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i' ,.« <br /> PUBLIC WORKS <br /> / Date 11/7/2007 <br /> Public Works Permi10711-024 <br /> PERMIT Building Permit# <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Street Planning Reference# <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 $25.00 'Ivs*CG., <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDROMAST PROPERTY MANAt 1ENT AND ADDRE CIS "CHAPMEN W'/TIM DANDY <br /> 2829 RUCKM AVE <br /> EVERETT WA 98201 <br /> PHONE: 2067863236 PHONE: 2066331141 <br /> TAX PARCEL I.D.# PROJECTADDRS <br /> 4 Rut, AVE <br /> DESCRIPTION 0 „„,,,,,, <br /> Y' RMPROPOSED WO xO <br /> LINE CLEAN OUT <br /> STORM LINE CLEAN OUT INSTALLATION WITH LOCKING CAST IRON NON-SKID <br /> LID <br /> PERMIT CONDITIONS <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 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 W <br /> 4. Restoration per City Inspector 1 <br /> -,-� <br /> For inspections contact Randy Allen at 425-339-7403 ,,.; „,: :, <br /> CCI <br /> ..hw. ::::q: 0 r..:;:3 <br /> T' (, <br /> -7 <br /> 1 1 •:F•"1 F-- <br /> I c:::' <br /> ' <br /> t1 ice. <br /> - .:1 0 '' t_... <br /> --.1 2:Y„!'1 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> .,. .4,0P- ,,„404;?5/-1 <br /> l/� save harmless the City of Everett from any and all claims for <br /> Appro ed for Construction Date ( 7 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 prope .,=maged hereby. <br /> Approved as Constructed Date <br /> :.::foioe..___ <br /> ant ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSU D 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 /> EPWP(7/06) DATABAR,INC. <br />