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�� <br />� <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 C�edar Street �.._` . _`.��;� ;, FRl } <br />Evere�t�4'J, P 98201 F.EGl <br />(42�525� 8810 <br />OWNER NAME AND ADDRESS: <br />FERGUSON CAL <br />1001 HARBORVIEW LANE <br />EVERETT WA 98203 <br />PHONE: 4258702931 <br />fAX PARCEL ID q 00555600002305 <br />DESCRIPTION OF PROPOSED WORK: <br />DETACHED GARAGE <br />r�Ef;riii i:o.U�����0 <br />[? D:i. <br />D4IU� <br />D`nIVE <br />1L <br />CASH <br />�� <br />Date: 6/17/2009 <br />Public Works Permit #: PW0906-019 <br />Buildinp Permit #; <br />1�'� ��nninp Feference #: <br />ULJ <br />CT dublic Works Fee $: <br />Other $: <br />NAME AND ADDRESS: <br />54. � <br />3�54 � . 45 <br />3�F?.�0 <br />PHON��'� <br />60906-020 <br />� 25.00 <br />SITE ADDRESS: 1001 HARBORVIEW LN <br />PERMIT CON�ITIONS <br />1. All cails tor inspection shall be made 24 hours in advance. <br />2. AII work shall be per(ormed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 r- <br />4. Connect all rooftop downspouts to the side sewer. <br />5. No dirt, mud, rocks or debris to be tracked onto roadway. <br />CONTACT YOUR INSPECTOR, RANDY ALLEN AT 425339-7403, WITH QUESTION AND FOR INSPECTION <br />%� r�r+ �ra�^ l� 2���� <br />� 4. �.�;,7� iIVt7 <br />-/7-09 <br />Date <br />W <br />E'" <br />� <br />� <br />� <br />� <br />h <br />z <br />0 <br />� <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees �o hold and <br />save harmless the City of Everett irom any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because o' ^stallation and maintenance o1 lhe improvement <br />or other rig��t-of-way use hereto applied tor and turiher agrees <br />to remove same upon notice from the City and to replace <br />public pioperty damaged �hereby. <br />/ � ---� <br />i, /• c ,t. a� �-� ��� ' %'- � �/�- G' % <br />� S�ignalure of Appiicant Date <br />,/ <br />1NORK AUTHORI2[D BY THIS PER�iIT MUST BE STARTED WRHIN 180 DAYS OF DATE PERPIIT IS ISSUED AND THEREAF1'ER IS TO BE DILIGENTLY <br />PURSUED TO COh1PLEf10N. TIi15 PER��11T �1AY BE UNCELLED 6Y THE CIT' UPON ANY STOPVAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� <br />J <br />