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PUBLIC WORKS PERMIT <br />C�ty of Cverett Pubhc 1'Jor�s Dcpartmenl <br />-✓;.. ,..,,,,.•. . 3:00 Cr_dar St�eel <br />�" E�.ver8tt !'JA c,r; 01 <br />iA�r�;c'PY1Q <br />OWNER NAME AND ADDRfSS <br />NGUV[N PdIK6 8 TAh1P,1Y <br />23'�24 35TH AVE W <br />BHIER WA 98035 <br />PNONE 4257600035 <br />TAX PARCELID M Q0394900001000 <br />DESCRIPTION OF PROPOSED W�RK• <br />NEW SINGLE Fl1�dILY RESiDENCE <br />SAME SET OF PLANS AS C 1410-Opi <br />Date 12/1G/2014 <br />Publ�c Works Perm�t # PW7412-Org <br />Bwld�nq Perm�t q <br />Pla,�n�nq Reference # <br />Pubhc Works Fee $ <br />Other $ <br />APPLICANT NAME AND ADDRESS: <br />PHONE. <br />SIiE A�ORESS 1927 98TH PL SW itA <br />C1410-00! <br />REVI114 004 <br />g 65 �� <br />PERMIT CONDITIONS <br />1 All calls for mspection shall be made 24 hours in advance <br />.' All work shall pe performed m a�cordance w��h the pe�m�t and current City of Everefl Des�yn �ind Co�str�chon Sland:+��.1s <br />and Specdicahons <br />3 Call I. o�al�on Urn:er_�ruund Srnr,�r. �9 h�s hef^•e ya.i d�q TOLL FREE NUMBER 811 <br />4 Per apF�oved dra���aq? plar da�e�J I[;16�2014 ...._. _; <br />�� c«��:� . . n, u 1< i L"t�ci ' �-W � . . . . . . •='i <br />r: insta I erosion con!rol measures as determmed by !he Nubhc'J�Yifi��eGie'�Si `s4r�I'�s'�IE�g ��q �iesf..� <br />�:.a'�.es or erosion bla�ke�s �. '�-+ �- r; '--� r+ � �� r s� ��� � � • <br />' All excavated mater�al from foundat�un, sidewalk and dnveways sh:m tie haulea Ici�n approved��+ermitted sde'. <br />N� washng ol matenal �s ailowed on th�s bu� d�ng lot `-' <br />f� Yc dirt mud rocks or debris �o be t�dckpd on�o roadway (A <br />t+ No build�ng m�itPnals tn he stacked on sidewolh'roadway and s�dC3,��l�:�roadway to be kept clean and c��� ir�� <br />. <br />� ,,,.,,��..,i„ rrdv��i � <br />• � NI �!� <br />.. J _N • � <br />!- V) K 4� !_- l�1 2 h <br />- 1�/� � J�--� M ti— �-- �a T f L <br />,LI . � �i ^ . . -1•_. t i,. <br />ro PosriNc � � :%� � � � � � - <br />'_�� _ <br />� %'- t�. "J7 ��•+- "� <br />��ppro d or ons� wc�ho� Dale <br />-�i%G� � - l6 - I s <br />1 AL INSP TION IJate <br />Approved as Cons!ructed <br />n�.kri�-�wi Fi.c!�ra� rn u� u,n�rnn.�rv�. <br />�he unJers�gned owner/appl¢anl heieby ngrees lo �� ��i�i ,u��l <br />save harmless Ihc Gly ol [ve�elt Irom any and <�il cla n•: h �� <br />damages, costs eKpenses. ur causes o� aclion Ihat may an�,�� <br />beu�iusc of insta�!atimi and mamtenance ol Ihe irnprovemr��t <br />or other ngh4of-way use herclu �ipplird loi and luriher a9�n���; <br />lo remove same upon noU� e hom ihc G'y and lu replate <br />p4 �I�.c pio� �i�y d naye�f li���n•t�.y <br />I � <br />Siynature oi �pphcant Dale <br />lL'CFK AUTHORI7fD [iV THK Pt�4F11T i4U5� BF STARTfD Y1ITNIN Id0 UAYS Of D�it PERM19� IS GSUEU APIU �HEHFJU-IER IS TO Bf DWGC�ITLY <br />:'�1�� �UfD i0 COMPI fT107 1 HIS VFRMII f4FV BE CANQI I E D BV I Ht l I IY UPON ANY STOPPA�]E OF WORK ON IN6 PROICCT OVEH "0 U�1S DUI'ATIOP, <br />