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PUBLIC VI/ARKS <br />PERMiT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA98201 <br />(425) 257-BB10 <br />owNEn rinME �y DAVIll <br />ANDADDR[SS. <br />5731 LUWELL RU <br />EVEkETT ilA <br />P"o"E' 9253537530 <br />rnxPnaceu.o.a 009958010002p0 <br />oescr�iPrioNor- ADUITION/REMOGEL <br />PflOPOS[D WORK: <br />PERMIT CONDITIONS <br />982 i) � <br />Date OBi 19/2003 <br />P�blic Works Permit u pW0308-020 <br />BuildingPermit# CO_'•OB-U10 <br />Planr,ing Reference # <br />Public `hbrks Fcc 5 �?5 . U 0 <br />Guarantcc S <br />APPLICANT NAME <br />ANDADDPESS: <br />��' s��STiNG �cT e i zoos <br />rrioNe: <br />PROJF^.TADDRESS: �.751 LOF�LL kD <br />1. All calls lor inspection shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be peAormed in accordance with this permit ard currenl Ciry o( Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 lirs. betare you di�. TOLL FREE NUMBER 1-800-424-5555 <br />4. Connect all Luc�ftop downspouts to th� side se�.+er. <br />�. Yav� dciveway fenm th� feonr. p�„�„��ty line out te the ��ake;� paving. <br />4 <br />�c _ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />The undersigned owncr/applicant hereby agrees to hold and <br />savc harmless �he City of Evmett Irom any and all claims for <br />damages, costs, expenses, or causes ol action that may arise <br />because ol installation and maiNenancc ol the improvement or <br />other r,ght-of-way use hereto applied lor and funher agrees to <br />remove same upon notice Irom the City and to replace public <br />prope damagedthereby. <br />i <br />r _�C�,..l�i�,.� %—Z-23 _ <br />S- naWreo�AppLcanl Date <br />WORK AUTHORIZED BV THIS PERMIT MUST OE STnRTED WIThIIN 1B0 DAYS OF DATE PERh11T IS ISSUEU AND THEREAFTER IS 70 DE DILIGENTLY PURSUED /�� <br />TO CONPLETION. THIS PERMIT MAY OE CANCF.LLED �Y 7H[ CIN UPON ANY STOPPAGE OF WOPK ON THIS PROJECT OVER 90 �AYS DURATION. /� <br />C <br />