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pllBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreot <br />Everett, WA 98201 <br />'T "z5,25�n'�POSTING DEC 0 4 2000 <br />APPLICANT NAME <br />O'NNERNAME ADAIR ENTERP4ISE5 pNDAD�RESS: <br />A�IDADDRE55' 1•�032 35TH AVE SE <br />BOTHELL WA 98012 <br />PHONE: ��i2rJ�i�i3-1718 <br />TAX PARCEL I.D. p <br />PROPOSED WORK: �W HOUSE <br />PHONE: <br />Date <br />Public Works Pertnil # <br />Buildiny Permit k <br />Planning Reterence a <br />Public Works fee 5 <br />Guarantec 5 <br />11/4/1999 / <br />pW9911-003 <br />C9911-002 <br />$ 20.00 <br />17032 35TH AVE SE <br />BOTHELL WA 98012 <br />(425)743-1718 <br />126 W INTERCITY ?.VE - <br />PERMIT CONDITIONS <br />1. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance with ihis permil and currenl Ciry of Everetl Design and Construction <br />Standards and Speci(ications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•555 <br />4. Drainage: Connect downspouts to drainage stub on lot. <br />5. Adjust water meter to grade. <br />A ve0 br-�bn ate ' <br />i.`� /�eli��- ��.:�r 2 -.2.S-ov <br />FINAL INSPECTION Dale <br />Appmved as Constmcled <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />F- <br />� <br />O <br />a <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless Ihe Ciry of Everett irom any and all claims tor <br />damages, wsts, ezpenses, or causes of action that may arise <br />because of installalion and maintenance o1 Ihe improvement or <br />other righ4ol-way use hereto aoplied lor and tu�her agrees lo <br />remove same upon aotice imm lhe Ciry and to replace public <br />proper� damaged Ihereby. l <br />�L\ � \ \�— <br />Signature ol A Plicanl Date <br />TJO COMPLET�ION.ED BS PERM TEMAY BE CANCELLED BY�THE CIN�UPON AN�Y STOP AGE OF WORK ON 7NIS PROJE T O ER 9� D Y61DU ATIONPURSUED <br />