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� Date: 1 /28/2015
<br />PUBLIC WORKS PERMIT Public Works Permit #: PW1501-050
<br />City of Everett Public Works Department
<br />3200 Cedar Street Building Permit #; C1501-006
<br />Everett, WA 98201 Planning Reference #:
<br />(425) 257-8810
<br />Public Works Fee $: $ 965.00
<br />Other $:
<br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS:
<br />GAY MELVIN/GODWIN ROBERT
<br />5629 151 ST PL SW
<br />EDMONDS Wq 98020
<br />PHONE:
<br />TAX PARCEL ID # 00544701301402
<br />DESCRIPTION OF PROPOSED WORK:
<br />PUBLIC WORKS FOR NEW DUPLEX
<br />PHONE:
<br />SITE ADDRESS: 2316 HOWARD AVE #A & B
<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. Side sewer must be confirmed to meet City Standards by camera inspection. �-°;
<br />5. Connect side sewer per Cily Scandard #'s 601, 602, 604. � - � '�
<br />6. Inst�ll erosion control measures as determined by the Publi�::Works.�s�e�ts�r .�st�ch as..sil��fenc�, s�r�N,�ales�,:`
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<br />swales, or erosion blankets. � "
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<br />7. No dirt, mud, rocks or debris to be tracked onto roadway.
<br />8. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open fo�:'�
<br />pedestrian travel. � ��
<br />9. Driveway must be paved in asphalt or concrete. '`�����
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<br />10. Per approved drainage plan attached.
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<br />Your Public Works Inspector is Randy Allen. Call 425-339-74q3;f'q:� any questions`ari�3/or ins ection,s. , ""�
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<br />7NAL INS�CTION
<br />Approved s Constructed
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<br />Date
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<br />Date
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<br />ACKNOWLEDGEMENT OF CONDITIONS
<br />The undersigned owner/applicant hereby agrees to hoid 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 />public property damaged thereby.
<br />T���� : ��,�` yf= ,2 - � / —/ �
<br />Signature of Applicant Date
<br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DJLIGENTLY
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