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. <br /> t Date ��/�5/200.''. <br /> PUBLIC WORKS publicWorksPermitR p4701U3-OUb <br /> PERMIT �.��0�-006 � <br /> Building Permit x <br /> PUBLIC WORKS DEPARTMENT Planning Reference a <br /> 3200 Cedar Street <br /> Everett,WA 98201 - Public Works Fee S '��'� ' ���� <br /> (4257�5��}QSTI�G QU_��--�-L Guarantee5 <br /> � U <br /> OWNERNAME (Z1Jj�UFiANT CURPOPATION APPLICANTNAME <br /> ANDADDRESS:PO P.�OX 130 ANDADDRESS: <br /> BELLEVLJE WA :ab��09 <br /> PHONE: � 4,�,J )G26-290G PHONE: <br /> TAXPARCELI.D.x png��40o00160G PROJECTADDRESS: lis�V :�4TH DR SE <br /> DESCRIPTIONOF NEt9 HOL���� - L'.A�;Ii' �!%11 u �:I�I(3 <br /> PROPOSED WORK: <br /> PW <br /> i�� L 1 <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 performed in accordance with this permit and current City o(Everett Design and Construciion <br /> Standards and Specificati-ans. <br /> 3. Call Location Undergrouni Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024-5555 <br /> 4 . C01111ert: sid�� setia�z n«�r Ci.t.y ot Everett. Standard:; b01 , GU:: & b04 . W <br /> � . Coiu�e�.t �iowii:spouts t,n the drainaq� system provicied for this lot. � <br /> 6 . All. excavat�d m:at.vrial from foundation, sidewalk and driveways shall ��/� <br /> be hauleci to an �pprovect, permitted site. No wasting of material is �// <br /> allowed on tl'�i�a building lot . M <br /> Y.1 <br /> 03-13-02 9:52AM O <br /> H 2O3006 <br /> BUILD 423.75 � <br /> 5RCHG 4.50 <br /> DRI� 25.00 Z <br /> MECH 60.00 O <br /> PLUMB 91.00 <br /> H 2O3019 � <br /> SEMER 70.00 � <br /> UTILITY 1296.00 O <br /> WITER 130.00 a <br /> TOTN. 2600.25 <br /> CHEK 2600.25 <br /> A OM7065 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> L .� p The undersigned owner/applicant hereby agrees to hold and <br /> /1 . X/ C"./�.C�Y ��/O �i save harmless the Ciry ot Everett from any and all claims for <br />� pprovea br cons c�io oaie tlamages,wsts,expenses,or causes ot action that may arise <br /> because of installation and maintenance ol the improvement or <br /> J '/ f�/� ` l-4 z- other righl-ol•way use hereto applied for and further agrees to <br /> /J •�C�KU � remove same u on notice from the City and to replace public <br /> ' FINAL INSPECTION pro dam g d thereby. ''�}� -- <br /> ApprovetlasConstructetl Dale !�In��� <br /> Signat ie ol pplicanl v„Da�e <br /> WORK AUTHORIZEO BY THIS PERMIT MUST BE STApTED WITHIN iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br /> TO COMFLETIO�J.THIS PERMIT MFV BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON hi�S PROJECT OVER 90 DAYS DURATION. <br />