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� 1 Date: 10/28/2010 <br />��� � PUBLIC �,rORKS PERMIT PublicWorks Permit#: PW1010-023 <br />"� City of Everett Public Works Department = �; <br />�;��;� 32oo;C�dar Street ,_; ' ,,::� ,,j Building Permit #; C1010-019 <br />Everett, 1NA 98201 ;;',;Planning Reference #: <br />�425.�-::25�-s81:;�; � -.i � i �; <br />� --��� � - Public Works Fee $: $ 25.00 <br />- `� ° { � � ' Other <br />_ �-`� ... �...�_�',_.,,'4�. <br />;;i ;Pj ,,�r,� .; <br />OWNER NAME AND ADDRESS: � .� .,� APPLIGANT NAME AND ADDRESS: <br />i,. .. ' - <br />BUCHHEIT CHRIS ;�; = _ ��i' <br />126 W BEECH ST _ _- .�?_. __ _ <br />EVERETT VVq 98203 - _ - - -- <br />_ -i� ,;�=: <br />PHONE: 4253142558 - - _- PHONE;:;� _ <br />TAX PARCEL ID # 00612000004700 `- ''F-�' `�� �=SITE�ADDI2ESS: 126 W BEECH ST <br />_;:�'�;�:_ _ . . , . . <br />DESCRIPTION OF PROPOSED WORK: <br />ADDITION & REMODEL <br />PERMIT CONDITIONS <br />1. All calis 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. Rooftop runoff must be discharged to a roof downspout infiltration system per City of Everett Storm Manual <br />3-2.6.2. The approximate size trench is 3.5' wide, 2' deep and 25' long. See attachment for more details. <br />5. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to beginning <br />the project. CALL RANDY ALLEN AT425-339-7403. <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. Remove erosion control measures upon completion of the project prior to fina I approval of the permit. <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />TO POSTING �o� �y � � �° <br />r Construction <br />FINAL INSPECTION <br />Annroved as Constructed <br />(�/3�Z��( <br />Date <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 ame upon notice from the City and to replace <br />public pr � erty d maged the 1�3 <br />�J �. <br />� <br />��" %��z <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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CifY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />