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4 <br />�uB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cetlar Strcct <br />Evcrett, WA 90207 <br />(425) 257-8810 <br />OWNEFNAMr�ORENZ AL/ LENISE <br />ANDADDRES <br />3�09 SHOR� AVE <br />EVERETT WA 98203 <br />Gate 10/4/200?. <br />Public Works Permit aYW0310-005 <br />Building Permit x <br />' B0210-009 <br />Planning Feterence a <br />PublicWorksFeeB $��y.,�,g <br />Guarantce S 4914 — <br />7�� <br />�HRISTOPHER DAY <br />1822—D 14TH AVE <br />SEATTLE WA 93123 <br />PNONE: Q,�,5.�.536907 PHONE: ��($b0'Z84'� <br />TA%PARCELI.D.R439176•�O.�.SOOOO PROJECTADORESS' =_y��E��p� <br />DESCRIPTIONOF �W �TI FAMILY-2 BLDGS�34�6 UM-�S ���� <br />PROPOSEOtNORK. <br />j. �'�s�.� � <br />PERMIT CONDITIONS LOTS 29 & 30 BLOCK 767 PLAT <br />OF EVERETT <br />1. All calls lor inspection shall be made 24 hours in advance • phone (425) 257•8810 <br />2. All work shall be perlormed in aocordance with Ihis permit and current City of Everett Design and Consiruction <br />S� idards and Specilications. <br />3. C, Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />As per public works approved plan dated �. 7/�iPI�'. � <br />lor <br />—�'l��2�� us,� C'�- <br />, „ <br />ex,�fi-h� Z' -�rc �Z �� <br />�, Ex;'rfi� (�" S���e seU-�c'• <br />--�1v�c -ta G6�Yn� SyS �i'.✓, <br />.�,,�a�ti�,; 4a-,� � �� r�s - <br />Date <br />FINAL INSPECTION <br />AOPmved a5 Construcled Dale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />= <br />V/ <br />O <br />� <br />Thc undersigned owner/applicant hereby agrees to hold and <br />save harmless ihe Ciry ol Everetl irom any and all claims for <br />damages. costs, expenses. or causes ol action that may anse <br />�ecause ol installation and maintenance of the improvement or <br />other righFohway use hereto applied for antl further agrees to <br />remove same upon notice Imm the City and to replace pu6lic <br />property tlamagetl ihereby. <br />Signawre ol Appiicanl <br />Daie <br />\YORK AUTHOFIZEO Ov TNIS PERMIT MUST BE STARTED WITMIN tB0 DAYS OF �ATE FERMIT IS ISSUE� AND THEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COMPLEiION. TMIS PERMIT MAV BE CANCELLED aV TNE CITV UPON ANV STOPPAGE OF \YORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />