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� U::i?8/20G2 � <br /> ` PUBLIC WORKS Dale pW0203—G45 <br /> Public Works Permit a <br /> PERMITBuildingPermita ������-C40 <br /> PUBLIC WORKS DEPARTMENT Planning Reference A <br /> 3200 Cedar Street y 25 . 00 <br /> EvereC,WA 98201 Public Works Fee$ <br /> (425)Z��"88T0 POSTING Au� o s a <br /> Guarantec S <br /> OWNERNAME �7UAlJRAA 1 CGRPORATIUN APPLICANTNAME <br /> ANDADDRESSr�� E�,{ ls� ANDADDRESS: <br /> EELLEVUE 47A 9200'� <br /> PHONE: ( 4.:5 J G.�.6-�.�.���1� PHONE: <br /> TA%PARCELI.D.a (��j^u,•�G(��[;lg�)�j PROJECTADDRESS: 1 LE.:b .:dTH DR SE <br /> DESCRIP710NOF NF.W HGUS�: - r,�:;T�_: :;170 F� �195 ( GAT�A��E) � <br /> PROPOSED WORK: <br /> PW � <br /> iI <br /> PERMIT CONDITIONS fI <br /> 1. All calls for inspection shall be ma�e 24 hours in advance • phone(425)257•8810 I <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024-5555 <br /> 4 . 1.U11L'"Ci: ��1�_(a ll�:W�_'1- ZJe'1 �_�lt}/ Vi .-7.�Vt'Lt'1_�. '�L%3I7C�8L�l:i bUl � 60,_ (� t,U4 . � <br /> = - Connacr �iowir�:puuc� t�i t.he r�iai:iag�_. syst�m l�iov�ded for t11is lot. � <br /> !i All excavate�l mut.eiial irom Yruundation, siclewulk and driveways- � <br /> sha11 b� hau�ecl to an anproved, permitted sit� . No wastinct oE mater.ial � <br /> � � allow�ri oti t:l;is Luil.ding lot . M <br /> Lil <br /> 03-05-02 5:38PN � <br /> 11 0^c02040 � <br /> DRtVE 25.00 <br /> MECH 60.00 Z <br /> PLUMB 91.00 O <br /> BUILD 9�3.75 <br /> SRCFNi 4.50 � <br /> M 0203005 � � <br /> SEWER 70.00 O � <br /> UTILITY 1296.00 a <br /> HATER 130.00 � <br /> TOTAL 2600.25 <br /> CHEF{ 2600.25 � <br /> A OPf6965 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / <br /> - �t � � O� The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the Ciry of Everett irom any and all claims tor <br /> p�ovea lor Cons�mction aie damages,costs,expenses,or causes of action that may arise <br /> because ol installation and maintenance ol the improvoment or <br /> 1��� �/ / A/ � other righbot-way use hereto applied lor and lurther agrees to <br /> pw iF'L� H'( /!,-(./l 1K 7—Z�"� remove same upon notice from the City and to replace public <br /> FIN—�L INS�ECT—(ON �/ �-�pio e dam ged thereby. <br /> Approvetl as Consimcted � Date � �1 �� ,� <br /> G. � <br /> Signa re pplicant Dale <br /> WORK AUTHOFIZEO BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />