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I <br />' 0?;08;20U3 � <br /> . PU�3LIC WORKS Datc pwp3U9-009 <br /> Pu61ic Works Permit It C0309-005 <br /> PE R M 1 T Buitdmg Permit� <br /> PUBLIC WORKS DEPA�T�tE�„��J�� YAY 2 8 2e6k�nning Reference u <br /> 3200 Cedar Stre t�� U 525.00 <br /> Evcrett,WA 98201 Public Works Fee S <br /> (425)257-8810 <br /> Guarantee S <br /> LEGACI HOME; NW INC Lgr ,f•v t;c; � �• <br /> OWNERNAME ISlb S L.W{E $Y�!�jj$ IiD APPLICAN7NAME SBIG ✓ L1�KE $TEVENS F:D <br /> FND�D�RGSS: L�E J���t'J WA �B`�9 ANDADDRE�S: �E �TE'��ENS WA 9E258 <br /> 4253390573 9;;[i�)�Q(1571i <br /> PHONE PHONE: <br /> U094070(IOII�60Q U 'fl"c :�r <br /> TAXPARC[LI.D.a PROJECT %.DDRESS: <br /> NEW HOUSE-SASIC 21:'1 <br /> D[SCRIPTION OF <br /> Pf�OPOSFD WORK: <br /> L�:+r _;s; F.EDWCG <br /> PERMIT CONDITIONS <br /> 7. All calls for inspection shall be made 24 hours in advance- phone(425)257-8810 <br /> 2. All work shall be perlormed in accordance wi�h ihis permit and curreN City ol Everett Uesign and^,ons�ruction <br /> Slandards and Specifications. <br /> 3. Call Location l�n9ergrgund Service 48 hrs � .ioreXou dig; TOLL FREE NUMBER 1-800-424-5555 <br /> 4. Conner_t a�ar�-�„��. ., ..� �..- :,. ._.., .S�it� —Fdl�6pz���� W <br /> 5. Cnnner.t. ruufto � !iCrlJpg ���IiCS Yi� Lh0 deainacu 3•f3tBifl �'_� r � � <br /> F K ! Fi��'1':le.l fcL this lot. <br /> 6. Snstall �C09i�i11 C!�IlhC01 IU9d011C�O d8 �jEC@CN1qE'�j by rha �UL�L1C WOC�:B 111E�iQCCGC� EUC�I <br /> as �ilt feni:�. stLaw bales, swyles, oe eeosiun b1anY.ets. A <br /> 7. ketnove ere�iun cont_col I�N35i10E: upnn completion af the p�_oject pciec to final V� <br /> appe�val of the peemit. M <br /> B. Al1 e:<c;vated maYeiial fcom fc�undation, sidevalk and CI111'2Nc�Y3 shall bF nauled Co O <br /> 3❑ 3ppro,ed, permitted site, No va�rina of wateeial is allnwed on thie building lut. <br /> Q4-17-03 9:23AM � <br /> q 30SUtiS <br /> :�UTLD 1256,95 Z <br /> SRCHG 4.50 O <br /> f£CH 80.00 <br /> PLUhfR 91.00 � <br /> DRIVE �5.00 <br /> q 3��9015 � <br /> �WEF 70.00 O <br /> UTILITY 1613.60 a <br /> WATEft 130.00 <br /> TOiAL 3^c70.45 <br /> CFiEK 3�70.45 <br /> A UM456,`; <br /> ACKNOWLEDGEM�NT OF CONDITIONS <br /> i/ � /' � The undersign�d owneAapplicant hereby agrees to h� d and <br /> �r� J�'.�l � �-/�, -03 save harmless the City of Everett In m any and all cla is for <br /> Appwved� Conse� ���_ onie darnages,cosis,expenses,or cause, �f aclion that may arise <br /> � � because of installation and maintenanca ot the improvement or <br /> �� L � , other nght�of-way use heieto applied for and:�rther agrces to <br /> 4�t.�.— ��/.��S/U!� removc same upon notice from the City and io replace pubiic <br /> FINAL INSPECTION property da d tf reby., <br /> ApprUved a5 ConsVUCled Da�e �y �, } 1 <br /> C.c��1��.1�� „�, kl�.'F�C� 9 / 7��� <br /> SignatureolApplicant Dale <br /> WORK AUTHORIZEO 9Y Tk115 PEf-,NIT MUST BE STAf7TED WITHIN 180 D:,YS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE OILIGFNTIY PUflSUED <br /> TO COMPLETION.7HIS PERMS h1A�BE CANCELLEJ�Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS�URATION. <br /> /� <br />