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PUBLIC WORKS Data <br /> Public Works PemdA' ppnb07-012 <br /> PERMIT Building Permit 0 COE•07-010 <br /> 77 PUBLIC WORKS DEPARTMENT Planning Reference N <br /> 3200 Cedar Street <br /> Everett.WA 98201 Public Works Fee E <br /> (425)257.8810 5 2 C. <br /> 1'0 PO Tl2'4_200 Guarantee <br /> APPLICANTNAME —� <br /> OWNER NAME x ANDADDRESB: <br /> AND ADDRESS: hfiA7R F t7 i',RFR7 S'.S IJ.'� 014ifEF <br /> 17032 35TH AVE SE <br /> BAMLL WA 9801 <br /> PHONE: 42574131718 PHONE: <br /> TAX PARCEL LDl f, iQB7t1000 PROJECTADDRESS: ----- <br /> DESCRIPTION OF <br /> PROPOSED WORK: IrFW HOUSE - BASIC 174 <br /> PERMIT CONDITIONS SHORT FLAT 1142-17-05 L(er 4 <br /> 1. All calls for Inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with this permit and current C;i,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 W <br /> 4. Connect side sever per City Standard I;p1,602,E04. <br /> 5. Connect rooftop downspouts to the side sever. �F V/ <br /> 6. Install ernainn rontrnl measurers per City of Everett Standards for small pi elq,;1 <br /> 7. Pemove ?ri:9lnn c•rmtrol mr+azures a rm rom lehign of the urn -' <br /> P p K j f pr.rr to fin <br /> approval of the permit. n� � 6 O <br /> 8. No dirt, mud, rooks or debris to be tracked on to roadw r g <br /> ?. No buil•iing materials to he stacked on sidewalks and sideWA112s to be kept o anu <br /> ?pen for paa,•rtrha" travel. J <br /> :C . Pave driveway frim the frcmt property line out to the stEpet paving. Z <br /> TOIff: iNSPECT',)F: IS hA11LY ALLAN 426-?39-7403 <br /> L.,�Tw!e��tr�;� y <br /> f: C- Y/ <br /> r Si <br /> ACKNOWLEDGEMENT OF CGNDITIONS <br /> /^ The unoersigned owner/applicant hereby agrees to hold and <br /> �� /��C 1�'`�— ���j/�je save harmless the City of Everett from any and all claims for <br /> Approved l stnxllon pal damages,costs.expenses,or causes o1 action that may arise <br /> because of installation and maintenance of the improvement or <br /> Z Z other nght•of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public <br /> FINAL INSPE ON property damaged thereby. <br /> Approved a strutted Dale \ ) <br /> Slgrature f Applranl Data <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> EPWP(7006) DATABAR.INC. <br />