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� pus�ic woRKs <br />PERM�T <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />�azs� zs��eeio ,JUN 1 9 <br />TO POSTING _-- <br />f� BOX 3205 <br />EVERETT <br />PHONE: ( 425 ) 356-7767 <br />i.o.� 0047170 <br />PW <br />PERMIT CONDITIONS <br />INC APPUCANT <br />ANDADDRE <br />WA 9E206 <br />PHONE: <br />p��e 11/07/20f 1 <br />Public WorksPermit �WO111-00`3 <br />Building Permit A <br />CO111-003 <br />Planning Reference H <br />y25.00 <br />Public Works Fee S <br />Guarantee S <br />PO BOX 3205 <br />EVERETT WA 98206 <br />(425)356-7767 <br />609 EAST DRIVE <br />1. All calls for inspection shall be made 24 hours in adva�ce - phone (425) 257•8810 <br />2. All work shall ba performed in accordance w�th this permit and current City of Everell Design and Construction <br />Standards and Specifications. <br />3. Call Lxation Undergro�.nd Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. A residential spr.inkler is required in compliance with NFPA <br />Standard 13D. <br />5. Connect roof drains to storm system stub. <br />6. Connect sanitary sidesewer per City of Everett Standards �I's601, <br />602, 604. 1.2-10-J11�:13F^I <br />7. Connect water per City of Everett Standards J�'s5q2A & 52�}��3 <br />EllILD a88.75 <br />SFiC4S 4. �0 <br />CfiPJ� 25.00 <br />��tcii �o.cc <br />��una aa .co <br />�= 111014 <br />._� ., <br />r/ � � <br />,r nst � n Dale <br />—3-//-o z <br />iN L INS ECTION <br />Approvetl as Conslrucled Data <br />Z <br />0 <br />�EI�ER � 0. 00 � <br />J'ILITY L^96.00 ♦A <br />.'ATcR 190.00 vI <br />�01A_ �57.8.3� <br />i-;_ _�•. .'.:1� <br />i.: _.. , <br />ACKNOWLEDGEMENT OF CONDII'IONS <br />Tho undersigned owner/applicant hereby agrees to hold and <br />seve harmless the Ciy ol Everett from any and atl claims for <br />damages, costs, expenses, or causes ol action that may arise <br />because of installation and maintenence of the improvement or <br />other right-oi•way use hereto applied lor and further agrees to <br />remove samo upon noNce Irom the City and to replace public <br />property damapP�d �hore . <br />_��� :� IL O \ <br />SigneWre ol Applkam ate <br />WORK AUTHORIZEO BY TMIS PERMIT MUST BE STARTEC WITHIN 1B0 DAYS OF DATE PERMiT IS ISSUED AND THEREAFTER IS TO BE OILtGENTLY PURSUED <br />TO CGMPLETION. THIS PERMIT MAY BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT O�Efl 90 DAYS DURATION. <br />