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C�� <br />NPE OR PRINT ONLY <br />E�: <br />MpkalWn Fa <br />PUBLIC WORKS PERMIT <br />PUBUC WORKS DEPARTMENT <br />3200 Cedar Slreat <br />Everett, WA BB201 259•8810 <br />Box <br />POSTING s�r; n a z000_ <br />Creek <br />Owner <br />Applicenl Malling Addresy Cry�, <br />Describe Proposed Work <br />PROJECT ADDkESS (if known) <br />� <br />oaro 11-12-98 / <br />Publk Nbrks PermN N � <br />eu�w�np permu N 60806 <br />Publk Worka Fea S f(J <br />Z�P Phone <br />z�P Phona <br />, _ �: . <br />Anach low (4� coples ol plans lor proposed work . Drew to ecale enA note the lolbwinp N aoplkeble: ��� • '� <br />•Property IJnee 'Outllne entl dimanslone ol atl exlaling end pmpoeed etructurea on Iha bf �Exlet, p and proposeA utllilles �- <br />'Cenrerline ol street •IMicate Norlh 5how eny p/oposed predinp chanpes 5how measurements � <br />. . - - - — ---- .. .. .._ _...� <br />PERMIT CONDITIONS: <br />1. All calls for inspectlon shall be made 24 hours In advance - phone 259-8810. <br />2. All work shall be peAormed In accordance wlth this permlt end current Clty of Everett Design ond <br />Constructlon StandarcJs and Spscificatlons. <br />3. Call Locatlon Underground Service 48 hra. before you dig. TOLL FREE NUMBER 1-800-421-6665, <br />;n��sdl ;ui iutillr�iion Irench built ri� �,er ti��ction i-?.6 2 smd f�iqure and Tnble 3-2.2 of Ihe city <br />::innnwnler Mamsiqemeul Aismual (copy x atnpled lo thix perniil). 71ie infiltrxlicm Irench Fhall <br />nu eIOFPf HIF01 ? �ir,� 10 iUll� up 91cpe �,roperty liue or founJntion nor cloPer thsm IO leel to :mp <br />�imHielope propeNv line or foimdalion. i'nll 1'ublic Worke for �m inepection prior to cove�•iqq <br />�� ����ne5. <br />� <br />� <br />O <br />a <br />I•.ain��l�� lhis p1111Chlfi has a�� nox � � <br />if e.o�l clnve oflonn� sand ie�u ied a�i I llim�diltration Irci c�h�iH coustuHr�i <br />.�l't. dren �uid.tR n�ide, t�om lable i-?.2 the h•ench tihould he <br />(O L�• t ��k. <br />It i� ili�� dr�,�lopers re�poneihilit}� lo idenlifv 1he F,OII CINFc ��� 1he fi�ld and ifcondiiian� in Ihc field <br />c,u� tiom those in the ex�uupl�� - adjuet accordin,qly uxin� Ihe Fd�ove me�dione(I (f1I]IC flf A QUI(I�� <br />_,i-f� �.C- ilrlhrrc• lo �he cih�'s emtill psu•eel best msuie,qiment prnrtices ;4y �txted m yection 2•2 2 of�Ui� i il� <br />��c�- ��:r- 3- sa - 9 � <br />FINAL INSPECTION Data <br />Approvetl as Constructed <br />�JCetI0I1F 10f I)PA\'q�{}p�pynt fatturin.dl NOfTIONS <br />Onnuw�tQ(ieh1EN70F DO <br />Th° �^derabned rn+'^er/aPP�kant heieby epreee to hold and eave harmless <br />the CIty of Everett }rom any and all clelms for damapee, coeta, eMpensea, or <br />causee ol aelbn thet may arlae beceuse ol Irrotellatbn nnd malntenance of <br />tha Imqvvement a Wher wjhl-al-way use heieto applfed la and Nrther eqraea <br />to iemove eeme upan rrotke trom tho CMy and to reMace publk property <br />a thereby, <br />SI na ure 1 AppYcan ~ /� L <br />� <br />WOHK AUTHOHIZED BV THIS PEHMIT MUST BE STARTED WITHIN 1B0 DAVS OF DA1E PEFMR IS ISSUED AND THERF.AFTEq IS TO BF. DILIQENTLY PURSUEO TO <br />CAMPLETION. THIS PERMR MAY BE CANCELLED BY THE Cltt UPON ANY STOPPAQE OF WORK ON THIS PRQIECT OVER BO DAYS IX1RATqN. <br />