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f9UQ��/'� {L//\��L+ Date 8;12/2009 <br /> �' � 4 �r�� �7 Po�40B-U07 <br /> P E R M 1 T Public Works Permit q <br /> C0908-009 <br /> Builning Permit q <br /> f'UDLIC WORKS DEPARTMENT planning Relerence a <br /> 3200 Cedar Street <br /> Evr,rett,WA 98201 Pubiic Works Fce S $25.G U <br /> (425)2�7-�810 <br /> 1'n �i►�iiivG <br /> �� 0 7 10�5 f,uaran:ee S <br /> OWNC9NAME C 'S IN�- pPPLICANTNA1dB � <br /> ANDAD7RESS:�O614 SGTA AVE NE ANDADDRE°S'. <br /> MAkYSVILLE fth 98270 <br /> PHONE, 3 60 65 9 1109 rr�oNE: <br /> TA%PARCELID.a 003941002G0500 Irrawccrnooness�.133."'. ItOSSUTH hVE NLtYf ! <br /> DESCRIPTION OF NE9 HOUSE-EASIC 211 � <br /> PROPOS[D W�fiK: <br /> L;Yf l. SHORT PI.rIT 1?.02-28-02 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance- phone (425)257-8810 <br /> 2. All work shall be perlormed in accordance with this permi�and currenl Cily ot Everetl Dasign and Cons�ruction <br /> Standards and Specificalions. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> 4. Connect aide yevee pe� City Standacd N's 601, 502, b�14. F' <br /> 5. Conoect ruoitop doe+nspouts to the drainage system nrovided for this lot. Install ��/� <br /> cip-cap at pipe outlet and clzan catch basi� as dieected by thH Public Gocks V� <br /> inspector. M <br /> 6. All excavated material fcom foundation, stuewalk and dxivevaya shall be hauled to Li� <br /> an appcoved, pNcmitted site. No vaetina of matecial ia allnwd on thia building lot. o <br /> � <br /> Z <br /> O <br /> N <br /> � <br /> ;� a <br /> �,, .,. <br /> ACKNO\NLEDGEMENT OF CONDITIONS <br /> _�_��� �Q / The undersigned owner�applicant hereby agrees to f•old and <br /> . . ���� save harmless Ihe City of Everett fmm any and all claims lor <br /> n ��r-d Icr Conslmcuon D1f damages,costs,expenses,or causes ol action Ihat may ari,e <br /> / /^/1 because ol inslallation and maintenance o�ihe improvement cr <br /> �,�/ '. . `FI{-C,�,.,r-` ' Z�./ �"" 4(7 other righl-of�way use hereto applied lor and lurther ngrees to <br /> f ' �� � remove s bie upon notice from ihe Ciry and to replace public <br /> FINALINSPECTION prop— amaged r by. ^ — <br /> Appmvetl as Conslmcle0 Date � � <br /> Si9nalme pplkam Dale <br /> WCRK AUTNORIZE�BY THIi PER�d1T MUST PE 51'ARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEP.-AFfER IS TO dE DILIGENTLV PURSUED <br /> TO CO!.1PLETION iHl;PERIdiT 61AY PL CANCELLEO f3V THE CITY UPON ANY STOPPAGE OF WORK ON TMIS PROJcCT OVER 90 DAVS OURATION. <br />