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P,IU ILIC WORKS PERMIT <br />� Ci y of Everett Public Works Department <br />' , .. I 3200 Cedar Street <br />Everett. WA 98201 <br />. � Ili (425) 257-8810 <br />II <br />\ <br />OWNER NAME AND ADDRESS: <br />GSI CONSTRUCTION INC <br />PO BOX 13691 <br />MILL CREEK WA 98082 <br />PHONE: 4254787474 <br />PARCELID# <br />003Q3700201201 <br />DESCRIPTION OF PROPOSED WORK: <br />2 NEW HOUSES ON SINGL[ LUT <br />THIS PERMIT IS GOOD FOR E30TH HOUSES ON 1.0T <br />Date 7/16/2012 <br />Public Works Permit # PW1207-012 <br />Buildinp Permit #: C1205-016 <br />Planninp Reference # <br />Public Works �ee S 5 25 00 <br />Other S. <br />APPLICANT �IAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: ���— <br />I I C, . I s�' T��( � <br />PFRMIT CONDITIONS <br />1 All calls for inspectrn shall be made 24 hours in advance <br />2 All work shall be performed in accordance with the permit and current City of Everett Design and Construct�on Standards <br />and Speci6cations <br />3 Call Localion Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 � <br />4 Per approved drainage plan <br />S Mu�t locate utilities prior lo permits <br />Your Public Works Inspeclor is Cfi(t Lmdman Call him at 425-339-7404 for quesUons and inspections <br />6 Repiace exishna dnveway �wth curb autter 3 sidewalk <br />; Th�s pennd and cond�t�ons cove�s hotL heuses on lot <br />TO POSTING��=3 <br />Lz7 <br />F" <br />r <br />� <br />d <br />� <br />"7 <br />% <br />� <br />F"' <br />� <br />O <br />a <br />ACKNO�VLEDGEMENT OF CONDITIONS <br />1 he undervgned ownedapplicant hcreby agrees to hold and <br />save harmless ihe Gty o( Everetl from any and all claims (or <br />dart�ages, cosls, expenses, or ca�ses of aclwn that may anse <br />because of mstallalion and mamtenence of �he improvement <br />or olher right-o6way use hereto applied for and lurther agrecs <br />to remove same upon nohce Irom �he City and to replace <br />public property damaged ihereby <br />--- - - . C—, � � — , - I ` <br />Signature ol Applicant <br />Date <br />1:t iRR AUl HORIZED OY 71115 P[R�1R MUST DE STARTED VVI fHIN 180 DAVS OF DAT[ PERMIT IS ISSl1ED AND THEREAFTER IS TO BE DILIGENTLY <br />PUIiSU[ U 10 CO!dPLITIGN fIlIS P[R1dil � 1AY �[ LA��CfI t fD BY THF CI iV UPO�J A�JY STOPPAGE OF 1YORN ON THIS PROIECT OVER 90 DAYS DUFUTION. <br />