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�-� PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />320U Cedar Stroet . <br />Everett, WA 98201 <br />(425) 257-BP70 <br />TO POS�'ING � 2 6 2°°! <br />PO BOX 302 <br />DW7►LL W71 <br />rHONE: ( 206 ) 819-7413 <br />TAXPARCELI.D.M <br />�ESCRiPTIONOF NEW HOUSE - <br />PROP^SED WORK: <br />1Vf1 APPLICAN7NRME <br />AND ADOPESS: <br />98019 <br />PNONE: <br />Pf�OJECiADDRE; <br />Date <br />Public Works Permit a <br />Builtling Permi� p <br />Planning Relerence M <br />Public Works Fee $ <br />Guarantee $ <br />12/3/1999 � <br />PW9912-004 <br />-- C9412-002 � <br />$20.00 <br />• 1 111 11. 111c <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with Ihis permit and current City o( Everelt Design and Construclion <br />Standards and Speci(ications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER t-800-424-5555 <br />4. Keep City streets clean at all times. <br />5. Curb gutter and sidewalk in the plat are new and undamaged, any <br />damaqe thereto shall be replaced at the discretion of the Public Works <br />Inspector. <br />6. Any change in the drivevray cut must be approved by the PW inspector <br />Width at property line limited to existing apron Width. <br />7. Adjust Water boxes to grade at end of construction. <br />8. Driveways �hall be completely cured before driving on them. <br />9. Rooftop drainaqe shall be discharged to the storm drainaqe stub <br />provided at the rear of the lot. <br />ACKNOWIEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold nnd <br />save harmless the Ciry ol Everett from any and all claims lor <br />damages, cosls, expenses, or causes of action that m�y arise <br />because of installation and maintenance of the impru�:emenl or <br />other rig -ol-way usa hereto inplied for and further agrees to <br />remove e upon ofice Irom the ry and ro replace pubiic <br />P�oG�hY 9 'h�4 • ��pq <br />` �2'/aii/ <br />SignawreolAppiicant Dale � � <br />1NORK AUTHORIZED BV TMIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAiE PERMIT IS ISSUED AND THEREAFT[R IS TO BE DILIGENTLY PURSUED <br />70 COAIPLETION. 7HI5 PERMIT MAY BE CANCELlEO BY THE CITY UPON ANY STOPPAGE OP WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />W <br />�"' <br />� <br />� <br />m <br />� <br />� <br />Z <br />O <br />� <br />� <br />a <br />