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PUBLIC WORKS PERMIT <br /> it°III/41 4 04‘c—i City of Everett Public Works Department Date: 12/2/2013 <br /> Public Works Permit#: PW1312-002 <br /> 002 <br /> /VP/ TT 3200 Cedar Street Building Permit#; B1311-031 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ISRAEL MICA & GIRAUD JAZZ <br /> 1712 LOMBARD AVE <br /> EVERETT WA 98201 <br /> PHONE: 4252521807 PHONE: <br /> TAX PARCEL ID# 00438235002500 SITE ADDRESS: 1712 LOMBARD AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR NEW DETACHED GARAGE <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 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 /> 4. The contractor must meet with the Public Works Inspector to discuss a storm water system prior to beginning the r- <br /> project. Call Randy Allen at 425-339-7403. w <br /> 5. All excavated material from foundation, sidewalk and driveways shall be hauled, o �fl..pppgv��, pe�r_r gted site <br /> No wasting of material is allowed on this building lot. Jr--5' r=,'=- • r 22 „ E"� <br /> n-i rn r,i--, , ISI <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. _= m r <br /> 7. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open fo <br /> pedestrian travel. � ;I=i <br /> 8. Pave to existing paving in alley. ,- .swil <br /> Your Public Works Inspector is Randy Allen. Call 425-339-7403 for any questions algid/or inspections. r Z <br /> :y5 <br /> O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> ,...---',/,dir or other right-of-way use hereto applied for and further agrees <br /> -s...2.__-/.7to remove sa e upon notice from the City and to replace <br /> Appro d rnstru ion? Date public ertydam.sed the r=by. <br /> I INAL INSPE ION Date �(� t ` <br /> Approved as Constructed 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 <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 90 DAYS DURATION. <br /> rI J <br />