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� ' PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Everetl. WA 98201 <br />,4z5,2��'�OSTING �uN 2 : ,�oa� <br />H.LRATA MICHAEL <br />PO BOX 302 <br />DUVALL WA 93t115 <br />PNONE: ��)6t'1`!%GIJ <br />TAXPARCELI.D.♦ �3Z�p44004005 <br />DESCRIPTIONOF ^tEW HOUSE - BASIC ZO37 <br />PROPOSED WORK: <br />PERMIT CONDITIUNS <br />PHONE: <br />PROJECT <br />Date 03/14/'003 / <br />PublicWorksPermitM PW0203-016 <br />Building Permit p <br />Planning Reference N <br />Public Works Fee S <br />Guarantee $ <br />CO203-017 <br />HIRATA MICHAEL <br />PO BOX 3G2 <br />DUVALL WA 98019 <br />2068197413 <br />53.'. HOLLOW <br />1. All calls for inspection shall be m �oe 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construclion <br />Standards and Specihcations. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Connect side sewer per City Standards 601, 60� & 604. <br />5. Connect rooftop downspouts to the drainage system provided fur <br />lot. <br />6. All excavate3 material from fuu.�dation, sideoralk and driveways <br />be hauled to an appruved, parmitted siL-e. No wast031�7-02 210PMia1 <br />allnwud on thi:a buil�linq lot.. q 203017 <br />7. k• roov., pole at driveway •,ntr�v�ce. 6UILD 1049.75 <br />SRCHG 4.50 <br />ME�'N 60.00 <br />PLUf6 84.00 <br />DRIVE 25.00 <br />$25.00 <br />2o2-3s-���� <br />W�, <br />tf71S = <br />shall V+ <br />is m <br />O <br />� <br />Z <br />� <br />il 203068 � <br />SEWER 70.00 <br />UTILITY 1296.00 O <br />WRTER 190.00 <br />TOTAL 2779.25 ^ <br />CHEF: 27'7l�5 <br />A OM7c60 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The uMersigned ownerlapplicant hereby agrees to hdd and <br />save harmless tho Ciry of Everett irom any and al� claims for <br />damages, cosLs, expenses, or causes of aclion that may arise <br />because ol insUlla6on and maintenanco ol the improvement or <br />oMer right-ob a use hereto applied for and IuMer agrees ro <br />remove same u notice irom Me Ciry and to replace public <br />property dama ther <br />� � 3 Z� DZ-- <br />Signature ot Applkant Oale <br />WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHI4 I80 OAYS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED dY THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />