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K P��M�•�• � Date: 10/0�/20�� <br /> �u�''��i �� s ■ • PublicWorks Permit#: PW1510-016 <br /> City of Everett f'ublic Works Department <br /> `��? 1� <br /> 3200 Cedar Street l3uilding Permit#; BW1504-003 <br /> Everett, WA �8201 Planning Reference#: <br /> (425) 257-8810 <br /> f'ublic Works �ee $: $ 40.00 <br /> �th�r $: <br /> OWNER NAME�ND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HAUGEN JAMES M HAUGEN JAMES M <br /> 3231 BRC?ADWAY 3231 BROADWAI' <br /> EV�RETT Wq 98201 �VERETT Wq 98201 <br /> PHONE; PHON�: 4252392£323 <br /> TAX PARCEL ID# 00439076201000 SITE ADDRESS: 3231 BROAQWAY AVE <br /> PARKING STRIPING FOR BUILDING IMPROVEMENTS <br /> APPLYING FOR CERTIFICATE OF OCCUPANCY <br /> PERMIT CONDITIONS <br /> 1. All cails for inspection 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 Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 :- . ; _;:; <br /> ; _�;.,; <br /> 4. Stiping on alley side of building shall be done to conform tp approved plans dated ,__..y . ' _�' <br /> _., ._: . , - <br /> - . __: <br /> _ ,,,�. <br /> 10-09-15. _ ; . � ` w <br /> �..:_:i �::.. ... _'r� —:,,i�)ab::G""C7'_r7 _ <br /> f'..c.... (-"' :v=_-:C?`_ <br /> .-:�i_.c'_':�"'I i.�.f . � <br /> 1.,.�7 � Y.i J I•••-.1:'i l <br /> 5. Keep City streets clean at all times. ,.-,-, ' ��;'t�'"' <br /> �___ � h� <br /> t�7 <br /> 6. Gontact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior -r., ,` '�=' � <br /> to starting construction and with other inspection requests. `�='- `�� <br /> ,.._.. - � <br /> ;:;,;� � <br /> Public Works Fee Breakdown: 1'N:� ;�; � <br /> Plan Review $20.Q0 - '"� ��� - Z, <br /> ��� R .fi�t�f"f.�C;FI•r,f.k{�it <br /> ';_ fr:t aFr:t r_Tt��'.Y,>r';���;) <br /> Inspection $20.00 ;:='I°w5 n.`�=�'-�`�=�"';�` - -' � O <br /> �; ���a;,���� �-���-�,...,,._' L_> _� <br /> ..... -_>�_.,,__ �.;,r.�.;: .. :.>' <br /> i.�.:�+:'_y.° [� <br /> _...a r.=�::" ; C� <br /> �":':i T� <br /> �......r.:�� V l <br /> O <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages, costs,expenses,or <br /> " ��,���, O—p � S causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Ap oved for Construction �ate remove same upon notice from the City and to replace public property <br /> dam er <br /> FINAL INSPECTION �ate ` �, ` � ` �;L, �_ 1 �� �(p <br /> Approved as Gonstructed Signature of Applicant pa e <br /> 'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 18D DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> �RSUE�TO COMPLETION. ThIIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> '''� (_ L <br />