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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 1 /5/2011 <br />Public Works Permit#: PW1101-002 <br />Buildinq Permit #; <br />Planninq Reference #: <br />Public Works Fee $: $ 45.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />HOFMANN ARNOLD TERRY L. OSTERGAARD <br />4610 74TH STREET S.W. 4532-B EVERGREEN WAY <br />MUKILTEO WA 98275 EVERETT WA 98203 <br />PHONE: 4253443027 PHONE: 4253390269 <br />ITAX PARCEL ID # I SITE ADDRESS: 2301 ROCKEFELLER I <br />DESCRIPTION OF PROPOSED WORK: <br />SHORT PLAT 1202-10-007 <br />(1/5/2011 2:16 PM BES) <br />NEW 3/4" WATER METER <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 <br />and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. Construct per approved plan <br />. <br />5. Connect side sewer per City Standard Xs 601, 602, 604. <br />�a <br />6. No dirt, mud, rocks or debris to be tracked onto roadway. <br />7. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and -open- for- <br />pedestrian travel.; <br />-�- <br />8. Pave driveway from the front property line out to the street paving. <br />M IM <br />I� <br />r,:: hD <br />r•_� n r-QCm r-• 411 <br />vi't i�� C1^'• r_'El <br />r.7 r• <br />�� <br />ti—• <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 />roved for Con tru ion D to to remove same upon notice from the City and to replace <br />Pp public property dam ged th reby. <br />FINAL INSPECTION Date <br />Approved as Constructed Signatu a of Appli nt Da <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 />