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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />1/13/2000 <br />PW0001-064 <br />B9908-041 <br />$ 1,021.68 <br />OWNER NAME <br />AND ADDRESS: DELTA COMMUNITY BAPTIST C <br />PPLICANT <br />NDADDRESSME <br />2901 16TH ST <br />EVERETT WA 98201 <br />PHONE: ( 425) 252-1782 <br />PHONE: <br />TAX PARCEL I.D. # <br />PROJECTADDRESS: 2901 16TH ST <br />DESCRIPTION OF NEW MULTIPURPOSE CAFEGYMTORIUM Or 153) P►nC s-L <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />4387-313-008-004 <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 permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. As per approved Plan dated 1/12/2000. <br />W <br />Fn <br />02-15- 0 12'.16 M <br />BUILD 1844.95 <br />SRCNG 4.50 <br />PLAN CK 160.16 <br />O <br /># 3.i 21-3 <br />SEWER 70.00 <br />UTILITY 774n00 <br />Cn <br />071HER 44 a 50 <br />PW/I 'JW ilt2..5. 3 <br />PW/INSP 65 e 45 <br />TOTAL 3875.29 <br />C HE-6% 3375_29 <br />I �3 <br />Approved for Construction Date/ <br />FINAL INSPECTION <br />Approved as Constructed Date <br />ACKNOWLEDGEMENTDF�ONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, cos a s, or causes of action that may arise <br />because o aIla nd maintenance of the improvement or <br />other ri se hereto ara li an eragrees to <br />remov u otice from 1 e City and to re ce publjc <br />e 1 j, <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />