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PUBLIC WORKS PERMIT Date: 7/8/2008 <br />Public Works Permit #. PW0807-006 <br />City of [verett Public Works Department <br />3200 Cedar Street Buildinq Permit #; <br />Everet�'���VA 9820t 07-u9-�QOB(6JEDi 1G:�� nninq Reference #: <br />(425}2'�?.8810 kEG-1 019`'3� <br />C1 PLblic Works Fee 5: 5 50.00 <br />f'ER�iIT 't�o.u6070ub Gther S <br />OWNER NAME AND ADDRESS: L f�J F'EU APPU�NYJNAME AND AOORESS: <br />Don Mcclincy 1 F'U I�IS RLM E�t��� � nse <br />4820 33rd AVE W CHECK �e�4t, T n e <br />Everett Wa gg203 Marysvife Wa 98270 <br />PHONE: 4253308455 PHONE: 4252444227 <br />7AX PARCEL ID # SITE ADDRESS: �820 33rd Ave. W. <br />DESCRIPTION OF PROPOSED WORK: <br />Slrom drain <br />Tight line dr2�n from dovm spoul lo exisbng storm system <br />PERtv11T CONDITIONS <br />1. All calls (or inspection shall be made 24 hours in advance <br />Z. All �vork shall be periormed in accordance with the permd and current City o( Everett Design and Construction Slandards <br />and Spec�6cations <br />3. Call Localion Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 <br />4 Construct per sketch � <br />C"' <br />�.r <br />� <br />FINAL iNSPECTION Date <br />Aooroved as Conslrucled <br />F+� <br />O <br />� <br />z <br />0 <br />�- <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned o�vner/app6canl hereby agrees �o hold and <br />save harmless the Ciry o( Everetl hom any and all claims for <br />damages, cosls, ezpenses, or causes of action Ihat may arise <br />because ol installation and maintenance of the improvement <br />or other right-of-r+ay use hereto applied lor and (urther agrees <br />lo remove same upon notice from Ihe Cdy and to replace <br />p bhc property damaged thereby. <br />� <br />� �e �� `l 0�' <br />S gnawre o( AppGcant Date <br />WORK AUTHORIZED BY THIS PER1•tIT D1U5T BE STARTED IVITfi1N I80 DAvS OF DATE PERhiI�T IS ISSU[D AND TH[REAFTER IS TO BE DILIGENTLY <br />PURSUED TO COb�PLETIO�J. THIS PERh1IT hL1Y �E CANCELLED BY THE CITY VFOtJ ANY STOPPAGE OF WORK ON TNIS PROJECT OV[R 90 DAYS DUf:ATION. <br />