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PUBLIC WORKS Date 7/15/2005 <br /> 1 Public Works Permit# • PW0507-028 <br /> PERMIT - Building Permit# <br /> OIL PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ $25.00 <br /> (425)257-8810 <br /> Guarantee$ <br /> OWNER NAME Tim Melcner APPLICANT NAME <br /> AND ADDRESS: 1912 32nd Street AND ADDRESS: <br /> EVERETT AR 98201 <br /> PHONE: 4252521928 PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: 1912 32nd Street <br /> 3 Ecology I.tock i=t umiroproverl of Ark.lay ' it to novae <br /> DESCRIPTION OF <br /> PROPOSED WORK: <br /> PERMIT 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 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4. Blocks shall be placed in the unimproved portion of the alley directly adjacent to <br /> the wall of the house. <br /> 5. As per approved plan dated 7-15-05. mom <br /> r aa�T1 <br /> 1 <br /> ...r=l W a -z- <br /> 141 7 Cri 0 <br /> .n,..C. <br /> r:-.!R <br /> � Z <br /> OD c a <br /> :..T7 <br /> 1~',II" <br /> 1.11 �P$ <br /> I <br /> r•.:Y r::� <br /> H71 JJ <br /> p-.... O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / +e , 5 The undersigned owner/applicant hereby agrees to hold and <br /> 0 save harmless the City of Everett from any and all claims for <br /> Approved for Construction .at• damages,costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement or <br /> other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public <br /> FINAL INSPECTION property damaged thereby. <br /> Approved as Constructed Date <br /> Signature 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 />