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�� �i��.i� <br />PUBLIC �RKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257=8810 <br />Date: 12/4/2014 <br />Public Works Permit #: PW1412-015 <br />Building Permit #; B1409-068 <br />Planning Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />BEYENE TADESSE � ' <br />8425 HOLLY DR <br />EVERETT Wq 98208 <br />PHONE: PHONE: <br />TAX PARCEL ID # 28051800201400 SITE ADDRESS: 8425 HOLLY DR <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR 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 � <br />4. Per approved plan dated 12/3/2014. <br />Your Public Works Inspector is Randy Allen. Call 425-339-7403 for any questions and/or inspections. ` <br />_. _ <br />r" <br />._..:. ' .,.... . � <br />__�__ �_ . �:::1_• , . .. ,__...., <br />r. � - .r_... _ �....� <br />c:..:a _ _ ' rfi :== r-�i <br />.. .. F^-•I 1_J':l ti.._.. <br />i �`7 <br />TO POST�NG � � � � � �'�� <br />I. <br />� '`���� <br />--�-E��Z`-1 Z /o �/"� <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />�+ { <br />I�,h� <br />Ff F '`�' rs=.F w <br />;:_x7 �. �:��� C._•d +y3,. -�.. .�ta •Er+ +�ti� <br />�_,..7 ' �rt':« r,_�a �--.a r_71 •� • i•.::) f.._7 P.�,y <br />..i::� �°"c ..1=.� - -�..7 . — _r, _.� <br />! '::7 'ry � .:7 i'•.::� r7-. ��� - =s � <br />=J.r .,� ; i.=. i_ .a i_i..� r�,, i,7]) r.�� _]. �._. <br />" <br />�-`-1 <br />,_..., ; ; <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 property damaged thereby. <br />/ �'. � _ , <br />� �— 7r�ri � � ��� <br />.�� ' � <br />, <br />Signature of A plica 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 <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 />