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� PU�LIC WORKS PERMIT Date: 9f5/2014 <br /> �, �" City of Everett Public Works Department Public Works Permit#: PW1409-005 <br /> � „�, 3200 Ce��ar Street ; Buildinp Pefmit#; <br /> � Everett, WA 982ot Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPL�CANT NAME AND ADDRESS: <br /> JILL McCAIN SAME <br /> i933 E GLEN <br /> EVERETT WA 98201 <br /> PHONE: q252102644 PHONE: <br /> TAX PARCEL ID i! SITE ADDRESS: 7933 E GLEN DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW PATIO <br /> (9/5/2014 11:14 AM [iES) � _..� <br /> NEW�SHED CONSTRUCTED ON SEWER EASMENT TO BE REMOVED � <br /> :� <br /> ./ <br /> P[RMIT CONDITIONS ��� <br /> 1. All calls tor inspection shall be made 24 hours in advance. <br /> 2 All work shall be performed in accordance with lhe permit and current City 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. Remove shed from sewer manhole/easement. <br /> 5. [xisting sewEr manhole ring and cover must be adjusted to new fiinished grade alevation � G �� <br /> 6. In the event the City of Everetl is doing some work in ihe sewer easement the patio shall be removed at owners 'r� c� <br /> expense. �j�c;,'r s; ,� i,,,� <br /> 7. Owner/contractor shall contact the C�ty of Everett Inspector � ��__`�. � Uj <br /> Randy Allen 425-339-7403. ''' "'����"' �; M <br /> r- c� w <br /> �ri c i� <br /> i <br /> � �� <br /> f� <br /> F <br /> �J . � <br /> �n � • � <br /> .. .,, .�,: .�. �,F..� <br /> ��_�� r�r_�. r..i <br /> �n Q�n�n. r_n F� <br /> _rOc�c,- _ , r-, <br /> r� r �-O <br /> -�o�rA <br /> �i HH <br /> ACKNOWLFDGFMENT OP CONDITIONS <br /> The undersigned ownedapplicaN hereby agrees to hold and <br /> save harmless ihe City ol[veretl from any and all claims (or <br /> damages, cosls, expenses,or causes of aclion that may arise <br /> - / because of installation and maintenance of the improvement <br /> t� -��p�Y or olher righl-o(-way use hereto applicd for and furlher a9rees <br /> /1 ro r S r Dal to remove ame upon notice(rom the Cdy and lo rr,placc <br /> lic pr perl damaged ihereby. <br /> 1 %._ -`�-�� � � 9 � �l <br /> FTNAL INSP TION Date <br /> Approved as Construcled ignalure of Applicanl Date <br /> WORK AUTHORI7.ED BY Tf115 PERMIT h1U5T B[START[D WRHIN 180 DAYS ATE PF.Rt4fT IS ISSUED ANU TH[REAFTFR IS TO�E DILIGEKTI Y <br /> PURSUED TO COMPI ETIOtL TIIIS PERMIT MAY B[CANCELLED BY THC CIIY UPOM ANY STOPPAGE OF WORK ON TIIIS PROJf.CT OVER 9D DAYS UUfiATIOIJ. <br /> P� <br />