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'9 PUBLIC WORKS PERMIT <br />z City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: I APPLId, <br />Date: 9/27/2012 <br />Public Works Permit #: PW1209-022 <br />Building Permit #; <br />Planning Reference M <br />Public.Works Fee $: $ 658.05 <br />Other $: 1, - 8,0O <br />NAME AND ADDRESS: <br />PAUL V.KORENOVSKY PAUL V. KORENOVSKY <br />4231 SOUTH 3RD AVE. 4231 SOUTH 3RD AVE. <br />EVERETT WA 98203 EVERETT WA 98201 <br />PHONE: 4252604376 PHONE: 4252604376 <br />TAX PARCEL ID ## SITE ADDRESS: 8119 FLORIDA DR. <br />DESCRIPTION OF PROPOSED WORK: <br />3 LOT SHORT PLAT #1202-2010-008 <br />(9/27/2012 11:32 AM BES) <br />SHORT PLAT 1202-2010-008 <br />2X1" NEW WATER LINE <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. INSTALL EROSION MEASURES PER CITY OF EVERETT STANDARDS FOR SMALL PARCELS. a g') <br />%5. REMOVE EROSION CONTROL MEASURES UPON COMPLETION OF THE PROJECT PRIOPLTO�FINALr1j <br />APPROVAL OF THE PERMIT. , -'_ ''= => <br />6.NO DIRT, MUD, ROCKS OR DEBRIS TO BE TRACKED ONTO ROADWAY. M „ E� <br />7. CONSTRUCT PER APPROVED PLANS. <br />proo-(. evAt <br />(^a - <br />�u <br />4=� t=�.) r1:3 � � ac) r•.� Yr+• <br />.•�y, �a c�—a Ca Ca r•'a Lx) . e <br />CKNOWLEDGEMENT OF CONDITIONS <br />he 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 />for C n ction Dat to remove same up otice from the City and to replace <br />public propert ere y. <br />PEC I Date <br />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 DAYS DURATION. <br />