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PUBLIC RKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />GOLDFINCH GEOFFREY & CARLENE <br />520 SHARON CREST <br />EVERETT WA 98201 <br />• Date: 11 /10/2014 <br />Public Works Permit #: PW1411-004 <br />Buildinq Permit #; C1411-009 <br />Planninq Reference #: <br />Public Works Fee $: $ 40,00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: I PHONE: <br />TAX PARCEL ID # 29053000302000 SITE ADDRESS: 520 SHARON-ems ( . j��/ �� <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR ADDITION <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 <br />project. Call Randy Allen at 425-339-7403, 1 fix; <br />5. Install erosion control measures as determined by the Public Works inspector, such -as vitt`fenc�;-sti-m"ale� � w <br />swales, or erosion blankets. F-j .� * cn m —0 E"y <br />_:• C-) � c3 c, M�1 <br />6. No dirt, mud, rocks or debris to be tracked onto roadway. T - h <br />7. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway fa kept cleV and open f;i <br />pedestrian travel. <br />.' <br />h <br /><-j4 +74 tom`-• M� 1:el <br />--� r•J r..� 1—` EF.t �•J r•J •3 <br />r.3 CO <br />.� �°�,, a c� f �• crJ � • -a <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 />A ed f r C stru ate public property damaged they by. <br />j <br />INAL INSPEC IO Date �'� — S <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 DAYS DURATION. <br />