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� <br />�� E TT <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />,.;. <br />3200 Gedar Street '���::``t-;_`�_�.'..�..�.;��'!..: <br />Everett;�-1NA:98201 �:�'.:°�.�. <br />(425) 257-8810 <br />_i�i,i'�; ';r �i"�`';r";� <br />;, „_. <br />, <br />; �..�.�i�.:. [<.�_�. �..,_�..�::;.,,.,�:� <br />Date: 5/12/2011 <br />Public Works Permit #: PW1105-006 <br />���°-� Building Permit#; <br />� �..; _..; ; <br />"�P1��nning Reference #: <br />Public Works Fee $: <br />_ _ ' Other $: <br />;.;;.' : , ;�. - <br />� ; ..._ .. .:... . :....... -..: _: <br />OWNER NAME AND ADDRESS: II /#PFL�CAt�1T; NAME AND ADDRESS: <br />� _;,;;:, <br />LIGER GABRIEL ��_.:r��t:� ,.:'';,,::-�:;i <br />5106 S 3RD AVE <br />EVERETT Wq 98203 <br />PHONE: 4252383048 PHONE: <br />TAX PARCEL ID # 00500301600200 SITE ADDRESS: 5106 S 3RD AVE <br />DESCRIPTION OF PROPOSED WORK: <br />NEW FOUNDATION <br />ADDITIONAL PERMITS REQUIRED FOR INTERIOR CONSTRUCTION. <br />B1105-009 <br />$ 25.00 <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 potential drainage routing prior to beginning <br />the project. CALL RANDY ALLEN AT 425-339-7403 <br />5. Instail erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, <br />swales, or erosion blankets. <br />6. Remove erosion control measures upon completion of the project prior to final approval of the permit. <br />7. All excavated material from foundation, sidewalk and driveways shall be hauled to an approved, permitted site. <br />No wasting of material is allowed on this building lot. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <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 />��2_l or other right-of-way use hereto applied for and further agrees <br />Appr d f r C stru � n Date to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />� �- I� �1� ��� c <br />FINAL INSPE ION Date \ <br />Approved as Constructed Sign ure f Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PE S ISSUED AN HEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />