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, <br />PUBLIC WORKS <br />PERMIT <br />PUBIIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everett, WA 98201 SEP 2 3 2p�� <br />'425,�'-B��SiING � <br />rxl^7,ER ROLANL f, PATPZC1A <br />0 BOX 21 <br />MAIVS�)(�t WA 538"sl <br />PHONE: (,.�,0(��SJO-4�Q5 <br />TAXPARCELI.D.0 ����3SZOOOOO400 <br />PROPpSEDWOfi�`E��' HOUSE - fiASIC ;;�.79 <br />h� <br />PERMIT CONDITIONS <br />PHONE: <br />PROJECT <br />U105 <br />Date il/Uti/::UG1 / <br />Public Works Permil ap Fjq 111- f.i 0 7 <br />BuildingPcrrnita c;011i-005 <br />Planning Rnlerence k <br />Public Wcrks Fcc 5 $ 25 . 00 <br />Guaramce S <br />f1 <br />1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current Ciry of Everett Design and Construction <br />S�andards and Si�ecificalions. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FHEE NUMBER 1-800-424-5555 <br />4. r'ontact Mub:ilt:eo Plater Listrict for connecting provi:_:iotic to their <br />systums. <br />5. Install a Type I coxicr�te driveway per �.ity oi.' Everett Standard 307 <br />Pave to meet 21st Ave W. <br />6. Pipe roofLop draina��r� i.o at� infiltralion systam per City of Evarett <br />SLoi-m Manu�] 3-3. 5. ;; . hJ -„, I, - 1. 5' , L- 21 '. <br />� �7- ���¢- O � <br />Appr atl lor Construction Da1e <br />_,C'. C'�u.,-� �'- � ��.- <br />FINAL INSPECTION — <br />ApProvrJ as Constmcletl Date <br />_ :i� <br />� �I1jG0- <br />s;.�0 ]GiZ,,:� <br />�.��;c � , _ : <br />'iil'E 25.UC <br />,_:la c0.v"i; <br />'.IaJ. .,�r „p <br />�,.�.. <br />_ _ �.�a. �<. <br />ACKNOWLEDGEMENT OF CONUITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciry ol Everelt irom any and all claims lor <br />damages, costs, expenses, or causes ol action ihat may arise <br />because of installation and maintenance ol the improvemenl or <br />other righhof��.vay use hereto applied for and luyher agrees to <br />remove same upon notice from ihe City and to rep�ace public <br />f-�rope�ma ed tl eby. <br />J�� � J �Z <br />Signalure ol ADplicam Oal <br />WORK AUTHORIZED BY THIS PERMIT MUST BE S7AqTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEFEAF�ER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY TNE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />