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PUBLIC WORKS PERMIT Date: 5/21/2009 <br /> Public Works Permit#: PW0905-021 <br /> City of Everett Public Works Department <br /> �y 320o Cedar Street , Buildinq Permit#; C0905-005 <br /> Everett�WA 98201 : plAnninp Reference#: <br /> (425)257-8810 <br /> � Public Works Fee $: $ 25A. <br /> Other$: <br /> OWNER NAME AND ADDRESS: , APPUCANT NAME AND ADDRESS: <br /> SIEW DAN 8 WENDY <br /> 11901 SIWERLAKE DR <br /> EVERETT WA 98208 <br /> PHONE: 4254812296 fi PHONE: ! <br /> TAX PARCEL ID N 00574900001100 SITE ADDRESS: 11813 SI WER LAKE DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW ADDITION <br /> PERMIT CONDII'IONS <br /> 1. All calls for inspection shali be made 24 hours in advance. <br /> 2. AII work shail be pertormed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Existing side sewer line under the proposed addition to be replaced with ABS pipe or PVC, Schedule 40 glue <br /> joint. <br /> 5. At the owner's option, the driveway apron for this home may be paved utilizing this permit An additional permit � <br /> will not be necessary it the work is done wilhin 180 days of the issuance of this permit.c � <br /> � <br /> FOR PUBLIC WORKS INSPECTION, CALL CLIFF LINDMAN AT 425-339-7404 � <br /> h <br /> z <br /> /�/�l��T � <br /> G�L/�� r�n <br /> � <br /> (o i� � �__--.,�— w <br /> �,� - ;� <br /> T� p(�Sl ING_--�-=-�-1--- - <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicanl herehy agrees to hold and <br /> save harmless the City ot Everett from any and all claims for <br /> damages,costs,expenses,or causes o(action that may arise <br /> /� . because of installation and maintenance of the improvement <br /> �_ _ ��/�'( c �` �- �� ��Y or other righ4of-way use hereto applied tor and further agrees <br /> ;o remove same upon notice irom the City and to replace <br /> Appro ed for ConstruCtiun ate public pr pehy da aged thereby � <br /> .���- �i' -�i�,� --- ��?� � ( Z� � h �� 7 <br /> Ft1�1 L INSPECTION Date <br /> Approved as Constructed S-r�" � Signature of Applicant Date <br /> \VORK AUTHORIZED OY THIS PERMR MUST BE STARTED WIT}i1N IBD DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COhiPLETION. THIS PERMIT MAY BE CANCELLED BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />