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PUBLIC WORKS PERMIT Date: 11/6/2009 <br /> Public Works Permit #: PW0911-006 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buildinq Permit #; C0910-016 <br /> � L;''���1'L- � s <br /> `_/ Everett, WA 98201 Planninp Reference #: f � <br /> (425) 257-8810 <br /> Public Works Fee $: $ 0.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> LAMPINEN DARYL & BETTY <br /> i0224 IDAHO AVE <br /> EVERETT �/�/q 98204 <br /> PHONE: 4253472969 PHONE: <br /> TAX PARCEL ID# 00691300001400 SITE ADDRESS: 10224 IDAHO AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> FAMILY ROOM ADDITION <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specificalions. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Contact Mukilteo Sewer&Water (425-355-3355) to assure new addition does not interiere with the side sewer W <br /> line or perhaps a drainfield. � <br /> 5. Direct downspouts lo splash blocks � <br /> � <br /> Call Cliff Lindman at 425-339-7404 if you have any questions. � <br /> � <br /> h <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITION3 <br /> The undersigned owner/applican�iiereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, cosls,expenses, or causes of action Ihat may arise <br /> —/ because of installation and maintenance of lhe improvement <br /> .� 'X,�j��,�!�_ �� �, -(�19 or other right-of-way use hereto applied for an�turther agrees <br /> ��'� to remove same upon notice(rom the City and to replace <br /> 6 Approved for Conslruction Dale public property damaged thereby. <br />� � ; 'l <br /> ��%�� r—' �I ' � � � � �� � �I <br /> �lFC`INSPECTi� '� D t�� �� `�—� " / � <br /> Approved as Constructed � - ?Z � •7 Signature of Applicant Date <br /> VJORK AUiHONIZED 6Y THIS PERt4lT�1UST BE STARTED WITHIN ISO DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUEC�TO COPIPLETION. THIS PERPIIT P1AY �E UNCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJF'Z'OVER 90 DAYS DUP,ATION. <br />