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PUBLIC WORKS Date 3/29/2005 <br /> PERMIT Public Works Permit# PW0503-031 <br /> Building Permit# <br /> 4:77. <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ $25.00 <br /> (425)257-8810 <br /> Guarantee$ <br /> OWNER NAME Dynasty Homes, Inc. APPLICANT NAME Jeff Gray <br /> AND ADDRESS: AND ADDRESS: <br /> PO Box 716 <br /> Everett wa 98206 ! <br /> PHONE: 425 422 168 8 PHONE: _ ?a / 2 C 0 <br /> TAX PARCEL I.D.# PROJECT ADDRESS: 4839 Glenwood Ave <br /> DESCRIPTION OF Install Utilities for two io.s <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. Install Sewer and Water per City of Everett Standards <br /> OINIttl <br /> CCI <br /> 5.9 <br /> 0 <br /> C7 <br /> '"�r•• <br /> r•3 O <br /> f.11 <br /> n <br /> +CI 8 <br /> ` O <br /> as <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> b The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> Approved for Construction Date 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 hereto applied for and further agrees to <br /> remove same upon notice from th ty and to replace public <br /> FINAL INSPECTION property d..maged thereb <br /> Approved as Constructed Date <br /> Sign-9 A t Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />