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` PIJ�LIC WOR�(S ���° °����;:�`�°� <br /> Public Works Pcrmit a FWO501-017 <br /> PERMIT �-°5°1-°1" <br /> Building Permit k <br /> PUBLIC WORKS DEPARTMENT Planning Relerence d <br /> 3200 Cedar Street <br /> Evmet�,WA9�201 Public Works Fee 5 ��,� �;�� <br /> �42��y�STIN� _ JAN 2 2 2006 �ua�amce S <br /> U <br /> OWNER NA"dE R S D PARIt CF.EEIC LLS �1PPLICANT NAM6 nWNEF. <br /> ANDADDRES$' ANDADORESS: <br /> p� B�l 41(I <br /> CLZNTON GA 98236 <br /> PHONe 3503919604 PHONE: <br /> rFxPnr�ceu.o a 312905:;U096000 P�aecTnooaess 402 96TH ST SE <br /> DESCRIPTION OP �6• H6USE [8-.9) t�- <br /> rr�oaoseo�vo�+K <br /> PERMIT CONDITIONS C.AMEEF.L� PL�11' LS�1' _'� <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with Ihis permit and current Ciry ol Evereu Desi,n c�nd Con;truct.on <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1•800•424-5555 <br /> W <br /> 9. Connect �ide .ewer pec City Standacd N601 aftec s�.�e lift �tation is r_ompleted {.� <br /> and approved. � <br /> 5. �onnect tooftop ��py,�p9pouts to the �9t:ainage system prov.iil�cl foc this lot. � <br /> W <br /> 0 <br /> � <br /> ^� <br /> 4� <br /> � <br /> � L�l ��) «�I 1� � <br /> � <br /> FEB 1 4 2005 ' �- <br /> CCI�Y OI� I:VI:.ltl�:C I <br /> Pcnnil ti�n ir�s <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> l� :ti � 2/ (`�S savo harmless the City ot Everett(rom any and all claims for <br /> n mved Ior Constmction ate damages,cosls,expenses,or causes of action that may arise <br /> because ol installation and mainlenance ol the improvemant or <br /> � ' other righ4ol-way use hereto applied for and ludher agrees to <br /> �;.�t ..1���= i �� T- C `� remove same upcn noiice from the City and to replace public <br /> FINAL INSPECTI4. '�- pro e m-g cre y. <br /> Approved as Consimcled' Dale �� /�� � -��l�US i <br /> / <br /> S�gnalure ohAppli a l Dale � <br /> �VORK AUTHOR¢ED BY THIS PEPMIT MUST BE STAR7ED WITHIN 180 DAYS OF DA7E P[RMIT IS ISSUED ANO THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COtdPLETION.THIS PERfdIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPA,9E OF WORK ON THIS PROJ[CT OVER 90 OAYS DURATION. <br /> �—� <br />