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" PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar SireN <br />e��«n,wnsazo� pUG 0 6 2�Q2 <br />`"ZS' f�.e�� STI N G <br />OWNERNAME RONIANO SCO'TT <br />AN�AOD��SS: <br />3207 1U4TH FL SE <br />EVERETT WA <br />PHONE: 4: J.�.3�1�?i0 <br />TAXPARCELI.D.N ,38200UOOl0iiUr; <br />DESCRIf'710YOF NEW UI7F�Lt.X <br />PROPOSE� WORK: <br />PERMIT CONDITIONS <br />98208 <br />PHONE: <br />NA1AE <br />Date <br />4,1�,�� - <br />PublicWork�PermitN PWU204-G21 <br />Building Pcrmit q <br />Planning Relerence a <br />Public Works Fee S <br />Guarantee S <br />C0�04-016 <br />1001i7 : :.S'1 AVE W <br />$35.U0 <br />LOT ? UF SHURT PLi�'i 1�'U�-0�-02 <br />1. All calls for inspection shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permil ar,d currem Ciry ol Everett Design and Constru::tion <br />Standards and Spec�fications. <br />3. Call Location Underground Service 46 hrs. bef�re you dig. TOLL FREE NUMBER 1-800-024-5555 <br />4. Connert zuuLtop downspoul-.�� i:u i.l�e drzinaqr �;yst:�m provided foL t.t:i� W <br />lut. � <br />5. �o�it.�ct tPua Mukilteo Watcr Pistrict fot connectiiig provisions for A <br />tiiis building's waLer and sewer services. �/� <br />6. All exr_avated material from foundatiori, sidewalk and driveways sha].1 /�/� <br />L�e hauled to an approvr�d, permit.t�d site. No wastiiiq o1 material is W <br />1liowrd oii tili:s building lot. � <br />7. Iiisr,all �ar.,,t.i.;�n �_��httuls p�_•r �'�ity c;f Ever�tt small parr_el P.NFS � <br />04-16-02 4:45F'M <br />il Oc^04016 <br />PLAN C►; 14.56 <br />BUILD 1480,95 <br />iiECli 120.00 <br />PLUMB 154.00 <br />CIRIVE �5.00 <br />SRCHG 6.50 <br />TDTAL 1801.01 <br />AppraCetl lor Constmction D.�fe � � <br />%J .�tfLi ���a's�.� � -.2—oa, <br />FINAI INSPECTION <br />Approved as Constmcted Dale <br />A OM7549 <br />Z <br />� <br />� <br />� <br />0 <br />GHEh' 180� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all claims lor <br />damages, costs, expenses, or causes ol action that may arise <br />because of installation and maintenance ot the improvement or <br />other right-ol-way use hereto applied for and further agrees to <br />remove same upon nolice from the City and to repiace public <br />property dpamaged thereby. <br />G� ti'/�i n`-wv�,r Y.�.6� Z. <br />SignaWreolApplicant Date <br />'.VORK AUTHORIZED BY THIS PEflMIT MUST BE STARTED WITHIN 180 DAYS OF Dl+TE PERMIT IS ISSUED AND THEPEAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETIO�. THIS PFRMIT MAY BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />