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� _ _ <br /> r p�B�'� WORKS Date 4/25/O1 � <br /> PERMITP°b���W«�SPe�,rt» PW0104-032 <br /> BuildingPermitM C0104-024 <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street Planning Reference M <br /> Everett,WAggZ07 Public Works Fee$ $25. 00 <br /> (425)257-BB70 <br /> TO PqSiING � 0 9 Guarantee$ <br /> nNONn�oaess: GOERTZEN HOLDING INT INC APPLICANTNAME <br /> 11607 23RD DR SE ANDADDRESS: <br /> EVERETT WA 98208 <br /> rtroNe: (425)337-5273 PHONE: <br /> TAXPARCELI.D.M '� PROJECTADURESS: 11630 23RD DR SE <br /> DESCRIPTIONOF �W HOUSE - BItiSIC 2O$Cj <br /> PROPOSED WORK: <br /> PFi <br /> PERMIT CONDITIONS , <br /> 1. All calls for inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be peAormed in ac^.ordance with this permit and current City ot Everett Design and Construction <br /> Standards and Specificalions. <br /> 3. Call Locatien Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-qp4-5555 <br /> 4 . Connect dowuspouts to stor.m stub provided on lot. � <br /> 5 . Remove excavated material from site. <br /> 6. Grade lot so that drainage does not impact adjacent lots. � <br /> 7. Pave driveway from � <br /> 8. Install side sewer property line to sidewalk. � <br /> per City of Everett Standard �t601 . M <br /> , W <br /> . .. , _ _ O <br /> --��.�� � <br /> __ • Z <br /> . Jly :; O <br /> -_,:--�_ <<;. �,,. <br /> ..-�,_.. i�:; . � <br /> .;��_._ <br /> _ _ _ _ . ; � <br /> _ - _ -_a:_ <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � / The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everetl frcm any arW all daims for <br /> nP v r Consv aion Daie damages,costs,expenses,or causes of action that may arise <br /> because ol installation and maintenance of the improvement or <br /> �. .� ��/ �0 / other righPol-way use hereto applied lor and IuMer agrees to <br /> FINAL INSPECTIUN t� remove same u <br /> pon noUce irom ihe City and to replaca public <br /> Approved as Constructetl Date P amaged thereby. <br /> uraol . DS^ � � � / <br /> � � Date �— <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STARTED WITHIN iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETIOfJ.7HIS PERMIT MAV BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON 7HIS PRQIECT OVER 90 OAVS DURAT.ON. <br />