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. PtJBLlC WORKS <br />PERMIT <br />PUBLIC WORKS DEPPRTMENT <br />3200 Cedar Streel <br />Everett. WA 98201 <br />(425) 257�8810 <br />r�llll ;;unningnam <br />�6�5 51st Ave SE <br />EVERETT WA <br />PMONE�. � 4 ��5 ) 252-4662 <br />7A% PAFCEL LD. M <br />98305 <br />Date �; ?4/3001 <br />Public Works Permit x P�''�0108-024 <br />Building Permil a <br />Planning Reference a <br />Public Works Fce 5 $ 33 . 00 <br />Guarantee S <br />�aniel Hults <br />5316 Rockefeller A-re <br />�VERBTT WA 98'7,03 <br />vr+oNe: (425)345-37�5 <br />PROJECTA�DRESS:S312 Rockefeller Ave <br />DESCRIPTIONOF TYUC�C 1.11 approx. 2�� Cj� OT L111 <br />PROPOSED WORK: <br />This fill is for the sideyard and backyard <br />PERMIT CONDITIONS <br />1. All calls for inspection sha�l be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be per(ormed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 4B hrs. belore you dig, TOLL FREE NUMBER 1•800-424-5555 <br />4. Keep City streets clean at all times <br />5. Filling tliis ar�a too hicili or inappropriately will probably direct <br />water under the hou�e.This should be avoided to prevent damage to th�= <br />house. ;urfa�_e water from thi:; 1ot and lot r_o tlie south appears to <br />dr��n to this l��w area. <br />, ` �� 8�¢� � <br />f <br />Appr etl br Copstruction Dat�—% <br />/ <br />/ <br />�/,<��' �'�i • O / <br />" INSPECTION <br />App�oved as Constmcted Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless lhe Ciry ol Evcrelt Irom any and all claims lor <br />damages, costs, ezpences, or r.auses of aclion that may arise <br />because ol installalion and maintenance ol the impmvement or <br />other ri 1-ol-way use heieto applied lor and funher agrees to <br />remov ame upan n ice Irom the ity and lo replace public <br />prop dama d t <br />� � I <br />Si alureolApplicanl Date � <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTeD WITHIN iB0 DAVS OF DATE PERAIIT IS ISSUED AND THEREAFTEF IS TO BE DILIGENTLY PURSUEO <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY TMF CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 OAYS DURATION. <br />