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/ . <br /> - - PUBLIC WORKS °e� 6'1�°1 <br /> PERMIT P°°"�'"°�SPB^^n« pW0106-005 <br /> BuildingPertnit�t C0106-003 <br /> PUBLIC WORKS DEPARTMEIJT Planning Reference N <br /> 3200 Cedar Street <br /> Everett,WA98201 PubiicWorksFeeS $25. 00 <br /> (425)257-885:1 <br /> TO POSTIN6 N� o s zoot ����,��a <br /> OWNER NAME APPLICANT NAME <br /> nNonooRess: GOERTZEN HOLDING INC allonooaess: GOERTZEN HOLDING INC <br /> 11724 23RD DR SE 11724 23RD DR SE <br /> EVERETT WA 98208 EVERETT WA 98208 <br /> PH°NE: (425)337-5273 PHONE' ( q25)337-5273 <br /> TA%PARCELI.O.N zzzao5zo22oo0o PROJECTADDRESS: 11730 23RD AR SE <br /> PROPOSEDWORK: NEW HOUSE — BP.SIC 2126 <br /> PW <br /> PERMITCONDITIONS LOT 8 SHORT PLAT #1202-99-039 <br /> 1. All calls for inspection shall be made 24 hour_ � advance-phone(425)257-88�0 <br /> 2. All work shall be performed in accordance with tl�is permit and wrrent Ciry o(Everetl Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBEH 1-800-4245555 <br /> 4 . �onnect sida sewer to house per City of Everett Standard #601 . W` <br /> 5 . Install splash block or drywell to accomodate roof—top runoff. = <br /> VI <br /> W <br /> Qb-7 5-;il 1.:':i.�i,'. O <br /> i! 1U600Z .' <br /> SUII_G 107'i.75 <br /> SRCHu 4.50 Z <br /> PLUMR 9l.00 O <br /> i"c'CH 50,00 <br /> [1R1V= 25.00 � <br /> H 106008 <br /> SEWER 7U,00 O <br /> UTIi_ITl' i29h.U0 <br /> war�a �.ao.00 a <br /> l 0'A_ 2%:i4.^c5 <br /> CFiEK 2?;4.25 <br /> A OM3�BS <br /> ACKNOWLEDGCMENT OF CONDITIONS <br /> / The undersigned ownedapplicant hereby agrees to hold and <br /> ((j �/// save harmless the Ciry of Everett from any and ail claims for <br /> v a br cons uceo Datn damages,costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement a <br /> ? /��`� [ other rightol•way use hereto applied for and IuAher agrees to <br /> /,� GC��" ���— ��—O '�� remove same upon no6ce hom the Ciry and to replace puGic <br /> FINAL INSPECTION property aged iher by. <br /> Approvetl as Conslructetl Oate �/ <br /> Sign p�c Dale <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WIT� i,y 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DII.IGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BV THE ..ITY UPON ANY STOPPAGE OF WOPK ON THIS PRQIECT OVER 90 DAYS DURATION. <br />