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PUBLIC �RKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 11 /30/2009 <br />Publiu i i�rks Permit #: PW0911-034 <br />Buildinq Permit #; B0911-022 <br />' Planninq Reference #: <br />Public Works Fee $: $ 25.00 <br />C�thPr �� <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />MALSBERRY BEN/SUZANNE <br />;.. <br />7708 BEVERLY BLVD '' 1 `- <br />EVERETT Wq 98203 <br />PHONE: PHONE: <br />TAX PARCEL ID # 00393900800800 SITE ADDRESS: 7708 BEVERLY BLVD <br />DESCRIPTION OF PROPOSED WORK: <br />NEW DETACHED GARAGE <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 r- <br />4. Provide ballast rock and drain pipe between block wall and the cut slope. <br />Call Public Work Inspector, Cliff Lindman at 425-339-7404, with questions and for final inspection <br />�� �.�����,�� � �- � � � �c � <br />� �"��w.� � �as��-�-- <br />r Construction <br />FINAL INSPECTION <br />Approved as Constructed <br />��-.�L�-CJ i <br />Date <br />Date <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 />public propertx damaged thereby. <br />i <br />''�.iv�� ��j'VV'wl,�.r'v�� `y�ti `.c��'i � �UC:�� <br />Signature of Applicant <br />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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />