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puB�ic woRKs <br />PERMIT <br />PUEY.IC WOHKS DEPARTMENT <br />3200 CeOar SUeet <br />Everett, WA 98201 <br />nSTING "25,�'�,� <br />9NI150d Ol <br />.uro�ooness:�Sp�gi� LEVON <br />SB1S .�I,KI DR <br />fiVERfiTT WA <br />�aNE: (423)353-6075 <br />TAX PARCEI. <br />DESCRIPTION OF <br />VROPOSEA WORK: <br />98203 <br />4078-017-017-0004 <br />NEW HOUSE <br />P�RMIT CONDITI��NS <br />PMpNE: <br />Dete <br />Publk Waks PermO N <br />au� �. <br />PlenNng Relerence R <br />Publk Waka Fee S <br />GueraMee S <br />e:;ie��eee � <br />pweeei-e59 <br />ceeei-ee� <br />$ 20.00 <br />ADDRESS: 4733 WILMINGTON AVE <br />1. All catls for insFection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall b3 perlormed in acc:orclance with this pennit and current City of Everett Design and Construction <br />Standards arw 3pecifications. <br />3. Call Location Undergmund Service 4B hrs. before you dig. TOLL FRHE NUMBER 1-800-421-5555 <br />4. Sewor altez•ation permit requirad for connection of now sido sower to � <br />existinq side sever. <br />5. Cloanout.a required at connection to oxisting side sowor and at point � <br />xhere noW side sewer leaves the new structure. <br />6. TiqhtliriP rooftop drainaqe into neM side sawar. <br />7. iCeep city titreets clean at all times. <br />8. AriveMa,y s:7a11 be completely cured before drivinq on it. <br />ACKNO`NLEDGEMENT OF CONDITIONS <br />m <br />� <br />� <br />� <br />� <br />� <br />O <br />a <br />The undersigned nwnerlapplMant hereby agrees to hold and <br />save harmlesc ;ne Ciry ot Evr.retl hom eny and all claims tor <br />damages, ccsts, expenses, w causos d action that may arise <br />because of insfalladon and meintenance ol Me improvement or <br />other j hto'-way use hereto anplietl fa antl IuMer agrees to <br />re�sam a upon rwtice han tl�e City arM to replece public <br />� erry damag� � here�y. <br />L � <br />o�- - r /- 3/- �o <br />Signalu d pe�e <br />WORK AUTHpR12ED BV TMIS PERMIT MUST BE STARTED WIiHIN 180 DAYS OF DAiE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLV PURSUED <br />TO COMPLE710N. TMIS PERMIT MAY BE C�NCELLED BV THE CIlY UPON ANY STOPPAGE OF WORK ON iH�S PROJECT OVER 80 DAYS DURATION. <br />