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PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />J1�L 03 2002 <br />Date 03/14/2002 <br />Public Works PertnH N PWO?.03-017 � <br />Building Permit N <br />Planning Reference • <br />Public Works Fee b <br />c�a�emee s <br />C0303-018 <br />ANDADDRESS. HIRATA MICHAEL AND�ADDRESSMt HIRATA MICYAEL <br />PO BOX 3U2 PO BOX 302 <br />DWALL WA �38019 DWALL WA 58019 <br />PMONE: ��681�7�i13 PHONE: 2O6Hi9i413 <br />TAXPARCELI.D.M �,�,32$044004005 PRaECTADDRESS: 1522 HOLLOW DALE PL <br />DESCHIPTIONOF NEK HOUSE - BASIC 2160 ADAIR <br />PROPOSED WORK: � � <br />PERMIT CONDITIONS <br />1. All calls tor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />e. All work shall be perfortned in accordance with this permit and curtent City o( Everett Design and Constructio� <br />Standards and Specificatiuns. <br />3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER t-000.121-5555 <br />4. Connect side sewor per City Standards E <br />5 Connert rooftop downspouts to the draina <br />lot. <br />6. All excavated material from foundatioii, <br />be hauled to att approved, permitted site. <br />allowed on this building lot. <br />$25.00 <br />-38-�l9 <br />O1, 6U2 & aoa. �`= <br />ge system provided for this r <br />sidewalk and driveways shall v+ <br />No wasting of material is M <br />Y.1 <br />7. Install silt tence along drainage ditch during cor.strucitun <br />/��6vetllorConctruction - pale / <br />��/'e-FN,� /.t1'P..x.� % �- 02 <br />FINAL INS ECTI N <br />AppmveA es Constructed Date <br />03-2T-02 <br />M <br />BUILD <br />SRCH6 <br />IECFI <br />PUllB <br />DRIUE <br />M <br />SEI�R <br />UTIIITY <br />TOTAL <br />2:13PM <br />203018 <br />9T2.75 <br />4.50 <br />60.0G <br />91.00 <br />25.00 <br />203065 <br />70.00 <br />1296.00 <br />2519.25 <br />O <br />� <br />Z <br />� <br />� <br />� <br />0 <br />a <br />CHEK 2519.^c5 <br />A OM7261 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />rne urx)ersiqned owner/appNcant hereby agrees ro hald and <br />save harmless Ihe Ciy o� Everetl hom any and all daims for <br />dameges, costs, expenses, .x causes ol action thet may arise <br />because ol insfallation and maintenunce of the imprwement or <br />other righ y use hereto applied lor and Iurther agrees ro <br />remove sem upon rptice hom C�e C and to replece p�Dlic <br />P��hY el l�/�'n�'c'— i Z� <br />/ /� <br />SipnaNro ol Appicam Dare <br />WORK AUTHOR�ZED BY TNIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLV PURSUED <br />TO �OMPLETION. THIS PEflMIT MAV BE CANCELLED BV THE CITV UPON ANV STOPPA6E OF WORK ON THIS PRQIECT OVER 90 DAYS DURAi1pN. <br />