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. . . . �:.n � . . . . �. .. .. ,. . ..". , ._ .. .. .>2 ....:�: .✓ �. . .�.�fa•-r. w ' . <br /> � <br /> � PUSLIG WORKS Dalc 07/OB/2003 <br /> PERMIT PublicWorksPermita pp0301-015 / <br /> Building Permit a C0307-019 <br /> PUBLIC WORKS DEPARTMENT Planning Relcrence a <br /> 3200 Cedar Street <br /> Everen,WA 98201 Public Works Fee 5 5�5.00 <br /> �azs�zs��es�o Z004 <br /> JAN 2 3 Guarantce 5 <br /> OWNERNAME G��IL�s ��S I� APPLICANTNAME � <br /> ANDADDRESS: ANDAD�RESS'. V��LLE HCMES IA� <br /> 3229 i�7f10RE 71VE i�10 3229 iiE7fA]RE l�VE �F10 <br /> EVERETT W 98201 EVEFEI7' YA 98201 <br /> Pr�ovE 4�5337907? P"o"E 4253'579079 <br /> TA%PAFCELID.0 39200000090309 P�OJECTADORGSS:731O �H�' DR SE <br /> PROPOSED WORK� �'p �OIISE - SASIC �13L <br /> PERMIT CONDITIOIJS L01' 7 OF SA��'iT PL74T 1202-33-00 <br /> 1. All calls for inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be pertormed in accordance wilh Ihis permit and current City ol Everett Design and Consiruction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-024-5555 <br /> W <br /> 4. Connect eide cevac pee City Standaed A601. <br /> 5. Connect rooftop dovnspouts to the draina.�e systEm pruvided for tl�ia lot. � <br /> 6. Inatall eeoeion �ronteol �eaeueen as �ietecmined by tha Public Morks inapect�e, euch N <br /> aa silt fence, strav bales, svsles, oe erosion blanke[s. <br /> 7. keeovy eeosion contcol �eaaucea upon completion of the pcoj.xt peioc to final m <br /> approval of the penit. O <br /> �7-�-a3 fl��a�4 � <br /> E:U1LD 1111.35 Z <br /> MECH F0.00 O <br /> FLUMB B4.00 <br /> DRIVE 25.00 ` <br /> SRCHG 4.50 'rA <br /> N 0307018 y/ <br /> SEWER 70.00 O <br /> UTILITY L^96.00 <br /> WATEIt 130.00 a <br /> TOIAL 2780.�75 <br /> C Fi�F: 278G.GS <br /> A OM3857 <br /> ACKNOWLEDGEMENT Of CONDITIONS <br /> ./ � / �7 The undersigned ownedapplicaN hereby agrces to hold anA <br /> �v �`� / �� �� snve harmlr.ss Ihe Ciry ol Evcrett Iwm any anA atl claims br <br /> A�uvM Wr Conslm[Imn aie damages,msts.expenses.or causes ol action ihat may arise <br /> , because of installalion and maintenance ol Ihe improvement or <br /> � other ripht�obway usc hemlo applied lor and further agrees to <br /> '�`���'- ` "��""� - � � � c � remove same upon notice irom Ihe Ciry and to replace pu�lic <br /> FINAL INSPECTION propeq"y A�3F ged thereb <br /> ApprovcU as Consltucled Da1C �yC/^y+i�!�`JLaI� �. Z�� d� . <br /> r � <br /> Signature ol Appl�cant De�e <br /> WORK AUTHORIZED�V THIS PERMIT MUST�E START[D WITHIN 180 DAYS OF DATE PERMIT IS ISSUED ANO TNEREAFTEfi IS TO B[DILIGENTLY PURSUEO <br /> W COMPLETION.THIS PERMIT MAY DE CANCELLED�Y THE CI1V UPON ANY STOPPAGE OF WORK ON 1HI5 PROJECT OVER 90 DAYS DURATION. <br />