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PUBLIC WORKS <br />PERMIT <br />OLPUBLIC WORKS DEPARTMENT <br />3200 Cedar Stre I <br />Everett, WA 98201 <br />(425) 257�10 n�STING MV 30 2001 <br />OWNERNAME GELLERSON CONSTRUCTION APPLICANT NAME <br />AND ADDRESS: 1408 48TH ST SW AND ADDRESS: <br />EVERETT WA 982"� <br />PHONE: ( 425) 252-6704 PHONE: <br />TAX PARCEL I.D. 0 <br />PROJECTADDRESS: <br />DESCRIPTIONOF NEW HOUSE - BASIC 2119 <br />PROPOSED WORK: <br />I= <br />Date 6/4/01 <br />Public Works Permit « PWO106-007 <br />Building Permit 0 <br />Planning Reference a <br />Public Works Fee $ <br />Guarantee $ <br />PERMIT CONDITIONS NICHO7,AS-ADDN <br />C0106-004 <br />$25.00 <br />1. All calls for inspection shall b:, made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett E esign ante Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555 <br />4. Extra care shall be taken for this building with regards to the side <br />::ewer connection. Elevations may be critical to getting minimum slope <br />becauso the sewer main in the alley is shallow. <br />5. Install side sewer per City of Everett Standard 4601. <br />6. Connect rooftop downspouts to this buildings side sewer. <br />06-13-01 <br />EUILD <br />SRCHG <br />FLUM3 <br />HECH <br />DRIVE <br />SEWER <br />UTILITY <br />WATER <br />TOTAL <br />3:54 PM <br />106004 <br />965.75 <br />4.50 <br />77.00 <br />60.00 <br />25.00 <br />106013 <br />70.00 <br />1296.00 <br />800.00 <br />3298.25 <br />ST <br />Z <br />`0 <br />1'— <br />0 <br />0 <br />a <br />CHEK 3298.25 <br />ACKNOWLEDGEM 16P&NDITIONS <br />The onaewigned owner/applicant hereby agrees to hold and <br />�3 save narmless the City of Everett from any and all claims for <br />ved nlorrucji�on ate damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />INAY INSPE TION property da ged Ihcreby. — <br />Appmved as Constructed Dale <br />01 <br />Signatur o Appkant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEP'S TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 40 DAYS DURATION. <br />