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Date: 2/18/2011 / <br /> , PUBL'�C WORKS PERMIT publicWorksPermit#: PW1102-005 <br /> � City of Everett Public Works Depariment Buildinp Permit#; C1102-00 <br /> �, 3200 Cedar Streel 1^ <br /> � EvereA;WA 98201 ` " planning Reference#: <br /> (a25)257-8010 pubflc Works Fee$: $ 25.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> AKBAR A M <br /> 5224 104TH ST SW <br /> MUKILTEO WA 98275 , <br /> PHONE: 4257508833 PNONE <br /> TAX PARCEL ID# 00580500000101 SITE ADpRESS: 818 W CASINO RD <br /> DESCRIPTION OF PROPOSED WORK: <br /> ADDITION -CONGREGATE LIVING <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shail ba made 24 hours in advancP <br /> 2. All work shall be performed in accordance wi�h lhe pei m` . ,d current City of Everelt Design and Construction Standards <br /> and 3peciflcations. <br /> 3. Call Locat(on Underground Service 48 hrs before you dig. TOLL FREE NUMBER 871 <br /> 4. Connect rooftop down�oouts lo the drainage system provfded for this lot. W <br /> 5.The contractor must mee�wilh the Public Works Inspector(Call Cliff Lindman at 425-339-7404) to discuss � <br /> potential drainage routlng prirr to beginning Ihe project. �.y <br /> 5. No dirt, mud, rocks or debris to be tracked onto roadway. V] <br /> 7.Adjust water meter box 1"above sidewalk grade. � <br /> � <br /> � <br /> � <br /> 0 <br /> a <br /> ACKNOVJLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless lhe City of Everett from eny and ell clalms for <br /> demages,costs,ezpensea,or causes ol action Ihet mey arlae <br /> pp becausa o(Installalion end meintenance of the improvemenl <br /> --_`=`������ .7-:2�_�� or other dght-of•wey use hereto applied for and lurther agrees <br /> to remove same upon notice from the Cify and to replece <br /> Appro d for Construction Date public p peAy demeged thereby. <br /> ��- ��'_�=�__��---� 3 �3� l i <br /> F SPECTION Date <br /> Approved as Constructed �zy�� 5(gnature of Applicenl Date <br /> WORK AUTHORtZEO BY THIS PERMR MUST BE STARTED WITFiIN 180 DAYS OF DATE PEKMR IS I55UED AND iHEREAFfER i5 TO BE DILIGENTLY <br /> PURSUED TO COMPLE170N. Tf115 PERM!T MAY BE UNCELLED BY THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATIOl�L <br />