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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date 12/12/2001 <br />Public Works Permit# PWO712-005 <br />Building Permit# C0712-006 <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />OWNER NAME <br />APPLICANT NAME <br />AND ADDRESS:BORUP DENNIS <br />ANDADDRESS: OWNER <br />1823 HOLLOW DALE PL <br />EVERETT WA 98204 <br />PHONE: 4252808002 <br />PHONE: <br />TAX PARCEL I.D.# Q 9 <br />00531900002101 <br />PROJECTADDRESS1827 HOLLOW DALE PL <br />DESCRIPTION OF <br />!ROPOSED WORK: HEW ROUSE <br />PERMIT CONDITIONS LOT 3 SP 1202-004-06 <br />1. All calls for :nspeclion shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specification::. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555 <br />4. Connect rooftop down::pouts to the drainage system provided for this lot. <br />5. Install erosion control measures per City of Everett Standards for small parcels <br />6. No dirt, mud, rocks or debris to he tracked onto roadway. ��'' 3:7. Contact the Mukilteo Water District for connecting provisions ferr�this-tntil ng !E <br />water and sewer services. $ F=j �2 <br />FOR PUBLIC WORKS INSPECTIONS CALL CLIFF LINDMAN AT 425-339-7404 " <br />ved for Construction Bat <br />Approved as Constructed Date <br />z <br />TF <br />7 <br />Z <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />removq same upon notice from the City and to replace public <br />prop y dam TL ereby. <br />ignature of Apto <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />EPWP (7m61 DATABAR. INC. <br />