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PUBLIC WORKS PERMIT Date: 10/6/2009 <br /> Public Works Permit#: PW0910-007 /' <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buildinq Permit#; B0909-026 <br /> _������- Everett, WA 98201 <br /> Planninq Refarence#: <br /> (425)257-6810 <br /> Public Works Fee $: $ 25.00 <br /> • Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DREYERLARRY <br /> 2525 100TH ST SE <br /> EVERETT WA 98204 <br /> PHONE: 42:i3571643 PHONE: <br /> TAX PARCEL ID# 28051700306300 SITE ADDRESS: 9901 25TH DR SE <br /> DESCRIPTION OF PROPOSED WORK: <br /> ADDITION TO BEDROOM <br /> PER CONTRACTOR-NO PLUMBING OR MECHANICAL WORK <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be perfonned in accordance with th�� permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Cail Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Existing guttrs, downspouts, splashblock and storm drainage system to iiicorporrate new addition. <br /> -r, �� ;,W <br /> For inspection call Cliff Lindman at 425-339-7404 `:� '� ' <br /> �-.�.,� ;� �,F„ <br /> �; . � <br /> -���� - v� <br /> c��-,� � s <br /> �,. _.���. /y� <br /> m - ��� � F+1 <br /> .�� <br /> � T —'O <br /> C� �) 1 <br /> fJ ,'- - Z <br /> �T, � <br /> = <br /> � iO <br /> ,f.�a ,,. �� <br /> � ,, d. ,�� <br /> r�o ro ts.. . <br /> �'O.I.,5�L�1 t`'.;.l <br /> L��l"IJCoI.j ' CO <br /> �r:u ,�a <br /> _�r_.. c. <br /> r.,�n <br /> n� �OST�NG �— I ��— i� � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to hold and <br /> save harmless the Cily of Everett irom any and all claims for <br /> damages,cosls,expenses, or causes of action ihat may arise <br /> because of installation and maintenance of the improvement <br /> C�t����„���` /G% �v- –�� or olher right-of-way use hereto applied tor and turther agrees <br /> lo remova same upon notice from the City and to replace <br /> ApprOved for Construction Date public property damaged thereby. <br /> --�,-i=�>/�" !,�---- ���.,�� ,��e�.. �0 -7-09 <br /> FIN�INSPECTION Uate <br /> Approved as Constructed � ��� �f� Signature o(P.pplica�nl — Date <br /> WORK AUTHORIZED BY THIS PERMR MUST BE STARTED WITHIN I80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERh1IT MAY BE CANCELLED BY THE Cifl'UPON ANY STOPPAGE OF WORK OM THIS PRO)ECT OVER 90 DAYS DURATION. <br />