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� Date: <br />PUBLIC WORKS PERMIT publicWorksPermit#: <br />City of Everetl Public Works Department guildinq Pe�mit #; <br />,;,.,.a�1=t � <br />32U0 Cedar Street <br />� � Fverett, WA 98201 Planninq Reference : <br />(a25) 257-8810 public Works Fee $: <br />T� �C� 1 ��G _ �."1a=1a_— Olher $: <br />OWNER NAME AND ADORESS: <br />BUI THUVAN & THU SY HO <br />24 113TH ST SE <br />EVERETT WA 98208 <br />PHONE: 42534422G'' <br />AX PARCELID N 00573600003401 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW HOUSE <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 116 113 ST S[ <br />� �'_ I � �� �_ -Z.CD.j p(� ; <br />.��1 � <br />05l?7i2010 <br />PW 1005-023 <br />C1005-C'7 <br />$ 25 00 <br />PERMIT CONDITIONS <br />1 All calls for inspection shall be made 24 hours in advance. <br />2 All work shall be pertormed in accordance with ihe 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 811 <br />4 Connecl side sewer per Ci�y Slandard's #601, 602, 604. <br />5. Connect rooitop downspouts to lhe drainage system provided for this lot. <br />6 All excavated material from foundation, sidewak & driveways shall be hauled to an approv�:d permilted sile No <br />wasling of material is allowed on this building lol. <br />7 No diR mud, rocks or debris to be tracked onto roadway. <br />8 No building materials to be stacked on sidewalks and sidewalks to be kept clean and ep^n ior pedeshian Vavel. <br />- c/ -�, <br />. ���� ,c l � L /c <br />Approved /or Construction Date <br />(PECTION ua[e -- <br />I as Constructed �' ` '' /'-'� <br />� <br />� <br />0 <br />h <br />z <br />0 <br />H <br />� <br />0 <br />a <br />ACKNOWLEDGEME�T OF CONDITIONS <br />The undersigned ownerlappficant hereby agrees lo hold and <br />save harmless Ihe City o( [verelt Irom any and all claims lor <br />dainages, costs. expenses, or causes o1 aclion that may anse <br />because of installation and mainlenance of Ihe improvement <br />oi olher right�ol-way use hereto applied for and lurihei agrees <br />to remove same upon notice from the City and to replace <br />puclic property damag%d ihereby. <br />�^ �_l �iy�V � � \—i � � /L <br />Signeture of Applicant Date <br />�;c,py, nl� ��IpR�71 U Ily ii115 PCHn1IT F1UST Uf STACT[D \VITHIN 1B0 DAYS OF DATE P[RMIT IS ISSl1ED AND TH[REAFTER IS TO BE DILIGENTLY <br />f'UP'•I II D I O( Of'r! 1 I IU'! 1111� I�l li'�11I �-lAY Of �AtJCR I.CU [3Y 1 Hf. CITY UPON ANY STOPPAGE Of WORK ON THIS PROIF.CT OV[R 90 DAYS DURATION. <br />