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✓1' <br />�'--,_" <br />PUBLIC VIIORKS PERMIT <br />City of Everett Public bVcrks Department <br />3200 Cedar Sireet <br />Everett, WA 98201 <br />(425) 257-8610 <br />Date: <br />Public Works Pe� mit #: <br />Buildinp Permit #; <br />Planning Reference #: <br />Public Works Fee S: <br />n�tio, c <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />WINTCH DENNIS OWNER <br />3819HOYT AVE <br />EVERETT WA 98201 <br />PHONE: 3606588164 PHONE: <br />TAX PARCEL ID # 0041130030090Q SITE ADDRESS: 3819 HOYT AVE <br />DESCRIPTION OF PROPOSED WORK: <br />NEW 16 STALL PARKING LOT <br />DEMO OF EXITING HOUSE 8 GARAGE TO BE PULLED ON SEPARTE DEMO PERMIT <br />8/23/2012 <br />P W 1208-011 <br />S 296.54 <br />r�rtrvni t,vliuIIIVNS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All v✓ork shall be pertormed in accordance with the pe« nit and curr�nt Ciry of Everett Deslgn and Consfrur.ticn Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. Per approved plan dated 11.13.12. � <br />Your Publi� Works !nspectcr is Randy Allen. Cail him a! 425-339-7403 for quesfions and inspections <br />�-- '/ r7l''L <br />A r d f r Co tructi � Date <br />� —� ��3 <br />PP <br />FI AL I SFEC 0��'�ate <br />Approved as Constructed <br />4CkNOVJLEUGEL1LNT OF CGNDITIONS <br />The unde�signed ownedapplicanl hereby agrees to hold and <br />save harmless the City o( Everell from any and all claims for <br />damages, costs, ezpenses, or causes of action that may arise <br />because o( inslallation and maintenance o� the improvement <br />or other righPof-way use hereto apolied for and further aarccs <br />to remove same upon notice from the City and ro replace <br />ublic prop damage lhereby <br />/ �'�' ct�L �l ?_ o / � 1 <br />Signature of Applicant Date <br />l^;ORK AUTHORIZFD �Y THIS PGRt4R 14U5T �6 START[U 6yfTH1!! 1R0 DAYS OF DA7E PERP1If IS ISSUED AND THEREl�FfER 'S TC E3E DILIGENTLY <br />PUn:,UED TO C�)'�1Pf ITIOf: I�HIS P[Rf�llT b1AY Cf_ C1, ;CELL[D bY TH[ CIIY UPON ANY STOPPAGE OF WORK ON TH�S PRO]ECi OVER 90 DAYS DURATIDN. <br />