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<� <br />i� <br />`�'' � E!l TT <br />PUBLIC WORKS PERIVIIT <br />City of Everett Pubiic Works Department � <br />3200�etlar Street <br />Everett, WA 98207 <br />(425) 257�810 <br />Date: 12/19/2011 <br />Pubiic Works Permit #: PW1112-008 <br />Buildinp Permit #; 61112-014� <br />Planning Reference #: � <br />Public Works Fee 5: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />GODFREY DIANE � ' <br />5921 COLBY AVE `' � ; � i <br />EVERETT WA 98206 � <br />PHONE: 4253454744 PHONE: <br />TAX PARCEL ID # 00495800301000 SITE ADDRESS: 5921 COLBY AVE <br />DESCRIPTION OF PROPOSED WORK: <br />NEW 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 wilh the permit and current Ciry 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. 7he contractor must meet with lhe Public Works Inspector to discuss potential drainage routing prior to <br />beginning the project. Cail Randy Allen at 425-339-7403 // Call Cliff Lindman a! 425-339-7404. <br />5. Pave to existing paving in alley. <br />W <br />E"� <br />� <br />� <br />� <br />� <br />h <br />z <br />0 <br />F <br />� <br />O <br />a <br />TO POSTING �/� ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless ihe City of Everett from any and all claims for <br />damages, wsis, expenses, or causes of action thal may arise <br />.� because of installation and meintenance oithe improvement <br />z_ ar other right-of•way use hereto applied for end fuAher agrees <br />_ to remove same upon notice trom the City and to replace <br />Appro f Coit tructio Date public property da ge , ereby. <br />, 3 �_ �.Z ,: <br />��--- /-Z3-zo � <br />NAL NSPE ON Date � � <br />Approved as onstructed , Signature f Appli Date <br />WORK AUTNORIZED BY llil5 PERMIT MUST BE STARTED WITHIN 180 DAYS OP DATE PERMiT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEI70N. THIS PERMiT MAY BF CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROIECT OVER 90 DAYS DURATION. <br />