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� � puB�ic woRKs <br />PERMIT <br />PUDLIC WORKS DEPART�dENT <br />3200 Cedar Sireet <br />Everen, WA 98201 <br />"�s,��'��� PQSTING�u� s o <br />OWNEF NAME <br />ANDADDRESS: RUI�IAI�O SCOTT <br />sao� ios�rx PL sE <br />EVERF.TT P7A 9820^0 <br />PHONE: 4i5?3�t ;7U <br />TA% PARCEL I.D. a r; c� <br />OOJ.,.,;:OOOG1.11O[1 <br />DESCRIPTION OF <br />PROPOSED WORK� NEW HOU:,E <br />�� <br />PERMIT CONDII'IONS <br />PHONE: <br />PFOJF�T <br />Date <br />Public Wnrks Permi[ q <br />Building Permit A <br />Plannmg Reterence a <br />Puulic Works Fce S <br />Guarantcc 5 <br />u <br />( <br />03/28/2002 <br />pwozes-osa <br />C0�0°-033 <br />SzS.on <br />i<r r��a�r �aoz-a-oz <br />1, qil calis for inspection shall be made 24 hours in advanc� - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permil and current Ciry o( Everetl Design and Consiruaion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you dig. YOLL FRF_E NUMBER 1-800-424-5555 <br />4. Conne�-t, downsputs to Ll��, cliaivage syst�m 1>rovideri for Ll�ii.s ]oi <br />5. Cuntact the MukiLteo Water District Lor contt��-Cing provisions <br />t.his auildiny's watci and sewvr :;ervices. <br />6. A1: exc�vated mat:eri.al ;rom foundarion, :;idrwal}: and drivNways <br />be I'��uled to .=ui �:��_�prov�.d� a�._,•�n�.itt���d _�J.�. ivr� w;-t��Yi�iy uf m.�t�_ri31 <br />�yllowed n„ tlii � Ltiil�:iii<<.� 1:>f _ � <br />-` 1����� � a c�- <br />pp br Conslmclion ate <br />C' �( <br />�.�t-�� � �l`�ur�-� 7 '�6 <br />FINAL INSPECTION <br />AppmvM as Conslmctetl Dale <br />'J4-15-02 <br />u <br />PLAN Cf; <br />BUILD <br />SRCHG <br />I1ECH <br />PLUMB <br />DRIVE <br />TOTAL <br />4:39PM <br />0�03033 <br />7.2B <br />1044,.75 <br />4. `A <br />60.00 <br />84.00 <br />�5.00 <br />1230.53 <br />A OM7548 <br />Z <br />0 <br />� <br />� <br />0 <br />a <br />CHEF: 1234.53 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless thc City of Everett trom any and all claims for <br />damages, costs, ezpenses, or causes of aclion that may arise <br />because ot installation and maintenance of the improvement or <br />other righ4obway use hereto applied lor and further agrees to <br />remove same upon notice from the City and ro replace public <br />propert/y damaged thereby. <br />�CJ �/�C...u...v s-.�/3 <br />Signalwe ol Applicanl Da1e <br />WORK AUTHORIZED BY THIS PERMII' MUST B[ STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSU[D �ND THEREAF7ER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAV BE CANCELLEO BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />