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PUBLIC WORKS PERMIT Date: 9/20/2013 <br /> Public Works Permit#: PW1309-017 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; C1309-007 <br /> /zp Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee $: $ 40.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CARTAGENA SUSANA OWNER <br /> 1306 106TH ST SW <br /> EVERETT WA 98204 <br /> PHONE: 2063274541 PHONE: <br /> TAX PARCEL ID# 00442900300102 SITE ADDRESS: 1306 108TH ST SW <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR STORAGE BUILDING W/BATHROOM <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed 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. Connect roof drains to splash blocks on the west side of the new building. <br /> Your public works inpsector is Cliff Lindman. Please call (425)257-7269 for any inspections far questions. §. ix' •• <br /> fir- - r`rnr <br /> ti:.3 C a rr4I <br /> i-+ t <br /> rJl C, l-'� <br /> C,7 <br /> 0 <br /> 1 <br /> F..- <br /> •r�.® .�y i_.J EMF I-- -.�1+yTi• '^ <br /> CriECS, r-cxt�s racU :1 egni <br /> TO POSTING <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> or other right-of-way use hereto applied for and further agrees <br /> �`� to remove same upon notice from the City and to replace <br /> Approved for Construction Date public property damaged thereby. <br /> J <br /> FINAL INSPECTION Date �,, �- /©` <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �r � <br />