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/ <br />PUBLIC WORKS <br />PERMIT <br />Itrr PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evers", WA 98201 <br />I° n$7jNC . AL 1-8 2006 <br />006 119TH ST 5W <br />EVERETr VA 98204 <br />Date 11/22/2005 <br />Public Works Permit a PG0511-036 <br />C0511-018 <br />Building Permit 11 <br />Planning Reference e <br />Pudic Works Fee $ S 2 S. 0 ii <br />Guarantee E <br />4252907660 <br />PHONE PHONE /7/9 <br />TAX PARCEL I . a. ' PROJECT ADDRESC32ff-63RD ST SE #LOT 2 <br />t n <br />DESCRIPTION OF <br />PROPOSED WORK: <br />(it bHORT2 11 <br />PERMIT CONDITIvNS <br />1. All calls for Inspection shall be made 24 hours In advance - phone (425) 257.8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Cell Location Underground Service 48 hfu. before you dig. TOLL FREE NUMBER 1.800.424.5555 <br />4. Connect side ,ewer per City St.andard #'s 601, 602, 604. <br />5. Rooftop runoff must be discharged to a roof downspout infiltration system per Cit; <br />of Everett Storrs Manual 3-2.6.2. Tice approximate size trench is 3.5' vide, 2' deep <br />and 30' lung. See attachment foL more details. <br />I�✓� 9CVS <br />TConstruction D <br />;FINAL INSPE ION <br />Appro% as onslrucled Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner: applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs. expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use reto applied for and further agrees to <br />re so <br />a uapon n I e Ir the City and to replace pudic <br />med ih r b <br />Signature of Appa:anl Date <br />W <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN ISO DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY WE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />