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• r PUBLIC b�/ORKS Date 3/13/Ol <br /> PE�i NI I T Public Warks Pemit a <br /> � PW0103-015 <br /> Building Permit;; <br /> C0103-007 <br /> PUBLIC W�RKS DEPARTMENT Planning Rolarence a <br /> 32r�:'+!tar Strect <br /> Everett,WA 98201 Public Works Fee 5 <br /> (425)257-8810 $2 5 . 0 0 <br /> T 1 ST!N G ��V � 9 Z� Guarantee S <br /> OWNER NAME APPLICANT NAME <br /> APIDADDRESSLIFESTYLE HOM�S & CONST ANDADDRESS: <br /> 4727 LAKEr�00D RD <br /> STANWOOD WA gg2gz <br /> PHONE: F'-ANE: <br /> (36U)652-1975 <br /> TA%PARCEU.D.p OOS4JOO$SOZSOO FROJ[CTAGDRESS: <br /> 23?..3 JACKSON AV . <br /> DESCRIPTION OF <br /> PROPOSED WOAK:NEW HOUSE <br /> PW <br /> PEHMIT CONDITIONS LOT 2 OF SH()RT PLAT 31-99 <br /> 1. All calls'or inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All k�ork shall be performed in accordance wilh Ihis permit and currenl City o(Everett Design and Con;truction <br /> Standards and Specificalions. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-80J-424-5555 <br /> 4 . Restore asphalt around cleanout in easamE�f�t which has settled. � <br /> 5 . Install �ide sewer up to house per City of Everett standard y601 . � <br /> � <br /> W <br /> � <br /> _,. � <br /> ,uJ �'Jtt,`J- Z <br /> '_UMB "%.Qi; � <br /> ,_ �, <br /> c::,,:;; <br /> -iVE ^� . � <br /> 0103G.' (n <br /> -��i ;t�.C;; O <br /> �'' ' '29o,GC� <br /> _ _-.t,"� a <br /> ACKNOWLEDGEAnENT OF CONDITIONS <br /> Q The undersigned owner/applicant hereby agrr.es to hold antl <br /> �L�---=v�,/ �� save harmless the City ol Everett trom any and all claims lor <br /> pp ed:ar Constmcnon Date dama��s,costs,expenses,or causes ol action thal may arise <br /> because of installati n and maintenance ot ihe improvement or <br /> U / other right-of�way u reto aoplied for and further agrees to <br /> '` � �-�'� �l -���� remove sa e upon o e i the City and to replace public <br /> FIN L IN. PECTION - pro rty tl ma t y, i <br /> Approved as Conslm<te7 Da�e � '`�O � <br /> T <br /> Siynature af Applk. Dale <br /> WORK AUTHORIZED BV THIS PEPMIT I.��o� _ . '4RTED'NITHIN 1B0 DAYS OF DATE PERMIIT IS ISSUED AND HEREAFTER IS 70 BE�ILIGEN7LY PURSUED <br /> TO COMPL[TION.THIS PERMIT MAV�E CANCB `Y TY.G CITY UPON ANY STO?PAGE OF WORK ON h!IS PROJECT OVER 90 DAYS DURATION. <br />