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,� �: , _:.,�.; ��� <br />i_ _ . _.. <br />PU�LIC WARI�C� PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />HARVEY LANCE N 8 JODELL M <br />13025 AIRPORT WAY <br />SNOHOMISH VI�A <br />PHONE: <br />.; .� <br />AX PARCEL ID # 00480600103602 <br />DESCRIFTION OF PROPOSED WORK: <br />PW FOR NEW I-IOUSE <br />Date: 4123I2013 <br />Publ�;, Works Permit #: PW1304-018 <br />Buildinp Permit #; C1303-012 <br />Planninq Reference #: <br />Public Works Fee �: $ 65.00 <br />Other S: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 9415 18TH AVE W <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2 All work shall be pertonr�ed 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. fOLL FREE NUMBER 811 �' � <br />4. No certificate of occupancy until car wash is completed. <br />Your public works inspector is Cliff Lindman Please call him at (425)257-7269'fbf an� Ih'sp�ctions dr'questions� <br />��-� -: <br />-1 tTi ffJ Y: --r' 3.. fJl -+ _ <br />���I" �:.�•• � r_�-��, - <br />���_ tiJ�s� ' . <br />- _T= l.• <br />�� .TI :• �l ' i ! <br />�� 1) <br />_ ';i <br />,., <br />:; <br />� �� 7 �/J <br />Approve for Co struction Date � <br />�ECTION ✓� Date // � <br />as Constructed � — <br />�', =n � <br />� „ � �. _ <br />'�-:�c+�Srvrwao•s.r��-�a <br />�����..io _��noc�.c ..�oo�i <br />' I 1 .� r-� .!", -, u� �_n �, g �.i <br />' ', f_71 :_; `` _. 3 .� m ._ �� n <br />� <br />E"' <br />�r^� <br />V� <br />q <br />O <br />O <br />l� <br />O^ <br />�I <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Cily of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-v�ay use herelo applied for and furth=r agrees <br />to remove sa�e upon no�ice (rom the City and to replace <br />public propert damaged th^reby. <br />Signature of <br />`;:ORY. AUTHORIZED BY ThIIS PERh1IT PiUST BE STARTED WITHIN I60 DAYS OF DATE PERM� � IS ISSfJED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED l0 COb7��EilON. THIS PERtdR f4AY �E CANCELLED BY THE CITY UPON ANY STOPPAGE dF NlORK ON THIS PRO)ECT OVER 90 DAYS DURAT70N. � <br />