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�� , PUBLIC' ��VORKS PERMIT �ate: e�a�zoos <br /> Put. . Works Permit#: PW0808-008 <br /> Cily of Everett Public Works Department <br /> 3200 Cedar Street Buildinp Permit #; C0807-014 <br /> �`���=L� Everett, WA 98201 Planninq Reference#: <br /> (425)257-8810 <br /> Pubtic Works Fee $: g 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> THOMAS LAURA & KEVIN <br /> 10110 DAKOTA WAY <br /> EVERETT WA 98204 <br /> PHONE: 4259230346 PHONE: <br /> TAX PARCEL ID# 00552400900300 SITE ADDRESS: 10110 DAKOTA WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> ADDITION AND REMODEL <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be per`orined in accordance with the permit and current City o(Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 4C hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. No dirt, mud, rocks or debris to be tracked onto roadway <br /> 5. Contact the Mukilteo Water District for the localion of the sewer service � <br /> FOR PUBLIC `iVORKS INSPECTION, CONTACT CLIFF LINDMAN AT 425-339-7404 - - - �;' iz r,E" <br /> �J <br /> - ,-� C/� <br /> � � : _ - � <br /> _-� 0 <br /> :"" �= I_I"J <br /> c � <br /> ri i <br /> " ,--�z <br /> , <br /> q 0 <br /> ;; _;� <br /> - i�i ,�. Vl <br /> _ e Y' . <br /> r c� �, r_! _'-� <br /> r � � �'�� -� �_M+V <br /> _'�-� _ <br /> � <br /> �_.=� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless the City of Everetl from any and all claims for <br /> damages, costs, expenses, or causes of aclion that may arise <br /> y • '''qqq � because of inslallation and maintenance of lhe improvemenl <br /> � µ or other righl-ot-way.u5e hereto applied for and further agrees <br /> C- �/ « to remove same upon n�tice from the City and to replace <br /> Approved for Constructi Date public properly damaged thereby/9 <br /> � /�' /,ll�s,.,•��" �t��� /J <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <br /> 1VORK AUTHOR!Z[D 61'THIS PERI•11T t•1UST 6[STARTED SVITHIN I80 DAYS OF DATE PERI•11T IS ISSUED AND THEREAFI'ER IS TO 9E DILIGENTLY <br /> PURSUED TO C�)I•iPLGTIOIl. THIS PI:RFIR I4AY U[CANCELLED 81'TH[CIIY UPON ANY STOPPAGE OF\VORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />