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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evcretl, WA 98207 <br />'42�'f�'�T�N� �a�^! o s 2oos <br />OW�ER NAME SfiIPLEY SRIAN <br />ANDA�DRESS: <br />6629 BEVERLY LN <br />EVEftETT WA <br />PHONE�. QZSSOBZLQB <br />TAXPARCELI.D.p 0039320070230U <br />�ESCRIPTIONOF �W pppL� <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Q8203 <br />APPLICANT NAME OWHEF. <br />ANDA�ORESS: <br />PHONE: <br />Date <br />9/24/2004 � <br />Pub�ic Works Permit x P00 40 8-0 19 <br />C0408-027 <br />t3vilding Permit a <br />Planning Reterencc N <br />Public Works Fee 5 $25 .00 <br />Guarantee $ <br />ADDRESS: 61U6 FLEMING P.D <br />Lc?T 23 SLOCFC 7 SEVERLY HILLS DIV 9 <br />1. All calls for inspection shall be m�de 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be performed in accordance with Ihis permit and currenl Ciry of Everett Design and Construction <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL PREE NUMBER 1-800-424-5555 <br />4. Upgeade �ide se+�n�c to 6" diametee foc a duplex per City Standardn M601, 602, 604. <br />5. Up�rade Water meter to a 1" and install 1-1/4" diameter Fi�e to house. <br />6. Cennect eooftop dovnsp�uts te the drainage syatem peuvided foc this lot. <br />7. Pave dciveway feom the fcont pruperty line out to the street paving. <br />9. Block cetaining wall foc deivevay shall be a maximum of 3• high. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />`W <br />r <br />� <br />N <br />W <br />O <br />� <br />Z <br />O <br />H <br />N <br />0 <br />a <br />The undersi�ned ownerlapplicant hereby agrees to hold and <br />Save harmless the Ciry oi Everett from any and all claims for <br />damages, costs, e■penses, or causes ot action that may arise <br />because ol installation and maintenance of the improvement or <br />other righl-of-way use hereto applied lor and further agrees to <br />remove same upon notice from the City and lo replace puhlic <br />propeny damaged thereby. f� A <br />3� �V�����y/\� q o 2��r <br />Signature of ApPlican--�\ 1 Da�e <br />WORK AUTHORIZED BY THIS P[RMIT MUST BE STARTEO WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEFi IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT M�V BE CANCELLED BV THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJ[CT OVER 90 DAYS DURATION. <br />