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r PUBLIC WORKS D81e 5�21�01 <br /> P�d�won�8ve�n� pW0105-032 <br /> PERMIT e����Pe.��. C0105-019 <br /> PUBLIC WORKS DEPARTMENT Planning Reterence M <br /> 3200 Cetlar Street <br /> Everetl,WA 98201 Public Wurks Fee$ $25. 00 <br /> (425)257.�,0 POSTING sEp 12 ao Guaran�ee$ <br /> OWNERNAME �g�yiLLF. HOMES INC APP��ANTNAME <br /> ANDADORESS: ANDADDRESS: <br /> ;'711 122NP PL SE <br /> EVERETT WA 98208 <br /> %+�+E: (425)337-9079 PHONE: <br /> 7AXPARCELI.D.N 009 PR0.IECTADDRESS: 4730 BLACK FOREST LN <br /> DESCRIPTIONOF �W HOUSE - BASIC ZS3Z <br /> PROPOSED WORK: <br /> PW <br /> PERMIT COYDITIONS . <br /> LOT 1 SHORT PL71T 7-00 <br /> 1. All calls for inspection shall be made 24 hours in advance-phorre(425)257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Consiruction <br /> Standards and Specitications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-4Y4-5555 <br /> 4. This building must have a residential sprinkler system in compliance �` <br /> with the requirements of NFPA Standard 13D. r <br /> 5 . Connect rooftop down spouts to building drainage system. � <br /> 6. Znstall side sewer to buildinq per City of Everett Standard �601. M <br /> W <br /> O <br /> OS-29-01 2:4dPM ' <br /> N 10501.4 �1 <br /> EUILp 1010.� � <br /> SRCIiG 4.50 O <br /> PLUHB 84.00 <br /> MECH 60.00 � <br /> DR1VE ZS.UO <br /> PiAN CF: 7.28 O <br /> N 105057 <br /> SEWER 70.00 a <br /> JTI�ITY 1�96.00 <br /> WATER 190.00 <br /> TOTAL 4747.33 <br /> ACKNOVJLEDGEMENT OF CON�1t� �47�33 <br /> A OM?969 <br /> (/ The undersignea owna�/applicant hereby agrenc to hdC and <br /> S z 7 save harmless Me Ciry of Everett hor.i any and all claims for <br /> pp d onsv tion Date damaqes,cosis,ex!)enses,w causes of action Ihat may arise <br /> �//.� because of installation and mainlenance ot the improvement or <br /> (f!< — /-O/ remove samewey u rwtice hom the�Ciry and to replace puDlic� <br /> /�O -/ <br /> FINAL INSPECTION propeny Oe reby. <br /> Appmvea as Consbuded Date � �� v� <br /> t t r <br /> G'� <br /> lu Appl�cant Date <br /> WOFK AUTHORIZED BV THIS PERM�T MUST BE STARTED WITMIN 180 DAVS UF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILI6ENTLV P4IRSUED <br /> TO COMPLETION.THIS PERMIT MAV BE CANCELLED BV THE CI7V UPON ANY STOPPAGE OF WOfiK ON 7NIS PPWECT OVER 90 DAVS DURATqN. <br />