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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 4/24/2013u <br />Public Works Permit #: PW1304-022 <br />Buildinq Permit #; C1302-002 <br />Planning Reference #: <br />Public Works Fee $: $ 40.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />RESTORE USA VI LLC <br />21122 NE 129TH CT <br />WOODINIVILL Wq 98077 <br />PHONE: 4257665910 PHONE: <br />TAX PARCEL ID # 00438033901701 SITE ADDRESS: 1713 17TH ST <br />DESCRIPTION OF PROPOSED WORK: <br />CONVERT SFR TO DUPLEX <br />REPAIR PLUMBING, ELECTRICAL, OPEN 1 WALL, ADD MSTR BATH, REPLACE BRKN WNDW <br />*PARKING MUST BE MAINTAINED ON SITE* <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. Replace sidewalk on 17th St per city inspector. <br />5. Landscape from building to new sidewalk. - <br />6. Landscape parkway strip. '�" ''- ` ' w <br />'.�i ._ - r.= !T'i c;r.9c �_O .'�'.� _'n r�y <br />Your public works inpsector is Randy Allen. Please call (425)257-7268 for any;ri�sp��ctiaCas o€�questi��'�=' ;-; <br />App <br />AL INSPE�ION <br />�proved as onstructed <br />� �-z ���3 <br />Date <br />�-�-�l � <br />Date <br />�� <br />,� <br />�� <br />� �"q <br />...,� ,�� ,-� ,__,. _ <br />-- -. .�*:� , ,..� � �= � a,=� i �: �; <br />L`� � 1 a`_, r,: ;..� F,_, _, .�t ;,-. ��_� <br />,.a � : C7 _`�, c_s r..i _R�•. ;= . <br />Cr = _ _'� <br />i'ri ,, -- � a P�.:] ��"' .i.•. r,,.[ry r—o f•�._] . <br />_�:. � _. .'y �''..a �..J �_s �..._. e� �^� •...C� i_. . <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 appiied for and further agrees <br />to remove same upon notice from the City and to replace <br />public prop a aged thereby. <br />� � <br />5 i /� <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLET�ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />