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� ~ Date U3/?.0/2003 <br /> Pus��c woRKs <br /> PERMIT PublicWorksPermita PWO.?0:3–(J7.G <br /> BuildingPermitp COL03-026 � <br /> i <br /> PUBLIC WORKS DEPAFiTMENT Planning Reference u <br /> 3200 Codar Street <br /> Everetl,WA 98201 Public Works Fee 5 $25 . O�J �� <br /> (azs�zs��eio AUG 0 6 200 ' <br /> !� p65�'N� ___ Guarantec 5 � <br /> OWNERNAME ��UALkACIT CURPURATION APPLICAN7NAM[ iUAURANT CORPORATIUhT �' <br /> ANDADDRESS: ANDADDRESS: L. <br /> r�o sox iso r�o sor, iso <br /> P�ELLEVUE WA '�EUuli P,ELLEVUE WA 98U09 <br /> PHONE: 4?�jG.:b.:)Ol� PHONE: 42Sb.�.f�.i9OO <br /> TAXPARCELI.D.a OO'�27�00001.3�)O PROJECTADDRESS: 11�1U ?.�TH DI( SE LOT 13 <br /> DESCRIPTIONOF NEW HOU�E — $J1:;I�:.�i .'1 %0 f� ;:14y <br /> PROPOSED WORK: <br /> N4! <br /> u:i _.5 U �UNEGAL LANE <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspeclion shall be made 24 hours in advance- phone (425)257-8810 <br />', 2. All work shall be periormed in accordance wi�h this permit and current City of Everett Design and Construction <br /> Standards and Specificalions. <br /> 3. Call Location Underg�ound Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> 4 . i onn��t s� de ���W.-� p,>-r City of Ev�=iett Staiid.-.rd� 6u1 , 6i):: t, e04 . ` <br /> 5 . �.'onn�.ct �l��wns�����.its, t:.o t}ie drainage =:ystem pcov:ided Eur this lot . = <br /> u . All excavat.ed mat:erial from foin,datiun, sidewalk and driveways �liall N <br /> br haule�l to an appcoved, pe.mi 'r.r_��: site. No w.istinc7 ot matecial i�: <br /> allowed on thi:: 1_:i.�ilding loi . 04-(]4-0211'�lAM M <br /> II 0?03026 y.� <br /> BUILD 923.75 O <br /> SRCHG 4.50 � <br /> MECH 60.00 <br /> PLUMB 91.00 Z <br /> DRIVE �5.40 O <br /> a 0203069 <br /> SEWER 70.00 , <br /> UTILITY 129b.00 � <br /> WATER 130.00 � <br /> TOTAL ^c600.� [� <br /> CHEF`. 260�"c5 � <br /> A OM7365 LL <br /> ACKNOWLEDGEMENT OF CCNDITIONS <br /> .���� ����L p. ? 7 The undersigned owner/applicant hereby agrees to hold and <br /> �'":L�i1^.�3 � K./ L-J � �ave harmless the Ciry of Everett Irom any and all claims for <br /> Appiovetl lor Constmclion / n1e damages,cosis,expenses,or causes of action ihat may arise <br /> because of installation and maintenance of the improvemenl or <br /> v //�� q other right•of-way use hereto applied for and further agrees!o <br /> �C�(A /,7'�—� �� Z/ Y' L remove same upon notice irom the City and to replace public <br /> � FIN L INS TION prope ma thereby. � <br /> Approvetl as Constmctetl Dale <br /> S�g atu e oi licanl Daie <br /> WORK AU7HORIZED BY i HIS PERMff MUS7 BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY TFIE CITY UPON ANY STOPPAGE OF WORK ON TMIS PROJECT OVER 90 DAYS DURATION. <br />