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Iltf� <br /> PUBLIC WORKS Dula <br /> Public Works Permit N <br /> PERMIT Building Permit 4 I <br /> PUBLIC,N ORKb DEPARTMENT Planning Reference N <br /> 3200 Coder Street g <br /> Everett,WA 99201 <br /> N25126741810 I Public Works Fee$ <br /> i DUSTING.. ,MAI 14 2007 I Ouaranee$ <br /> OWNFR N4rlr APPLICANT NAME <br /> ANDADDRESS: ADAIR FNT'F.Ri-Rt 5E5 1.Lr ANDADDRESS: <br /> 17032 35"M AVE RE <br /> BOTHELL WA 9861: <br /> PHONE: 4257431716 PHONE: <br /> TAX PARCEL I.D.N PROJECTADDRESS: <br /> 059117'."0002801r <br /> DESCRIPT101:OF <br /> RL S9 <br /> PROPOSED WORK: NEW fli•IISE-BASIC i.'17 <br /> PERMIT CONDITIONS <br /> 1. All calls for Inspection shall be made 24 hours In advance. <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 LLLU <br /> Dust Control as Required, Iii— <br /> Connect <br /> Connect side sewer per City Standard 4601. MINE <br /> Cnnnect rooftop downspouts to t.hf. drainAge syste,a provided for this lot. V, <br /> TnstalI Pronion control mednures per City oC Everett 5avfidXeHri`'foc`B�aY7 p ce <br /> L . Remove erasi,n control lneacuxes upon completion Of t <br /> approval of the �� c�63fitznl <br /> permit. rS� +i <br /> ?. No dirt , mud, corks 0 debris to be ttac'k�d oQnto roadway. .7 <br /> 10. No buildim"I r,.at.!•r.iats to b� stackoi on Dido:.ka and sideralko to be kept b7 - <br /> And open :_r ped"'LLian travel. C1 '7 <br /> 11. Adjust Water metet box 1" above sidewalk grade. I " <br /> Pave driveway from the front property line cart to the a reet pAving. L0 <br /> P4P,r-.L3fod <br /> may.•. fid` <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ,,is undersigned owner/applicant hereby agrees to hold and <br /> ria save harmless the City of Everett from any and all claims for <br /> e Crmelrucllon ate damages,costs,expenses,or causes of action that may ansa <br /> because of installation and maintenance of the improvement or <br /> other right-of-way use hereto applied for and further agrees to <br /> C remove same upon notice from the City and to replace public <br /> FINALINS ION p`epeny damaged thereby. <br /> lar C <br /> Aonelructed Dale ` .' <br /> Si{laelure IApplicenl l Dale <br /> WORK AUTHORIZFD BY THIS PERMIT MUST BE STARTED WITHIN 190 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. 1 <br /> EPWP 17id61 <br /> wrAeAn,INC. <br /> 1 <br />