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Date: 4/22/2015 <br /> PUBLIC(WORKS PERMIT <br /> n fes — Public Works Permit#: PW1504-049 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; C1503-024 <br /> — Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BEASLEY WILLIAM D III &MELO <br /> 4427 RUCKER AVE <br /> EVERETT WA 98203 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00407800501300 SITE ADDRESS: 4427 RUCKER AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW DETACHED GARAGE W/BATHROOM <br /> OTHER PLUMB: WATER SERVICE <br /> TO POSTING 3/z'/�� <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> iii <br /> 4. Stormwater from new impervious surfaces shall not be discharged, through downspouts or other direptipe a"I <br /> connections, into a combined sewer, including a lateral line or side sewer connected to the city's combined seer W <br /> system as per EMC Chapter 14.08.180 H. 01=1 m' •E%'"' r-A f _ E-1 <br /> mm ���' ice-• <br /> 5. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious suffices will a <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-ojvayT, <br /> and/or easements and the improvements located therein. C <br /> r-ra <br /> h <br /> 6. The driveway connection between the edge of pavement in the alley to t garage and parking slab must be <br /> paved with asphalt. =; <br /> 0-% •$f 477•EF••cJFr•Wifr I •Y3?t "+•C-FI-G. rlr O <br /> 7. The new side sewer connection from the bathroom in the garage to ilia inti §iii&gel 4r15'e g;-per City of E--I <br /> Everett standard plans 601, 602, &604 (as appropriate to the circumstaptt.?, <br /> C7 Yr1H O <br /> 8. Keep city streets and alleys clean at all times during construction. No trackout of dirt or debris allowed. 1 m a <br /> NOTE: Your Public Works Inspector is Randy Allan. Please call him at 425-339-7403 to schedule a pre-construction <br /> consultation and for subsequent site inspections. <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 /> OAA <br /> ' Cr j S^� 4 ZZ i because of installation and maintenance of the improvement <br /> �Cor other right-of-way use hereto applied for and further agrees <br /> • d f•r Const i'• Date topublic remove same <br /> propertyduponamaged notice fromthereby.the City and to replace <br /> pp <br /> - 7i3-1.5� <br /> INAL INS' CTION Date <br /> _ Approved as Constructed Signature of A plicant 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 DAYS DURATION. <br />