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PUBLIC WORKS PERMIT Date: 2/9/2012 <br /> Public Works Perrr.�t#: PW1202-003 <br /> City of Everett Public Works Department <br /> � 3200 Cedar Street Buildinp Permit#; <br /> Everett, WA 98201 Planninq Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 45.00 <br /> C �? � � ��� Other $: <br /> r .✓ ,�. - G•r� <br /> OWNER NAME AND ADDRESS: APPLICAN7 NAME AND ADDRESS: <br /> ARNOLD KIRBY L MASTON PROPERTIES <br /> 3424 SERENE WAY 2020 MALTBY RD, STE 7 <br /> LYNNWOOD WA 98037 BOTHtLL WA 98021 <br /> PHONE: PHONE: 4252998877 <br /> TAX PARCEL�D i1 00393500002803 SITE ADDRESS: 8311 UPPER RIDGE RD <br /> DESCRIPTION OF PROPOSED WORK: <br /> CREATE NEW SEWER CONNECTION FOR PROPERTY <br /> PERMIT CONDITIONS <br /> 1. All call�for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pertormed in accordanca with the permit and current Ciry of Everett Design and Construclion Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 46 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Side sewer per Ciry Standards#601, 602, 604 <br /> 5. Call your inspector Randy Allen at 425339-7403 prior to starting work W <br /> � <br /> � <br /> � <br /> h <br /> � <br /> � <br /> 0 <br /> � <br /> 0 POSTIN� � ��1I�d� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to hold and <br /> save harmless the Ciry of Everett trom any and ali claims(or <br /> damages,costs,expenses,or causes of actiun that may arise <br /> because of instailation and maintenance of the improvemenl <br /> �..��''� � Z -L�_ �Z or o r rig - a use hereto applied for and turther agrees <br /> 1 �r <br /> �� t emove s e a tice from lhe City and to replace <br /> Approved for Construction Date , ublic pry e , ama e there <br /> �'-/ �l � ' <br /> FI INSPECTION Date � - 21°' L <br /> Approved as Constructed � ' � � -� �� ture of licant / D te <br /> WORK AUTHORIZED BY 7HIS PERMR MUST BE STARTED WITHIN I80 DAYS OF DATE PE IT IS ISSUED AND THEk'rAFiER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLtT10N. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY SfOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />