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� PUBLIC WORKS Date �/27:2009 �` <br /> P4blic works Permit n PIJ0407-025 <br /> �ERMI4 �090,-��, <br /> Building Permit u <br /> PU�LIC WORKS DEPARTMENT Planning Relerence U <br /> 3200 Cedar Strect <br /> �� Everett,WA 9P201 Public Works Fee S $25.00 <br /> (425)257-8�10 Guarantee S <br /> 'f0 POST� .AuN � s m�z <br /> owNE�r�nME R fi p pAP.Tt CREEK LLC _ <br /> AND ADDRESS�. AND ADDFiESS�. <br /> PU DUY. 91'J <br /> CLINTON 4A� 9B23b <br /> Pr+oN�: 3b03919b04 �noNe. <br /> TAXPARCELI.D.a 31290530096U00 PROJECTADDR[SS. �r��� 5TH DP SE MLOT 17 <br /> oEsci�:rnoN or }�W gpUSE <br /> PROPOSEU WORK: <br /> + TB �EP S 3Z.PZA,p <br /> ' CFO DT('I�N�O�LY �M�.lJ <br /> _� <br /> PERMIT CONDITIONS CAFIBERI-P FLhT LUT 17 <br /> 1. All calls for inspection shall be made 24 hours in advance - phone(425) 257-8610 <br /> 2. All work shall be per(ormed in accordance with Ihis permit and current Ciry of Everett Design and Construction <br /> Standards and Specilicalions. <br /> 3. Call Locatior. Underground Service 48 hrs. before you dig. 1 OLL FREE NUMBER 1-800-424•5555 <br /> W <br /> 9. Cunnect siia se+.+er pee City Standard Mti01. � <br /> 5. Connect r�ofYop dounspouts to the deainag? system pcorided foc this lot. /�/� <br /> V� <br /> �'.1.1 <br /> � <br /> � <br /> Z I <br /> O <br /> �;��� � ' <br /> r'_�af� L'r f^ <br /> ,'—���C� O I <br /> _;Rl'v- <br /> -�,v � a <br /> ACKNOWLFDGEMENT OF CONUI710NS <br /> �• � /J <br /> ��/,(( / p ,/ Thc undersigned owner/applicant herepy agrees to hold and <br /> G �7( CJ ��� r— save harmless the City ot Eveiett from any and all claims lor <br /> r�onstm[t�on ale � damages,cosis.expenses�or causes of action that may arise <br /> �� : because o!installation and maintenance ol the improvement or <br /> ' � olhcr right-of�way use hereto applietl for and further agrees to <br /> �U'I�; ���`�`-���.L"'�."- (G�- .�' ���� remove same upon notice irom Ihe Ciry and to replace public <br /> FINAL INSPECTIQN � � prop ty.d� o th <br /> Anp�ovrtl as Consnucied� Date � 9�� <br /> Signalura of Applicanl Date I <br /> WOf7K AUTHORREO BV THIS PERMIT MUST BE STARTED WI7HIN 100 OAYS OF DATE PERMIT IS ISSUED AND THEREAPTER IS TO BE OILIuEM1 �LY PUPSUED I <br /> TO COMPLEiION.7HI5 PGRMIT MAY BE CANCELLED BY iHE CITV UPON ANY STOPPAGE OF WORK ON THIS PPOJECT OVER 90 OAVS DURATION, <br />