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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett'WA 9820 t <br />TT (425)26�88VOSTING IAI111005 <br />OWNERNAME LE:ACI HC .S NW INC <br />AND ADDRESS 1816 S LAKE STEVENS RD <br />LAKE STEVENS GA 98258 <br />PHONE: 4253340573 <br />TAX PARCEL I.D.a 28051700304600 <br />DESCRIPTION OF NEV USE -BASIC 116 <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />PHONE: <br />Date <br />09/09/2004 / <br />Public Works Permit N Pp0409-007 <br />Building Permit k C0409-003 <br />Planning Reference R <br />Public Works Fee $ $25 .00 <br />Guarantee $ <br />PROJECT ADDRESS: 9730 27TH AVE SE <br />LOT 1 SHORT PLAT 1202-09-03 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. UI work shall be performed in accordance with this permit and currert City of Everett Design and Construction <br />Otandards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Connect side sewer per City Standard 601, 602, 604. <br />5. Connect rooftop downspouts to the drainage system provided for this lot. <br />6. All excavated material from foundation, sidewalk and driveways shall be hauled to <br />an approved, permitted site. No wasting of material is allowed on this building lot. <br />7. Lower yard drain to match finish grade elevation. <br />Appia7ed for Construction e / <br />lrer7'Cf1 �� 1�4 i a 5✓ <br />FINAL INSPECTION —f <br />Approved as Constructed Date <br />W <br />09-28-04 11:23AM <br />0 409003 <br />BUILD 1396.95 Q <br />SRCHG 4,50 <br />PLAN CK 25.48 <br />MECH 90.00 <br />PLUMB 130.00 vO/ <br />DRIVE 25.00 <br />N 409019 a <br />SEWER ""J.00 <br />UTILITY 1296.00 <br />WATER 130.00 <br />TOTAL 3167.93 <br />ACKNOWLEDGEMENT OF CON .RM 3167.93 <br />9802 <br />The undersigned owner/applicant hereeb agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property tla th by. <br />G��(.�L�l D� <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE .'DILIGENTLY PURSUED <br />TO COMPI. ETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />