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DJZ� ��s`'1/U <br />( <br />PUBLIC WORKS PERMIT <br />City oi Everetl Public Works Department <br />3200 Cedar Slreet <br />Everetl, WA 98201 <br />(425)257-8810 <br />Date: 6/14/2010 <br />Public Works Pennit #: PW1006-015 <br />F3uildinp Permit #; C1006-017 <br />Planninp Reference#: <br />Public Works Fee �: 5 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />WELCH JOE & KARGOPOLTSEVA WELCH JOE <br />3408 RUCKER AVE <br />EVER[TT WA 98201 <br />PHONE: 4253445448 PHONE: 4257702070 <br />TAX PARCEL ID t! 00437562502700 SITE ADDRESS: 3408 RUCKER AVE <br />DESCRIPTiON OF PROPU�ED WORK: <br />TWO PAfiKING SPACES PER CC08-0205 <br />PERMIT COIJDITIONS <br />1. All calls (or inspeclion shall be made 24 hours in advance. <br />2. All work sl�all be performed in accordance wich the permit and current City of Everetl Design and Construction Standards <br />and Spec�ficalions. <br />3. Call Locaition Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 �-- <br />4. Slope the parking area in such a�vay as not to impacl lhe adjoining private properties <br />5. Work lo be done as slipulated by lhe hearing examiner (or case no. 08-0205 <br />6. Pzrking layoul to be done per approved sketch dated 6/16/10 (copy attached) <br />7. Cuvla , ublic works inspector Randy Allen at 425-339-7403 prior to beginning work <br />. . �!y � <br />�`� � � � - �� / I <br />� �� 1: <br />� NI/Ul� G �l � ! ��y�7�7 <br />j. l,i� � 1�/ u�`�/lIL �✓vT ��' Sl�l �cll <br />; � �t; � � �� �� `��'/�l��D <br />_ �-_ ,_. <br />�cn�:�:;��- � .c-, <br />, _� <br />'•' <br />l��1 � ACKNOWLEDG[MENT Of CONDITIONS <br />The undersigned owner/applicant hereby agrees b hold and <br />_ _ save harmless the City ol Everelt (rom any and all cl2ims foi <br />dama�es, cosls, expenses, or causes �f sction ihat may aiise <br />. �, , because of ins�allation and mainlenance ol ihe improvemenl <br />�— ���t�Z %_/�— �� or other right-of-�vay use herelo applied for and furiher agrees <br />w lo remove same upon notice irom �he City and lo replace <br />App[e ed for Conslruction Date pu �c property damaged Ihereby. <br />FINAL I�'SP6CTION Date � ��/ D <br />Approved as Conslructed Sign ure of Applicant Date <br />WORK AUTHORIZED DY THIS P[RPIIT I•1UST U[ STARTED \VI1111N 1&0 DAYS OF DAT[ P[Rh1IT IS ISSU[D AND THEREAFTER 15 TO B[ DILIGENTLY <br />PURSUFD TO C0��1PLETlON. THIS P[1i611T M11AY UE CANCELLED 6Y THE CIN UPON ANl' S10PPAGE OF U'ORK ON THIS PRO]ER OVER 90 DAYS DURATIO . <br />