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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />�' [verett, WA 98201 <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />STEVENS GIBSON 8 SANDRA <br />1803 751'H ST SE <br />EVEREIT WA 98203 <br />PHONE: 4253531972 <br />TAX PARCELID# 00432500003000 <br />DESCRIPTION OF PROPOSED WORK: <br />NEW DETACHED GARAGE <br />Date: <br />Public Works Permit #: <br />Buildinq Perm t #: <br />Planninq Reference #: <br />Public Works Fee $: <br />Other $; <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 1803 75TH ST SE <br />6/19I2009 <br />Pwosos-o2� <br />B0906-021 <br />$ 25.00 <br />PERMIT CONDITIONS <br />1 All calls for mspecUon shall be made 24 hours m advance. <br />2 All work shall be periormed in accordance with the permd and currenl Gty ol Everett Desic�n and Construction Standards <br />and Specifications <br />3 Call Location Underground Service 48 hrs before yo� dig TOLL FREE NUMBER 811 r- <br />4 Instali splash blocks under downspoul drains or route drams to an infdtration system per Everetl Standard <br />Specdicati�ns <br />Call Chfi Lmdman al 425-339-740A tor quesbons or inspection <br />� t� ���s i ����. - '' ��-�--:- �' <br />i , j , r. � � ', <br />, � <br />for Construction Cate <br />as Constructed <br />W <br />E"' <br />._ <br />!i� <br />m <br />O <br />-� <br />z <br />0 <br />�- <br />� <br />0 <br />a <br />ACNNOWL[L�GI=MENT OF CONDI110NS <br />1 hc undersigned ownedapplicanl hereby agrees to hold and <br />savc h2rmless Ihe Gty o( [veretl hom any and all claims for <br />J�mages. costs, ezpenses, or causes ol acllon Ihal may anse <br />because o1 mstalla6on and mainlenance ol Ihe improvement <br />or other righ4ol-way use herelo applied lor and furlher agrees <br />lo remove same upon nohce Irom Ihe Gty and to replace <br />public property damaged thereby <br />�° /, �'---- � � <br />'�2��� ,� C�'�7 <br />Signature ol Apphcanl Dale <br />\^JONY. �UiIIONI.'fD f3Y 711IS PI�RPIIT P1U5T 8[ STARTf.D WRHiN 1P0 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER 6 TO BE DILIGENTLV <br />PURSUI�U IO (.0�4PI I 1ION I HIS PIlU41I 14AY [iE UNCI_I I.I�D UY iHC CIiY UPON ANY STOPPAGE OF WOFM, ON TH6 PRO]ECT OYER 90 DAYS DURATION. <br />