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" PUBLIC WORKS PERMIT Date: 2/20/2009 � <br /> Public Works Permit#: PW0902-0'.' <br /> City of Everett Public Works Department <br /> 3200 C,edar Street , ,.,. Buildinp Permit#: C0902-009 <br /> .� Evereltt.� 98201 ��.�",__�� ''�_'�� ����_) _a.,t, � ,� <br /> (425)257-'8810 <br /> ij[?{3nninp Reference#: � <br /> �-!.,,' ,,, ,� � .,; �' Public Works Fee $: $ 0.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLfGA�NT'NAME AND ADDRESS: <br /> �� <br /> GRUOL MICHAEL & DAWN M ;�.;;�i <br /> 6916 OLYMPIC DRIVE _ ':I G ��.'�Q <br /> EVERETT WA 98203 '� '}`` "��-r'" `-� <br /> F�I,���.�i "'t^�Ci �tj <br /> PHONE: PHONE:-' <br /> TAX PARCEL ID# 00392800300500 SITE ADDRESS: 6916 OLYMPIC DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> BATHROOM/BEDROOM ADDN <br /> AL50 CREATE NEW LAUNDRY AREA <br /> PERMIT CONDITIONS <br /> 1. All calls For inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permil and current Cily of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs beFore you dig. TOLL FREE NUMBER 811 <br /> NOTE: Side sewer service slubs into existing structure within footprint of proposed addition. Consequenlly, � <br /> plumbing code requires section of side sewer which falls under new addition to be upgraded lo A D S. pipe <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � � <br /> T� r��TIiVG 3� �� � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everetl from any and all claims lor <br /> damages, costs, expenses, or causes ol action that may arise <br /> ��/ / because of installation and maintenance of the improvement <br /> , �/ 11_ . /J z-Z0. � l/ or olher right-o6way u:�e hereto applied for and(urther agrees <br /> �Ll N�' ��La�'�� to remove same upon notice from the City and to replace <br /> Appr ed (or Construction Dale public property damaged thereby, <br /> c���� �..-_��...�5�-��—� <br /> F INSPFCTION Date ��=`����--� k- �- y <br /> H i wed as Constructed 3�L3-�O <br /> PP � Signature of Ap�licant Date <br /> WORK AUTHOIiIZED�Y TH15 P[RMIT�1U5T P[STARTED WITIiIN 160 DAYS OF DATE PERDIIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COhIPL[TION. THIS PERIdIT MAl' BE CA�CRIED Bl'TH[CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />