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' PUBLIC WORK� <br />PERMIT <br />PUBIIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everelt, WA 98201 <br />,Qzs,z��'�,OS►[i�iG oE_� I <br />OVJNER NAtAE VANGENDEREN ROt�1i� <br />ANDADDRESS: <br />3605 RUCKEFELLEk <br />EVERETT OA <br />PNONE: <br />�o " 0093818820030p <br />DESCRIPTIUN OF �p DETACHED GARJIGE <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />APPUCANTNAME <br />ANDADDRESS: <br />48201 <br />PHONE: <br />PROJEC7ADDRESS: <br />oam <br />oii2i2oos � <br />Puolic Works Permit u pp0306-013 <br />Building Permil p 80306-018 <br />Planning Reference a <br />Public Works Fce 5 <br />525.00 <br />Guarantcc 5 <br />1. All calls tor inspeclion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pertormed in accordance with ihis permit and current Cily of Everetl Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024-5555 <br />4. RuutE side-se�r acound gacage footprint or cevise pipe naterial to meet Unifoc� <br />Plumbiny Cude. <br />5, Connect dovn spout5 f.eoe nrw qarage to side sever. <br />o. A se�.rec altecation peemit is eequiced to reler_ate aanitacy nevec acound garaye and <br />connect dovn sp�uts. A pluebing pec�nit is tequiced if aanit.ary serrer ia to remain <br />undae gacige (upyeade to ABS). <br />� <br />ACKNOWLFDGEMENT OF CONDITIONS <br />W` <br />r <br />'�A <br />V! <br />W <br />O <br />� <br />Z <br />O <br />M <br />� <br />O <br />a <br />The un.�rsigned owner/applicanl hereby agrees to hold ond <br />sa�2 iiarmless �he Cily ol Everett Irom any and all ciaims lor <br />damages, costs, expenses, or causes of uction thal may anse <br />because ol installalion and maintenance ol Ihe improvement or <br />other right-ol-way use hereto applied lor and funher agmes to <br />remove same upon nofice irom the i.ily ard to replace public <br />property damaged thereby. <br />� �� a <br />_�� , � _ <br />SipnaWreol licarn Da�e <br />WORK AU7HOf71Z[� �V THIS PERM1IIT MUST �[ STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS 10 BE DILIGENTLV PURSUED <br />TO COMPL[TION. THIS P[RMIT MAY oB CANCELLED �Y 7HE CITY UPON ANY STOPPAGE OF WORK ON 7HIS PROJECT OVER 90 DAYS DURATION. <br />