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pue� ic vvoRKs <br />RERMIT <br />.. .� <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 90201 <br />`��ZS��TI N G oEc a n z000 <br />05YNER NAME H11AlH L' 1V'1'L' XYH1Sr.5 <br />ANDADDRESS: 1703Z 35TH AVE SE <br />BOTHELL WA <br />PHONE: ��i��'7�%43—).%�.H <br />k <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />�f{�T��a <br />�'�Y.i�� <br />PHONE: <br />Dar� <br />� �ablic Works Pertnit # <br />Building Permil # <br />Planning Relerence a <br />Public Works Fee 5 <br />Guarantee 5 <br />11/4/1999 �- <br />PW9y11-002 <br />C9911-003 <br />$ 20.00 <br />17032 35TH A4'E SE <br />BOTHELI. WA 98012 <br />(425)743-1718 <br />128 4] intercity Ave <br />1. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All K�od; shall be pedormed in accordance with ihis permit and curreN City of Everett Design and Construclion <br />S�andards and Speci(icalions. <br />3. Call Localion Underground Service 48 hrs. before you dig. TGI.L FREE NUMBER 1-800-424-5555 <br />4. Drainage: connect downspouts to drainage stubs on lot. <br />5. Adjust water meter to grade. <br />(,�, �1n�Jj7 Mq/,(/-IULC Tv G/�ADE. <br />yfpr��d lor Conslmclion Date " <br />/ ,/� <br />�. � �"' Y"'Z.o-od <br />FINAL INSPECTION <br />Appmved as Con5lmc�etl Dale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The widcrsigned ownedapplicant hereby agrees b hold and <br />save harmless Ihe Ciry of Everetl Irom any and all claims for <br />damages, costs, eapenses, or causes ot ection that may arise <br />because ol installation and maintenance of 1he improvement or <br />other right-nbway use hereto aoplied lor and lurther agrees to <br />remove same upon notice from ihe City and to replace public <br />property damaged ihereby. <br />�- -_.t. �.s����.� � ��,� ��t � <br />Signalure of Applicant Date <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTECI WITHIN 180 DAYS OF DATE PERMIT IS I$$UED AND THEREAFTER IS TO BE DILIGENTLY PURSULD <br />W COh1PLETION. THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANV S70P?AGE OF WORK ON THIS PROJEC7 OVER 9J DAVS DURA710N. <br />