br />Building Permlll <br />Planninp Ruferenco M <br />Public Works Foo S <br />Ouaranlee S <br />sw <br />1. All calls lor Inspeclion shall be made 24 hours In edvance • phonc (425) 257•8810 <br />2. All woik shall be perlormed in accordance with thie pertnit and current City ot Everell Design and Conslruction <br />Slandnrds end Specilications. <br />3. Call Localion Underground Service 48 hrs. belore yau dig. TOLL FREE NUMBER 1-s01�1�1-5555 <br />$25.00 <br />4. The pipe under the driveway @ 414 94th St SW is 12" CMP, as are the <br />tvo adjacent properties. <br />5. Install 12' plpe in ditch (ADS N-12, P\'C ASTM D3034) <br />6. Install CS per std plan #403 @ driveway to accomodate 4" pipe & 12" <br />pipes. <br />7. Dltch will need to be excavated to alloa for bedding & pipe <br />installation. <br />g, C'all inspector prior to construction @ 339-7404. <br />9. Be carefull not to damage water cervice 11nes. <br />10. Use crushed rock (5/8") for beddinq & backfill. <br />i i. ku,P cr� SbKaE.s �Ict�� Ab t+�l �»+aS d�-„� co�r��r�E: on. <br />' � 'R� G LI I�14�NP� C'. ►3 <br />�f. 11 ►V� �2 5�24�01 <br />ApproveG for Conslruclion De <br />,f� /'.i�r_,.ri., -r - � / <br />�NAL INSPECTION <br />Approvtd as Conslmcled Data <br />�6-�5-01 ]2:<LF" <br />No 4„ p�P� a� �— i� o,� � �.os o0 <br />� <br />,-u,n_ ,s.00 <br />ct-�ci � <br />, ;,�z;c;e <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />Tho undursigned ownor/applicent horeby egreos to hold end <br />savo harmloss Ma City ol Evorotl Iran any end all clalms tor <br />damopos, cosls, oxpansos, or causos ol actlon that mey eriso <br />bocauso ol InsWllaGon end maintananco ol the imprwoment or <br />olher righl-ot-way uso horeto epplietl lor and lurtl�er agrees to <br />ramove same upai notice Iran tlro Ciry antl to rcplace public <br />p�oparry damagod thomby. <br />za— v/ <br />ture o�Y �� oe�e 6 — <br />WORK AUTI;ORIZED 0Y THIS PERMIT MUST BE STAqTE01YITHIN 1B0 UAYS OF DATE PERMI7IS ISSUED AND TMEREAFiEP IS TO BE DILIGENRV PUHSUED <br />TO COMPIETION THIS PERMIT MAV BE CANCELLED BV THE CITY UPOh ANY SiOPPAGE OF WORK ON TMIS PHQIECT OVER 90 DAVS DUfillilON. <br />