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�-- PUBLIC WORKS <br />PERMlT <br />PU�LIG WOHKS DEP�R11.1ENr <br />:1200 Cedur SVeni <br />Everetl. WI1902�1 <br />wzsi zr,�.ee,o � G zpU3 <br />-�!� `'�STING __ � � <br />Date <br />PubLc Works Pcrmit a <br />OwlAmg PcrmA a <br />Phmm�g Rcicrencc M <br />Puhlic Works Fce 5 <br />Gumantee S <br />i <br />04!O112003 , <br />PB0304-001 <br />C0304-001 <br />s�s.uo <br />ov�rvi r� Nnht� LKGAf. Y HC�MES Nfi I1N' n�riicnHt mnr,+r <br />a�,nann���ss allonourrtss l.EGJ1CY Hit�S Nti INC <br />1Blti S L)11tE STEVENS Tifi 181U S I.J�RE S]gVgNS FD <br />IJ\KE S�I'EVLNS YA 98256 I.�I(L 57EyEN5 tU1 +B25B <br />r�inru 425334U573 <br />tnxrnr�ceii��• p094U7nn(iiii�liiii <br />uiscnirnoN�i 9F.W fl<�pSE-BASiC �':�_1`+ <br />rrioros[u wor+K <br />P[RMIT CONDITIONS <br />rv�uri�_ 9�53:t4U•7 e <br />pno.il ct nl�Dnr ,s <br />Lt/1' 1 REDOck'�D PAkR <br />1. �II calls lor inspection shall ba made 24 hours in advance - phone �425) 257-8810 <br />2. All wak shall be perlormed m ar.cordance wnh Ih�s permit and current Gty of [veieu Design and ConsVucOon <br />Slandards and Specihcatic�ns. <br />3. Call Location Undergroun.l Srrnice 48 hrs. belore you d�g. TOLL FREE NUMBER 1•800-424-5555 <br />4. Connert nide newr pec City Standai.�.i ♦'s h01, r;r��, r;ii4. <br />5. Cunnect rooftop dovnspauts to the drainage systFm ��cc�vided foc this lnt. <br />5. Sn:rtall eroeion contiol �eaeur.ea ay determined Lry r.he Yublic Hnrka in�pe�:tcr, :uch <br />as s�lt fc•nr•e, steav t�ales, svales, o� erosiun blqnkets. <br />7. Remove eeua�un contcol measu�ea upon rp�p�]PL1U0 of the yic�7ect yt3oc to final <br />appcoval of the peemit. <br />8. All excavated msterial feom toundat u.,, sidevalk and dri��rvaya shall be h:�uled t.. <br />an .a�-��-,�„v�r�:, �„-�rinir•,.,1 -:�r�-. H,-� v.3:;tin�� �-.f mat.ei �a] �❑ ail�?u;�1 �:,n ��.liis bu11� , f <br />iinv 1�_t. <br />' �'. ' ` � " �.�l.` <br />�pPruvnl Lii ( nn�buc�Iinn <br />T1L1�.�` �^1W'^' <br />I INAI IN.;P6C110N <br />Appi�rv�.�l m: Cnn�fn�. tnil <br />���J <br />tlr <br />_�L- � g '°'3 <br />!Am <br />ACKNOWLEDGEMENT OF CONDITIONS <br />ihe unAersigneA owner/nppGcanl horebV ngrees to hold ond <br />save hnrmless tho Ciry ol Everelt Irom any nntl all elaims lor <br />danmges, cnsts, erpenses, or causes ol ncUon Ihat may anse <br />ber.ause ol installa6on and maiNenance ol lhc imp�ovement or <br />othor nghlbl�way usn hcrcto applicd lor onA lutlhor agrecs to <br />rei � upon noUce hom Ihe Gity nnd to �enlaco puUm <br />p� A, mg fh by / �/J <br />'� �- `,��— V� <br />''.�n�ipnr nl Appb�anl Odle . � _ <br />V/ORN AUTHORIZ[0 PY THIS PF.RMI� MU51 PE START[I) WITHIN IPU UAYS Of' DATE P[RMIT IS ISSUE� AND TMEREAFT[R IS TO PE [11LIGEMLV PURSUFO <br />10 COIdPI[710N TMIS Pf RMIT MAY O[ CANC[ILfD IlY TMC CI1V UPON ANV STOPPAGE OF WORN ON iM15 PROJF.CT UVER 90 UAYS DUfiATIJN <br />W <br />F- <br />V/ <br />W <br />Q <br />� <br />Z <br />O <br />r <br />O <br />a <br />