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� PUBLIC Y"''aRKS PERMIT <br />City of Everett Public Works Dr.nartment <br />3200 Cedar Street <br />�'� ` � Everett, WA 98201 <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />MOELL JAMES K <br />9020 9TH PL W <br />EVERGTT WA 98204 <br />PHONE: 4252440722 <br />AX PARCEL ID # 00688300001300 <br />DESCRIPTION OF PROP6SED WORK: <br />ADDITiON I REMODEL <br />Date: 6/19/2009 <br />Public xks Permit #: PW0906-026 <br />Buildinq Permit #; C0906-004 <br />Planninca Reference #: <br />Public. Works Fee �: $ 25.00 <br />Other $: <br />^.rF'LICANT NAME AHD ADDRESS: <br />PHONE: <br />SITE ADDRESS: 9020 9TH PL W <br />PERMIT CONDITIONS <br />1. All calls for inspection shaii be made 24 hours in advance. <br />2. All v�ork shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 81'I � <br />4. Install splash blocks under downspout drains or install an infiltration system per Everett Standard Specifications <br />Call Cliff Lindman at 425-339-7404 for questions or inspection <br />G.—a <br />E� <br />�� <br />Cd� <br />� <br />� <br />h <br />z <br />0 <br />H <br />� <br />0 <br />a <br />ACKNOV�/LEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to h�ld and <br />save harmless the City of Everett (rom any and all claims for <br />damages, cosls, expenses, or causes of action that may arise <br />because of installation and maintenance of Ihe improvement <br />or olher right-o(-way use hereW applied for and further agrees <br />to remove same upon notice from lhe Cily and lo replace <br />public property damaged lhereby. <br />G �-s=.���' <br />Signa�ure of Applicanl Date <br />WORK AUTHORIZED BY THIS PERI•1IT h7U5T BE START:U WITHIN i80 DAYS OF DATE FERMIT IS ISSUED AND THEP.EAFTER IS TO BE DILIGENTLY <br />PURSUED TO COI�iPLEIION. THIS P[RF7IT M11AY 6E CANCELLED 61' THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO)ECT OVER 90 DAYS DURATION. <br />