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PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS OEPARTMENT <br />3200 Cedar Street <br />Evcretl,WA98201 NOV 1 0 2003 <br />�4z5� 2��ypQ�T�NG � <br />OWNER NAME �OERTZEN HOLDINGS <br />ANDADDAESS: <br />11724 23RU DR SE <br />EVERETT WA <br />PHONE: 4?,53375273 <br />I.D. M <br />OESCRII'TION OF <br />PROPOSED WOFiK: <br />INC ANO AD <br />98208 <br />PHONE <br />00537900002600 �PROJEf,iADORESS: <br />NEW BLDGS-TWO DUPLEi�r:S �-S -�UD 3 <br />Date <br />Puulic Works Pertnit • <br />Building Permit p <br />Planning Relerence a <br />Pu61ic Works Fee S <br />Guarantoe S <br />GQRRTZEN HOLDINGS <br />11724 23RD DR SE <br />EVERETT W7� <br />4253375273 <br />O1/03/2003 <br />PW0301-001 <br />C0301-001 <br />$25.00 <br />INC <br />98208 <br />J <br />PERMIT CONDITIONS LOT 26 BLOCK � PAINE FIELD <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 - ��� <br />2. All work shall be perlonned in accordance with this permit and curreN City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER I-800-4245555 <br />4 Connect side sewer per City Standard �'s 601, 602, b04. One stub per <br />building/2 per lot. <br />5. Connect rooftop dormspouts to Che drainage system provided for <br />lot. <br />6. Install erosion control measures per City of Everett Standards <br />small parcels <br />7. Remove erosioii control measures upon completion of the proiect <br />to final approval of the permit. <br />8, all excavated material from foundation, sidewalk and driveways <br />be hauled to an approved, permitted site. No wasting of material <br />allowed on this building lot. <br />� �-�v / �9 D 3 <br />mvetl lor Constmclion ��o <br />�,u,c� l.� �-03 <br />INAL I SPECTION <br />Approved as Construaetl ���^ <br />this <br />for <br />prior <br />shall <br />is <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />W <br />F- <br />�'A <br />V/ <br />W <br />0 <br />� <br />Z <br />0 <br />�'A <br />V/ <br />� <br />a <br />The undersigned owner/applicant heraby agrees to hdd and <br />save harmless the Ciry ol Everett Irom any and all daims lor <br />damages, costs, expenses, or causes ol action that may arise <br />becauso o( installation and maintenance of the improvement or <br />other righl-ol-way use hereto applied tor and turther agrees to <br />remo mo upon notice trom the City and to replace public <br />pro rty maged ther by. <br />SS''o3 <br />pplKam Date <br />TJO COMPLEOON. TH S ERM T MAY BE CANC ELLED BY liif: CIN UPON ANYOSTOPf'AGE OF WORK ON THIS PROJEC OVER 90 DAY DOUREAT ONPURSUED <br />