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� <br />PUB�ic woRKs <br />IPERMIT <br />r <br />PUOIIC WORKS DEPARTMENT <br />3200 Codar Strnot <br />Evoretl, WA 98201 <br />�azsl2s��eem nAy q A 10U1 <br />O' /NER NRM[ f��L11NA HOMES INC �PP�ICA� <br />AhOADOfIFSS. ' ANDAD01 <br />PO BOX 3205 <br />EVERETT W/1 98203 <br />PMON6 i 425 ) 356-7767 PrroNE. <br />T�%PARCILID � 9-000-045-0207 PROJECi <br />DESCRIPI'ON OF <br />PflOPOSEfI WORK <br />� <br />PEHMIT CONDITIONS <br />– BASIC 2083 <br />oefe <br />Publk Worka PermA N <br />Bullding Permi� N <br />Planning Releronco � <br />Pu61ic Y!orks Fee S <br />Quaiantea S <br />05/03/2000 <br />PW0005-003 <br />ce0e5-eaa <br />S 25.0Q <br />19�4 112TH ST 5W �LOT�1 <br />1. All calls lor Inspoction shall be made ?4 hc.urs in advance - phone (425) 257•8810 <br />2. All work shall be peAormed in accordance with Ihis pertnil end currenl Cily ol Everett Design and Conslruclion <br />Slandards and Specilications. <br />3. Cnll Localion Undergiound Service a0 hrs. before you dig. TOLL FREE NUMBER 1•800-424•5555 <br />4. Tiqhtline downspot:ts to yard drain. <br />� ' S/�m�o0 <br />e�tl hr Consbuciian �ole <br />_ , r��17�'Gt� 9 (0 9�� <br />FINAL IN`.�PECTION <br />A{�rnval ns ConstrucleU Datn <br />�,s-i v-oo <br />11 <br />RUII.D <br />SFCHG <br />F:FF.CRCT <br />S(�CHG <br />5RCHG <br />F'LUM6 <br />MECH <br />IifiIVE <br />i��Ar� r.f; <br />V O I;� <br />SI�CHG <br />Sfi'�;HG <br />"ru�a_ <br />4:.,,.a,-� <br />OOOS�iO'� <br />88[{.'IS <br />4. 50 <br />-4.50 <br />44 . `,l <br />94,00 <br />60. )0 <br />iJ. �.11 <br />s.�o <br />-4k.50 <br />4.50 <br />7071.75 <br />A Jn75'.'b <br />Z <br />O <br />� <br />� <br />O <br />a <br />(::I-�E_f: 1071.35 <br />ACKNOWLED(iEMENT OF CONDITIONS <br />Tho undersigned owner/apphcanl hereby ngrees la I�o�O and <br />save hermless Ihe City ol Everetl Irwn eny and nll claims lor <br />damepes, costs, e�pensos. o� causes ol ection Ihal may nnsc <br />bacause ol Instellation end melntenance ol ihe improvemenl oi <br />other rlghbof�way use horeto epplied lor and lurthor egrces �o <br />remove seme upon ra6ca Iran Me Ci end to roplace publlc <br />pr�89ed thereb — <br />�� ���i <br />Signa ol Applkarn � Do�e <br />WORK AUTHORIZED BY THIS PERMIT MUST BE SiARiED WITMIN 1B0 OAYS OF DATE PERMI715 ISSUED ANO TMEREAFTER IS TO BE OILIGENTLY PURSUED <br />TO COMPLETION THIS P[RMIT M�V PE CANCELLCD BV TME CIiV UPONl.NY 6TOPPAGE OF WORK ON iM15 PROJECT OVER 90 OAYS DUI7ATION <br />