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PUBLIC, WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 98201 t.KiiV u .'lihl <br />(425) 257u POSTING _ <br />OWNERNAME HIRATA MICHAEL <br />ANDADDRESS: PO PDX 302 <br />DUVALL WA 98019 <br />PHONE (206) 819-7413 <br />TAX PARCEL I . a 006940000120001 <br />DESCRIPTION OF NEW HOUSE — BASIC 2037 <br />PROPOSED WORK: <br />PW <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit N <br />Building Permit a <br />Planning Reference N <br />Public Works Fee S <br />Guarantee S <br />APPLICANT NAME AND ADDRESS: HIRATA MICHAEL <br />PO BOX 302 <br />DUVALL WA <br />PHONE: (206)819-7413 <br />608 90TH ST SW <br />11/17/2000 <br />PWOOII-012 <br />C0011-0J/8 <br />$ 25.00 <br />LOT 1 OF! 10RT PLAT 1202.99.005 <br />1. All calls for Inspection shall be made 74 hours in advance - phone (425) 257-r810 <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 "00.424.5555 <br />4. Tie downspouts to yard drain <br />rol4i for Consirmlon ( .ate a <br />A5. 4 /AL&-- 4-/7-1/ <br />r INAL INSPECTION <br />Approved as Constructed Dale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless .ae City of Everett from any and all claims for <br />damages, costs, expenses. or causes of action that may arise <br />b..ause of installation and maintenance of the Improvement or <br />off or Nghfol-way use hereto applied for and further agrees to <br />remove saig upon notice from the City and to replace public <br />property , hod i <br />Signature of Applicant C/Date <br />W <br />'... <br />m <br />O <br />Z <br />0 <br />F- <br />a <br />a <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 PROJECT OVER 90 DAYS DURATION. <br />