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• <br /> PUBLIC &RKS PERMIT Date: 10/9/2012 <br /> Public Works Permit#: PW1210-008 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; B1210-006 <br /> f Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> GUILLEN RICHARD & KELLY <br /> PO BOX 1116 <br /> LAKE WA 98258 <br /> STEVENS <br /> PHONE: 421,53081496 PHONE: <br /> TAX PARCEL ID# 00516858200100 SITE ADDRESS: 3621 26TH ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> CARPORT <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 the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Property corners required prior to starting construction. <br /> -F! I w <br /> Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections: <br /> T:I C_7�- C-3 <br /> 1---• -1 TIS <br /> r•.:7 <br /> c} O <br /> rPi <br /> ?7 f�... <br /> 1 <br /> O <br /> 1_Tl <br /> C-71 <br /> f--I <br /> I CC <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 <br /> or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Constructi n Date public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature o Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />