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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 Fp j <br />(425) 257•18ti C 1 ll Tl�l� ` LI I I <br />Date 04/30/2002 <br />Public Works Permit O pWO 2 0 4 — 051 <br />Building Permit M <br />Planning Reference If <br />Public Works Fee t <br />Guarantee $ <br />CO204-033 <br />$25,00 <br />OWNER AM <br />ANDADD IES%ULTMAN DAVE & BONNIE <br />AND ADDRESS. <br />APPLICANT NAME <br />AND ADDRESS: <br />5416 140TH PL SE <br />EVERETT WA 98208 <br />PHONE: 42 5,?374272 <br />PHONE: <br />TAX PARCEL I.D. N <br />00437582801400 <br />F nW CCT ADDRESS: <br />'42- FEDERAL AVE <br />DESCRIPTION OF <br />PROPOSED WORKNEW HOUSE W /DETACHED <br />GARAGE <br />PW <br />PERMIT CONDITIONS <br />L4 &9 .15, BLUCK FLAT <br />cGE, <br />1. All ca for inspection shall be made 24 hours in advance - phone y!-qa <br />2. All we ,shall be performed in accordance with this permit and currentent yt Cl of Ev grllt6;&Ctbstruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555 <br />4. Connect side sewer per City Standards 601, 602 & <br />5. Connect all rooftop downspouts to the side sewer. <br />6. All excavated material from foundation, sidewalk <br />be hauled to an approved, permitted site. No wasting <br />[Y81ZII <br />and driveways shall <br />of material is <br />allowed on this building lot. <br />7. The existing sidewalk on frontage is new and unbroken <br />it will be replaced by applicant. <br />Ob-11-02 <br />0 <br />BUILD <br />SRCHG <br />MECH <br />PLUMB <br />DRIVE <br />H <br />SEWER <br />UTILITY <br />WATER <br />TOTAL <br />J d 3 <br />INAL INSPECTION <br />Approved as Constructed Dale <br />Any damage to <br />9:44AM <br />204033 <br />1002.15 <br />4.50 <br />60.00 <br />84.00 <br />25.00 <br />205035 <br />70.00 <br />1296.00 <br />800.DO <br />3341.65 <br />r <br />Z <br />`0 <br />V/ <br />O <br />IL <br />CHEK 3341.65 <br />AC KNOW LEDCx 0ANWCONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the Cry 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 or <br />her right-of-way use hereto applied for and further agrees to <br />move same upon tice fr°� fhe City and to replace public <br />p ny darpaged ereby. 1 <br />bin""', of AWcary • - I- v -Uate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHI14 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />