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PUBLIC WORKS °a� 4�25,01 <br /> ` µ Pua�c worlcs Fermft M pW0104-030 <br /> PERMIT Buildin Pa�,;,« <br /> 9 C0104-022 <br /> PUBLIC WORKS DEPARTMENT Planning Reference N <br /> 3200 Cedar Street <br /> Everett,WA 98207 Public Works Fee S $25. 00 <br /> ; cazs�z:;�.eeio N� 0 9 �I <br /> ' TJ POSTING Guarantee$ <br /> aNON�o�REssGOERTZEN HOLDING INT INC ANDAD RESSME <br /> 11607 23RD DR SE <br /> EVERETT WA 98208 <br /> PHONE' ( 425)337-5273 PHONE: <br /> TA%PARCELI.D.N 292g0520220000 PROJECTADDRESS: <br /> 11710 23RD DR SE <br /> PROPOSEDWORK: NEW HOUSE — $j�$IC ,'ZIZS <br /> PW <br /> PERMITCONDITIONS LOT 5, SHORT PLAT 39-99 <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 wilh this permit and current City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800.qp4-5555 <br /> 4 . Connect downspouts to storm stub provided on lot. W <br /> 5. Do not raise elevation at the back of lot due to elevation of � <br /> adjacent lot being much lower. Lot shall be graded so as not to impact � <br /> adjacent lots with drainage. � <br /> 6 . Pave driveway from property line to sidewalk. M <br /> 7. Install side sewer per City of Everett Standard #601 . W <br /> O <br /> � <br /> U � <br /> '._ �c � � <br /> _ � <br /> '-�� �.- � <br /> = =�� � <br /> _- t�:;,�, __ d <br /> _,_�_,_ ,^, , � <br /> __:. . --;..;;.c,� <br /> ACKNOW LEDGEMENTOF'GONDITIONS <br /> J'� � The undersigned ownedapp�icant hereby agrees to hold antl <br /> '7 save harmless the Ciry of Everett from any and ail claims lor <br /> np ov ior consuucAeon �ate tlamages,costs,expenses,or causes ol action that may arise <br /> �' /�, , f� /YI _ because of installation and maintenance of the improvement or <br /> /�Si-�� �'�.v`"� ��'6 roi other right-of-way use hereto applied lor and lurtl�er agrees to <br /> FINAL INSPECTION remove sam pon notice from the Ciry and to repWce public <br /> Appmvetl as Constmaetl Date p�ope me ed therOby. <br /> Signa licant Date <br /> � <br /> WOFK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE pERM1T IS ISSUED AND THEREARER IS TO BE DILIGENTLY PUFSUEO <br /> TO COMPLETION.7HIS PERMIT MAY BE CANCELLEO BY THE CI7Y UPON ANV STOPPqGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />