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PUB�ic woRKs <br />PERMIT <br />PUDLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />EvcretL WP 98201 <br />cazsi�S�e�g,STING JUN 2 7 2005 <br />�) <br />OwNEa t�p�CELAND HO <br />ANDADDRfcS80X 3�OS <br />YV <br />EI+EP.ETT <br />rHONe. 92535G77G7 <br />01100 <br />OBSCRIPTIONMEW AOUSE— <br />PROPOSED WORK: <br />PEFMIT CONDITION;, <br />WA 9820; <br />ar�out <br />P^n,GCT <br />�iq; �oos <br />Date <br />PW0502-019 <br />Public Works Perr�j5 � 2_ O 15 <br />Building Permit N <br />Planning Reterence a <br />Public Works Fee 5 5�5.00 <br />Guarantee S <br />1 Ail calls lor inspecticn snall bo made 2a hwrs in advance - phone (425) 257-8810 <br />2. All work shall be performeJ in accordance with this permit and current City of Everetl Design and Consiruction <br />Standards and Specitications. <br />3. Call Loca�ion Underground Service a8 hrs. belore you dig. TOLL FREE NUMBER 1•800-424-5555 <br />4. Connect eooft�p duvn�pouts <br />5. All excavated mateeial fiom <br />an appeoved, peemitted eite. <br />6. Contact the Mu}:ilteo WAter <br />W3t0C 311C� 3t".tZC 30LY1CO3. <br />to tlie dcainage �ystem pcovided fue thi:, lot. <br />foimdati�n, sidevalk and dr�vevays shall be hauled to <br />Ne va�ting of matecial is allua«d on this buildinu l��t. <br />Distcict for ccnnecting pxovisiuns for this building � <br />7. A spcinklec system is cequiced fue this building in <br />cequireroents of NFDA 5tandaeds 13D <br />• 7G pmv � Cons� D � <br />��� �.�—r�/ <br />/b'�VAL I� ECTION <br />ApV��vMasConslrucled Date <br />l- �j-O�- <br />�-- �-- �-+ r �-• t-� � <br />compliance�vith .�fu�-r -^ <br />r -`rj Fn �. <br />cn � <br />_ —���r'c� <br />m m ' <br />� <br />� Fn <br />. �� <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />� <br />W <br />F <br />V/ <br />W <br />O <br />Z <br />O <br />� <br />0 <br />a <br />Thc undersigned ownedapplicant hmeby agrees b hold and <br />save harmless thc Ciry of Everett trom any and all claims for <br />damages, costs, expenses. or causes ol action thal may anse <br />becausc ol installation and maintenance of thc improvement or <br />other right-of�way use hmeto applied for and funher agrees lo <br />remove same upon nolice irom the Ciry and b replace public <br />prope d fyyqed ;hereby. <br />�i�.�,��1�1� <br />Signature ol ApplKant ate <br />\NORK AUTI10RIlED BY TIiIS PERh11T MUS7 BE STARTED WIiHIN 1P0 DAYS OF DAIE P[RM�T IS ISSUED AND TMEREAFTER IS iU BE DILIGENTLY PURSUED <br />W CO"dPLLTION i111S P[Rh117 M1tAV �E CANCELL[D PY THC CIN UPON ANY STOPPAGE GF WORK ON THIS PROJECTOVER 90 DAYS DURATION. <br />