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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department . <br />3200 Ubdar Street 02-22-2010(0) <br />Evereffi, A 98201 REG-1 <br />(425) 257-8810 <br />`ERMIT No.1002016 <br />OWNER NAME AND ADDRESS: <br />MASCIO MICHAEL J & DOROTHY D <br />1024 35TH ST <br />EVERETT WA 98201 <br />PHONE: 4252527392 <br />Date: 2/12/2010 <br />Public Works Permit #: PW1002-016 <br />13:24 Buildinq Permit #; <br />0` <br />CMnninq Reference #: <br />Public Works Fee $: $ 25.00 <br />n+k— (t. <br />IL 1R%$If NAME AND ADDRESS: <br />CASE $255.00 <br />PHONE: <br />JTAX PARCEL ID # 00451500501101 1 SITE ADDRESS: 1024 35TH ST <br />DESCRIPTION OF PROPOSED WORK: <br />PAVE STRIP IN CITY R-O-W <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 r- <br />4. Neither driveway may exceed 20 feet in width <br />5. Contact the Public Works Inspector (call Randy Allen at 425-339-7403) to discuss this project prior to starting <br />work <br />6. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br />swales, or erosion blankets. <br />7. No dirt, mud, rocks or debris to be tracked onto roadway. <br />8. No building materials to be stacked on sidewalk and sidewalk to be kept clean and open for pedestrian travel. <br />9. Remove and replace curb, gutter and sidewalk as per City of Everett Standard Plan #'s 305A & 306 on this <br />proposal's frontage as directed by the Public Works Inspector (i.e. all unused driveways and any broken or <br />damaged area must be replaced). <br />7 <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <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 />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />y <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 <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 />