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10/25/2005 <br /> PUBLIC WORKS Date <br /> PW0510-038 <br /> Public Works Permit# C0510-016 <br /> PERMITBuilding Permit# <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 APPLICANT NAME <br /> AND ADDRESS: 5311 WE°IT40RE AVE AND ADDRESS: <br /> EVERETT 98203 <br /> 4254222950 <br /> PHONE: PHONE: <br /> TAX PARCEL I.D.# 9r-5 ' `' PROJECT ADDRESS: -'T,2-; <br /> TWO ST(TRY ADDN <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 /> W <br /> 4. Connect all rooftop downspouts to the side sewer or into catch basin in parking <br /> area. <br /> S. The contractor must. meet with the Public Works Inspect.or (Rick, 424-339-7403) ti- <br /> discuss potential drainage routing prior to beginning the project. <br /> 6. A catch basin as per City Standaxd Plan #402 with a gas trap per Standard Pian #41( m <br /> is required for the parking area. O <br /> Z <br /> O <br /> TO POSTING-14'-' - F- <br /> O <br /> a <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 /> A <br /> -'Ar onstructio Date damages,costs,expenses,or causes of action that may arise <br /> i J because of installation and maintenance of the improvement or <br /> other right-of-way use hereto applied for and further agrees to <br /> O remove same upon notice from the City and to replace public <br /> FINAL INIPUCYrON property amaged thereby. <br /> Approved a Constructed Date J <br /> Z>-p�' '�?/ <br /> at <br /> /0 <br /> nre o pplicant Date �f <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 />