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Date 07/26/2001 / <br /> PUBLIC WORKS Public Works Permit If PWO107-031 <br /> PERMIT00107-022 <br /> Ouildmg Permit N <br /> PUBLIC WORKS DEPARTMENT Planning Reference It <br /> 3200 Cedar Street $25. 00 <br /> Everett.4 \'lA OtT)G ST1116 JAN ° I Public Works Fee$ <br /> (425)257 0rr Guarantee$ <br /> OWNER NAM APPLICANT NAME <br /> ANDADDRES11706 MARINE DR AND ADDRESS. <br /> MARYSVILLE WA 91;:71 <br /> PRONE: ( 360)652-7591 PHONE11 ' <br /> PROJECT ADDRESS: H P6 9W <br /> TA%PARCELIO,e <br /> DESCRIPTIONOF 'IC 1 <br /> PROPOSED WORK: <br /> PW <br /> PERr, IT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours In advance-phone (425)257.8810 <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 481,7s,before you dig. TOLL FREE NUMBER 1 '100.424-5555 <br /> 4 . Install side sewer per city standard 4601 . W <br /> 5 . Connect roof tup downspouts as directed by the Public Works r <br /> inspector. <br /> i3 tE O1 3:34AM M <br /> 1071 Lu <br /> 951.75 <br /> SRCHG 4.50 <br /> DRa`i 25.00 0003 <br /> MECH 50.00 <br /> PLUMB 91.00 0 <br /> H 106006 <br /> SERER 70.00 <br /> UTILITY 1296.00 <br /> TATER 130.00 (n <br /> "OTAL 25^8.25 <br /> GHEV O <br /> A OM4076 a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ? The ha mslgneo City of Everett <br /> hereby agrees to had and <br /> ��— save harmless the City of Evored Irom any and all clams for <br /> Approved ler OnslnxtM Date damages,costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the Improvement or <br /> r other right-of-way use hereto applied for and further agrees to <br /> �!l / Y—O remove same upon nofic. am the City and to replace public <br /> FINAL INSPECTION r'ropert da ged that y <br /> Approved as Constructed Date L��. - ,Aj O 7 <br /> Sig ure of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 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 PROJECT OVER 90 DAYS DURATION. <br />