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PUBLIC WORKS °�'° 1°,1',�°°9 � <br /> Public Works Permit# PW0910-011 <br /> PERMIT C0909-031 <br /> Building Permit q <br /> PUBLIC WORKS DEPARTPdENT Planning Relcrence k <br /> 3200 Cedar Strccl <br /> Everett,WA 98201 Public Works Fee S c,p.,,gf) <br /> (a25)257-8870 ��: �,G' <br /> Guarantee 5 <br /> OVlNER NAIdE • •+ qPPLICAIJT t1Ah"E <br /> nNo noor+�s,: 326 HEATHESt RD AND ADOfl[SS. <br /> EVEFETT WA 98203 <br /> Pi+oNr: 9253880194 PHONE: <br /> TA%PARCELLD.0 - j 9�� PROJECTAODRESS: $!( �j�THER RD <br /> D[SCRIPTIGN OF 12EMODEL <br /> PfiOPOSfD WORH: <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 per(ormed in accordance wilh ihis permit and currenl City of Everett Design and Construction <br /> Standards and Specilicalions. <br /> 3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 9. Feplace sidesewec undec 6uildiny footprint vith pipe material that meeta the � <br /> Unif�cm Plumbing Code. <br /> 5. If the driveway for the pioject is to be ceplaced, the City recommeds that 2he A <br /> sidesewer be cumpletely replar_ed fcom the building to tlie propeety line. V� <br /> W <br /> 01-�4-OS �'1GPM O <br /> ' !I 409031 <br /> F'LAN Cf; ].0.92 Z <br /> EUILCi 1055.35 O <br /> HECH 90.00 <br /> FLUME 110.00 � <br /> DRIVE 25.00 <br /> SRCHG 4.50 U� <br /> l'OTAL L^95.77 <br /> C:H Ei-;. 1^ 7 <br /> '{ OMi+O� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �.��l The undersi9ned ownedapplican�hcreby agrees to hold and <br /> � V save harmless tho Ciry ol Evcretl Imm any and all claims lor <br /> ,.pr� ar � nstn� Da . � damages.costs,ezpenses.or causes of action�hat may arise <br /> bewuse of installation and mainlewnce ol ihe improvement or <br /> . ' � �_ q �^ he�Y"gfil�o-(way OSe�I ro applied tor and futlher agrees to <br /> � C.. / Cl remove same upon notice Iro the City anA to replace public <br /> TPINAL INSPECTI N propeAy damage <br /> Appioved as Con utled Date �- Z -' w C <br /> /����jjj / �� � <br /> Si�ual+1— ppt� Date <br /> P;O{:K�UiHORI,'CD P'i 71IIS PCHCI11'I.tUST f;L tiTAPiI:�P�RHPJ t@U D��1S OP O�7E P[Rtd�T IS ISSU[�.M1D THEfiCAF7ER IS TO BE DIUGENTLV PURSIJED <br /> IUCOL'PI.L�i�)N iIIItiP1:R:tI7I.1t.Yf1CG1NC[IIl1�f11 iHLCIIYUPONANYS10Pf`nG[O(-PJOPKONiHISPROJLCTOV[R90DAYSDURATION. <br />