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Pus�ic wo�:�� <br />PERNi1T <br />PUBLIC WORKS DEPARTMENT <br />32'!0 Cedar Street <br />Everett, WA 98201 <br />`42�.�' ��STI h G Nev � s zoo� <br />AND�ADDRESS: I'�+�' LAND HOMES INC <br />PO BOX 3205 <br />EVERETT WA 982 <br />PHo"E: ( q25 ) 356-7767 <br />TAXPARCELI.D.a 49500020010205 <br />PROPOISED WORK: NEW HOUSE — BASIC ZO$S <br />PERMIT CONCITIONS <br />APPLICANT NAME <br />ANDA�DRESS: <br />PHONE: <br />PROJECTAODRESS: <br />Date <br />Public Works Permit a <br />Building Permit A <br />Planning Reference q <br />Public WorMs Fee S <br />Guarantee 5 <br />6010 LOWELL RD <br />i/a/2ooi � <br />PWO101-003 <br />U0101-005 <br />$ 25.00 <br />LOT4BLpCK20FLANG91Sf ADDN <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Urderground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4 <br />5 <br />6 <br />Install side sewer to building per City of Everett standard #601 <br />Connect rooftop downspouts to side sewer. <br />Pave driveway within public Right-of-way. <br />01-�4-01 <br />M <br />5UTL0 <br />SRCNG <br />D;IVE <br />PLUH� <br />iiECH <br />� <br />5�W_� <br />UTILiTY <br />� OTAL <br />6e13r'' <br />OI.OlOQ4 <br />89"c,"=, <br />4,'i;i: <br />2J.00 <br />84.00 <br />60.00 <br />�.t.�l�0r <br />i�.Q� <br />.t296.00 <br />=4�&.�5 <br />A f it1176 <br />W` <br />1�" <br />� <br />Z <br />O <br />r <br />R�e�'�.e � ��J <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless Ihe City ol Everett Irom any and all claims for <br />damages, cosls, expenses, or causes of action �hat may arise <br />because o� installation and maintenance ol the improvement or <br />other righl-obway use hereto applied for and lurther agrees lo <br />remove same upon notice Irom the City and to rep!ace public <br />propert ma ed the by. <br />���—'��_ <br />SignaWreoiApp�icant Dale <br />WORK AUTHO(iIZED BY THIS PEFMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERA5IT IS ISSUED AND THEREAF7ER IS TO BE OILIGEfJTLV PURSUED <br />TO CONPL�TION. THI$ ?ERMIT h1AY BE CANCELLED �Y THE CIN UFON ANV STOPPAGE OF WORK ON THIS PAOJECT OVER 90 DAYS DURATION. <br />