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NAME <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Everett, WA 98201 <br />�a2s>zs�-eeio 1 9 2002 <br />T ; ��STING o�—.-�--- <br />2514 51ST S:' SW <br />EVERETT WA <br />PHONE: 4252590638 <br />TAXPARCELI.D.a <br />DESCRIPTION OF <br />PROPOSED WORN: <br />PERMIT CONDITIOIJS <br />APPLICANT NAME <br />ANDADDRESS: <br />9820 <br />PHONE: <br />PROJECTAODRESS: <br />Date <br />Public Works Pertnit A <br />Building Permit a <br />Planning Reference x <br />Puhlic Works Fee $ <br />Guarantee $ <br />2514 51ST ST SW <br />EVERETT Wa <br />4252590638 <br />1o/oi/2oo� <br />PW0210-002 <br />$25.00 <br />!' � <br />98203 <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 this permit and currenl City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Loc>tion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Tight-line to catch basin, not directly into sanitary sewer . <br />5. French drain should be wrapped in filter fabric to keep from <br />plugging up prematurely. <br />/ .� C� � <br />A ved lor Consimclig� ' to <br />% � � �' <br />�G -� <br />INAL I SPE TION - <br />Approvetl as Constmctetl Date <br />iJ-(?6-;i� :�::�3�h1 <br />#i _I000:'. <br />uT��r_� ��.c;� <br />�'fiTAl_ :'S.00 <br />C:E-1=i)-� <br />( . ���'�_ F <br />:� (;M,�'4fi7 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />r <br />V+ <br />W <br />O <br />� <br />Z <br />0 <br />3(�.00 <br />V/ <br />O <br />a <br />Thc undersigned ownerlap^,:icant hereL•y agrees to hold and <br />save harmless the City of Everetl 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 or <br />other right•ol•way use here�li an r agre�s to <br />remove same upon npti�eiro e C' nd to replace public <br />proper:�am�/ �e A <br />�Q -1T/ Da. <br />nawreotAppivant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST 8E STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENRY PURSUED <br />TO COMPLETION. Tk11S PERMI � MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WOFK ON THIS PpOJECT OVER 90 �AYS DURATION. <br />