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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />(425)25Te1(p0STING APR 0 5 2006 <br />IWNER NAME15 <br />+ APPLICANT NAME <br />NDADDRESS:3922 87TH AVE NE AND ADDRESS: <br />EVERE7T WA 98205 <br />PHONE: 4253342790 (PHONE: <br />Date 11/02/2005 <br />Public Works Permit N PWO511-005 <br />C0510-029 <br />Building Permit N <br />Planning Reference N <br />Public Works Fee $ $25 .001 <br />Guarantee $ <br />TAX MRCEL LD. N �- .-1 2 _ PROJECT ADDRESS: 2004 73RD ST SF <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <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. Call Location Underground Service 48 hrs. before you dig TOLL FREE NUMBER 1-800-424-5555 <br />4. Use splash blocks or an infiltration system to manage stormwater. Consult yi Public Works Inspector at 425-339-7404 (Cliff) when starting this job. <br />5. Connect side sewer Per city standards 601, 602, 604. <br />6. Install erosion control measures per city of Everett <br />h <br />DIV D <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant 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 />Negshofwayusehereto p' d forandWun a Iroi I and <br />LW <br />_r <br />Cn <br />im <br />O <br />z <br />``O <br />V! <br />O <br />a <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF <br />THEREAFTER IS TO BE DILIGENTLY PURSUED <br />PROJECT OVER eo DAYS DURATION. <br />