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Date: <br />���A-�C � JRK� PE���� PublicVvorksPermit#: <br />City of Everett Public Works Department guildinq Permit #; <br />3200 Cedar Street <br />(7�''G��u✓ Everett, WA 98201 Planninq Reference#: <br />(425) 257-8810 Public Wurks Fee $: <br />Other �: <br />OWNER NAME AND ADDReSS: I APPLICANT NAME AND ADDRESS: <br />RICHARD SHAWN & DELIA <br />8808 9TH PL W <br />EVERETT WA <br />PHONE: 4257507880 <br />98204 <br />AX PARCELID # 00738400000800 <br />DESCRIPTION OF PROPOSED WORK: <br />ADDITION OF REC ROOM <br />PHONE: <br />SITE ADDRESS: 8808 9TH PL W <br />11 /8/2010 <br />PW1011-004 <br />C1010-020 <br />$ 0.00 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be inade 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Construct� n Standards <br />and Specifications. � <br />3. Call Location Underground Service 48 hrs 6efore you dia. TOLL FREE NUMBER 811 <br />4. Use of splash blocks approver+ for roof drains. <br />5. Prior to beginning work, contact Public Works inspector to discuss diverting drainage away from foundation. Call <br />Cliff Lindman at 425-339-7404. <br />�c.� � ��v % l ua w�-/Lw�'�- <br />GiGCu �tr.t N�o� i��l oc �l��t <br />ia-r�-�a <br />� ,/u:j�/L-�r� ��`-d �n <br />Approve for Construction Date <br />FINAL INSPECTION Date <br />Approved as Conslructed <br />� <br />N <br />� <br />q <br />O <br />h <br />� <br />O <br />H <br />� <br />O <br />� <br />F CfWOWL�DGEMENT OF CONDITIONS <br />The undersi;7ned ovmer/applicanf hereby agrees lo hold and <br />save harmless the City of Everett irom any and all claims for <br />damages, cosis, expenses, or causes of action that may arise <br />because of inslallation and maintenance of ths improvement <br />or other right-of-way use h relo applied for and furiher agrees <br />to remove same�pon no ce fr m ihe Ciry and lo replace <br />Signature of Applicant <br />�I <br />VlORK AUTHORIZL"D 6Y THIS P[RhIIT P1UST �E STARTED 5"J[THID! 180 DAYS OF D4TE PERP1If 15 ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSU[D �i0 COh1PLE-iION. THIS P[Rt111 I•1AY �[ CANCELLED BY THE QlY UPO`! ANY STOPPAGE OF WORK ON TH6 PROJECT OVER 90 DAYS DURATION. <br />