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PUBLIC WORKS PERMI't� Date: 12/21/2009 � <br />Public Works Permit #: PW0912-023 <br />City of Everetl Public Works DepaAment <br />i :.� r�.,; ��-. <br />3200 Cedar Street Buildinq Permit #: 80912-'124 <br />Everett. WA 98201 Planninq Reference # <br />(425)257-8810 <br />Public Works Fee $: $ 25.00 <br />TO P %i� 2 201) Other $ <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRES3: <br />EVERETT HOUSING AUTHOR'TY <br />PO BOX 1547 <br />EVERETT WA 98201-40 <br />24 <br />PHONE: <br />AX PARCELIDII 00480201200100 <br />DESCRIPTION OF PROPOSED WORK: <br />RENOVATION/SHOP ADDITION <br />PMONE: <br />31TE ADDRESS: 220 98TH PL SE #REC <br />PERMIT CONDITIONS <br />1 All calls for inspection shall be made 24 hours m advance <br />2 All work sha�l be perlormed m accordance wdh the permit and current Cny o( F.verett Design and Construdion Standards <br />and Spedfications <br />3 Catl LocaGon Underground Service 48 hr; before you dig TOLL FREE NUMBER 811 r- <br />4 Replace damaged sidewalk within lhis development as direcled by lhe Pubhc Works inspecto� Call CIiR Lindman <br />at 425-339 7404 to schedule a consultai on <br />i � ' , <br />` r/<, �K�z� /�.-L'�_c � 9 <br />Approved i r Construction Date <br />, /. �� '..�. �,� �%. .. . • <br />F 'L INSPECTION Date <br />Aooroved as Constructed '' , <br />� <br />� <br />� <br />� <br />m <br />0 <br />� <br />z <br />0 <br />�- <br />� <br />0 <br />a <br />ACKN0INLGDC' M[NT OF CONDITIONS <br />1 he unders�gned ownedapphcant hereby agrees to hold and <br />save harmless the City ol Everett Irom any end all cleims lor <br />damages, cosis. eMpenses, or causes of echon thal mey ense <br />because of installatwn and meinlenance ol Ihe improvement <br />or olher ngh6o4wey use hereto eppGed lor end IuAher egrees <br />to remove same upon notice Irom Ihe City and to replace <br />p hc property dameged therepy <br />e���.il �(j,�1 � ' c� �I�c��o <br />S�gnalure ol Apphcent Dete <br />WORK AUTHORIZED BY THIS PERMR MUST BE STARTi^ WITHIN IPO DAVS Of UATE PERMR IS ISSUED AND THEHEAFTER IS TO BE DILIGEMTLV <br />PUNSUED TO COMPlET10N. THIS PFRMIT MAV BE CANCC! lED BY 7HF CITV UPON lN`. �TOPFAGE OF WpRN ON THIS PROJER OVER 90 OAYS DURATION. <br />