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� pus�ic woRKs <br />PERMIT <br />PUBIIC WORKS DEPARTMENT <br />3200 Ceder Streel <br />Everett, WA 98207 <br />(425) 257-8810 NOV 0 9 2001 <br />Tn POSIING _— <br />OWNERNAME �A17aa RVD8R1 <br />AND ADDRESS: 614 LOG71N RD <br />LYNNWOOD WA <br />�wNE: (425)672-7353 <br />DESCRIPiION OF <br />PROPOSED WORK: <br />� <br />PERMIT CONDITIONS <br />98036 <br />PHONE: <br />Dete <br />^ublk Waks Permit A <br />Building Permit N <br />Planning Reference N <br />Publb Waks Fee S <br />Guarantee S <br />J11MES ROBERT <br />614 LOG11N RD <br />LYNNWOOD WA <br />(425)672-7353 <br />/ <br />ea/ze/2eee <br />PW0008-048 <br />C0008-031 <br />$ 25.00 <br />98036 <br />3917 FEDERI►L, AVE <br />IAT9 12 & 13 FFDFRAL Fffi6HT9 ADDN <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance wilh this permit and currenl City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Undeiground Senrice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />-;4•., -I�atal7-sidesewer per city standards "501, 602 & 604. Use <br />--' `'-CdriCYo2led-density backfill in Federal ]1ve. <br />5. Connect.Yooftop dor+nspout to this buildings side sewer. <br />nr�-�� � <br />C„��-, <br />,..'03 <br />Qi!' :5 <br />�-�`£, <br />�� ..r:T <br />u�H � i <br />F�:;= <br />3�:fi,. <br />;i� h'i"-: <br />rh,; \ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />r <br />,�A <br />V+ <br />W <br />O <br />� <br />Z <br />O <br />F <br />� <br />O <br />a <br />The undersigned ownerlapplicant hereby agrees to hdd and <br />save harmless the Ciry of Everett from any antl all clalms for <br />damages, costs, expenses, or causes of aclion that may arise <br />because of installation and maintenan:.e of the improvement or <br />other right-ol•way use hereto applied for and further egrees to <br />remove sam upon ratice from the City and to roplace public <br />dai ged e <br />�/���� � <br />Slgnalure ol M _' Oale <br />WORK AUTHORRED BV THIS PERMIT MUS7 BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV f'URSUED <br />TO COMPLETION. THIS PERMIT MAV BE CANCELLED BY THE CIT' UPON ANV STOPPAC,E OF WORK ON TH�S PRQIECT OVER 90 DAVS DUHIITION. <br />