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PUBLIC WORKS <br />PERMIT <br />O4PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />f°jj STI G JUN 1 3 2005 <br />ADAIR ENTERPRISES LLC <br />17032 35TH AVE SE <br />BOTHELL WA 98012 <br />PHONE 4257431718 <br />PHONE: <br />Date 10/8/2004 <br />Public Works Permit a PN0410-009 <br />Building Permit a C0410-008 <br />Planning Reference If <br />Public Works Fee 5 <br />$25.00 <br />Guarantee $ <br />TAX PARCEL LD a 0060550220030 PROJECT ADDRESS. 4423 GRAND 'AVE +410008 <br />DESCRIPTION OF NEW HOUSE - BASIC 121 SUM 1374.55 <br />PROPOSED WORK: <br />SRL'HG 4.50 <br />MECH 90.00 <br />PLUMS 130.00 <br />DRIVE 25).r000 <br />PERMIT CONDITIONS LOT 2, ui P4��fyr2-5-03 <br />1. All calls for inspection shall be made 24 hours in advance -phone (425) 257-8810 SEWER 70.00 <br />2. All work shall be performed in accordance with this permit and current City of Everett d%4Uc1 dW"on <br />Standards and Specifications. TO1AL 3583.51 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-8DO-424-5555 CHEii <br />W <br />4. Connect side sewer per City StandardNri01. A 0M 413 <br />5. Connect all rooftop downspouts to the side sewer. = <br />6. Install erosion control measures as determined by the Public Works inspector, such <br />as silt fence, straw bale-, swales, or erosion blankets. <br />Ap roved for ZCnstwclion aatte <br />6- 2 -O <br />FINAL INSPECTION() <br />Approved as Constructed Date <br />W <br />11-09-04 <br />11:06A, <br />O <br />H <br />4100 9 <br />GUILD <br />1637 75 <br />RCHG <br />50 <br />Z <br />N 1 <br />0.00 <br />O <br />FLU <br />0.00 <br />DRIVE <br />P5.00 <br />PLAN CI; <br />064.54 <br />N <br />0017 <br />SEWER <br />11.00 <br />O <br />UTILITY <br />129 00 <br />a <br />T O1AL <br />4317 79 <br />CHEi•: 4317.79 <br />A OM 417 <br />ACKNOWLEDGEMENT OF CCNDITIONS <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 ana further agrees to <br />remove same upon notice from the City and to replace public <br />pr erty dam�eed thereby. <br />S�Aoi� <br />Signature of Applicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 100 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 />