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` PUBL�C WORKS <br />PERMIT <br />PUBLIC WORKS DEPAFTMENT <br />3200 Cedar S!rt�et <br />Everett, WA 98201 y�, <br />(425) 257-8810 OrC 1 � YU� <br />'_ ����Tft;G ` ---- <br />OWNEIa NAME SCHWAB DON <br />ANDADDRESS:S4O2 S ZNJ AVE <br />EVERETT WA <br />aHorie: ( 425 ) 259-5623 <br />DESCRIPTION OF <br />PROPOSED WORK: <br />3967002011.')008 <br />PW <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit M <br />Building P^rmit a <br />Planning Relerenc A <br />Pu61ic Works Fee $ <br />Gu�irantee $ <br />os/zo/zooi � <br />PF?0108-018 <br />C0108-009 <br />$25.OU <br />APPLICANT NAME S�_ )� OI�� <br />ANDADOfiE:S: c�aO� S 2NL AVE <br />98203 EVEF,':Ti WA 9E203 � <br />PHONE: (4.�.'J�.�GJ�J-4J0�,3 <br />ADDRESS: <br />1. All calls !or inspection shall be made 24 hours in ar! ice - phone (425) 257•8810 <br />2. All work shall be performed in accortlance with thir permit and current Ci�y of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you diq. TOLL FREE NUMBER 1-800-424-5555 <br />4. I��stall side seNer per r�ity Standard Plans 601, 602, tiO4. Sewer to <br />the facilities in �he lower Level may riaed �o Ue �umpc:ci. <br />5. Work foL this projecL :;Yiall conform to tlie ceotachnical engineeriny <br />investigation report submitted by Nelson Geotechniral Associates 3ated <br />J�aly 13, 2001. <br />6. Install ductile iron pipe acLross streeL- to r_atch basin for this <br />house's sL-orm drainaga connection. Rainwater runoff from downspouts b <br />footing drains on the lower side of thu house shall be pumpe�? up to the <br />drai�7 in froiit of t2�e house. TY�e li�ie crossiny Lh�l�r�et4;��11 be <br />c{r.avity and not. be char��ed with the pressure line�E Consul�ggpqerh the <br />Pul�lic Works i�i�pector before beginiii.ng t:iis dYai�lg�d sy�Qppgwork. <br />SRCIiG 4.;;"v <br />p,^,IV� �5�00 <br />�fECii BO.00 <br />�LUtiB 105. 00 <br />�� � � � vl L'1IL�TY iS13GU0 <br />l'.OU C 5 200� �JA1GF 1�G.00 <br />: �JiA� 39'r'3.�5 <br />I c�„� /0�0/� <br />pr Aetl/lo�Conslmcf, Dale <br />J`" - IO ' jii' U Z— <br />FINAL INSPECTION <br />Appmvetl as Constmctetl Date <br />� <br />� <br />'�A <br />V/ <br />W <br />0 <br />� <br />� <br />O <br />'rA <br />V/ <br />a <br />CITY Ol� L��I:RE'Ct Ci-�E�: ?^r73�2� <br />«. <br />,:,,r,,,,:� ,o�vices ACKNOWLEDGEM�EPo�I"E�CONDITIONS <br />The undersigned owner/applicant hereby agrees to hdd and <br />save Yiarmless the Ciry of Everett from any and all claims for <br />damages. ..osts, expenses, or causes ot action that may arise <br />because of instaliation and maintenance ol the imprwement or <br />othcr righl-of•way use herelo applied Icr and further agrees to <br />remove same upon noOce fr fha Ciry and to replace public <br />pro erry dama erab <br />�/-s- o� <br />Signawre ol IicaN Daie <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTEG WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGEN7LY PURSUED <br />TO COMPLETION. THIS PEFMIT MAV BE CANCELLED BY THE CIlY UPON ANY STOPPAGE OF WORK ON THIS YflOJECT OVER 90 DAYS DURATION. <br />