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' P�J�LIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evcretl, WA90201 <br />`"zs,Zs��g'°POSTING NOV 1 0 2003 <br />OWNER NAME GOERTZEN HOLDINGS INC <br />ANDADDRESS: <br />11724 23RD DR SE <br />EVERE7'T W7► 91 <br />PHONE: q2533'I5273 <br />" 00537900002600 <br />.ICANT NAME <br />ADDRESS: <br />PHONt: <br />OESCRIPTION OF �W DUPLEX ( TWO UNITS ON ONE LOT <br />PROFOSED WORK: � <br />Date <br />Public Works Permit N <br />Building Permit N <br />Plannin� Reference x <br />Public Works Fee 3 <br />Guarantee S <br />GOERTZEN HOLPINGS <br />11724 23RD Dk SE <br />EVERETT W11 <br />42533';�2�3 , <br />1606 HOLLOWpj:LE,: <br />O1/07/2003 <br />PW0301-OOE � <br />C0301-002 <br />$25.00 <br />INC <br />98208 <br />� 5-�,- � <br />PERMIT CONDITIONS LOT 26 BLOCK 2 F'AINE FIELD <br />1. All calis for inspection shall be made 24 hours in advance - phone (425) 257•8810 �� �� � ��� ' <br />2. All work shall be pedormed in accordance with this permit and current Ciry of Everetl Design and Construction <br />Standards and Specifications ' <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4 Connect side sewer per City Standard �'s 601, 602, 604. One stub per <br />bt:ilding/2 per lot. <br />�'5. Connect rooftop downspouts to the drainage system provided for <br />lot. '7 �i�Y �3 �.p <br />6. Install erosion control measures per City of fiverett Standards <br />small parcels <br />7. Remove erosion control measures upon completion of the project <br />to final approval of the permit. <br />8. all excavated material from foundation, sidewalk an3 driveaays <br />be hauled to an approvei, permitted site. No wasting of material <br />allowed on this building lot. <br />� 8 O,� <br />A OVCA IOr „o sIf1�C�i0n r .IIB <br />�.� ��.` // ¢-�3 <br />FINAL INSPECTION <br />Approved as Constm[ted Dalo <br />this <br />for <br />prior <br />shall <br />is <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />F- <br />'�A <br />V/ <br />W <br />O <br />� <br />Z <br />0 <br />'rA <br />V/ <br />� <br />a <br />The uodersigned ownodapplicant hereby agrees to hold arxl <br />save harmless the Ciry ol Everett Irom any and all ciai.ns lor <br />tlamages, cosis, expenses, or causes of action that may arise <br />because of inslallation and maintenanco ol tho imprcvement or <br />olhar righbof-way use hereto applied for and fuMer agrees to <br />remove ma upon nofice irom the City and to replace public <br />pr d aged thereby. <br />' � 7'Q � <br />ol Appf nt Date <br />WORK AUThIORIZED BY THIS PERMIT ��UST BE STARTED WITMIN 1B0 DAVS JF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BV THE Ci fY UPON ANY STOPPAGE OF WORK ON 7HIS PRQIECT OVER 90 OAYS DURATION. <br />