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PUBLIC WORKS Dale 8/10/2005 <br /> P016 <br /> Public Werke Permit M C0508-0050B-005 <br /> PERMITBuilding Permit a <br /> PUBLIC WORKS DEPARTMENT Planning Reference M <br /> 3200 Cedar Street $25.00 <br /> Evora A }}�sT _ Public Works Fee S <br /> -- r;umm�teo S <br /> OWNER NAMEp� 946 621 ST RT 9 NE APPLICANT NAME <br /> ANDADDRESS: AND ADDRESS: <br /> LAKE S=WS WA 98258 <br /> 4252990800 <br /> PHONE: PHONE: <br /> TAX PARCEL LD.e NEW HOUSE — BASIC 162 (TWO S PJMCT ADDRESS: <br /> DESCRIPTION OF �J��1 <br /> PROPOSED WORK: <br /> CIFIORT PLAT _ LOT <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance-phone(425)257-Ab. . <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. Connect aide sever per City Standard 0601 W <br /> S. Conneca troy top downspouts to the side sever <br /> 1EL a F— <br /> Fn <br /> W <br /> O <br /> MoiZ <br /> 0 <br /> 0 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �•�////� � / 5_ <br /> The undersigned <br /> i ow ant herebyagreesto hold and <br /> cavo harmless the Cityof Everett from anyand <br /> all claims for <br /> r°vee for Construction 9610 1 damages,costs,expenses,or causes of action that may arise <br /> r-� because of Installation and maintenance of the improvement or <br /> otherright•of• use htapplied tot and further agrees to <br /> ('f t x �.t'• _� 1 remove same u noticeerefroo m the City and t0 replace public <br /> FINAL INSPECTION property dame d t re . <br /> Approved as Constructed Ii :.. <br /> Sigre AW t Oate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 100 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 PROJECTOVER 90 DAYS DURATION. <br />