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PUBL'Ci _�ORKS PERMIT Date: 5/18/2015 <br />Public Works Permit #: PW1505-030 <br />City of Everett Public Works Department <br />�-d, 3200 Cedar Street Building Permit #; �j(Sp�j—p c�7j <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CRMA INVESTMENTS LLC <br />PO BOX 5222 <br />LACEY �/�/q 98509 <br />PHONE: 3607019985 <br />TAX PARCEL ID # <br />DESCRIPTION OF PROPOSED WORK: <br />Demo Existing Garage and Construct New Garage <br />CRMA INVESTMENTS LLC <br />4621 Lacey Blvd SE <br />LACEY WA 98509 <br />PHONE: 3607019985 <br />SITE ADDRESS: 2116 Rockefeller Ave <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. Stormwater from new impervious surfaces shall not be discharged, through downspouts or other direct pipe ;"` <br />connections, into a combined sewer, including a lateral line or side sewer connected to the city's combined sewer - <br />system as per EMC Chapter 14.08.180 H. - - <br />� .:,: <br />, ; ; ; ., .. .� <br />5. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervtdus surfa�es will b� <br />managed on-site in a manner that does not adversely affect neighboring properties, including the City's'right-of.=way .:;.. , <br />and/or easements and the improvements located therein. <br />6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 pripr to starting construction. <br />, � ���.: <br />- ��,;,i ���;'_ ; _-, �:. _- __� <br />-;-. � , ;�:, � <br />��,. � i;a:,7 ; - , �::> ; :::� �; ,; ,�,..� ' �.:� :.,� � <br />a::9 _ ._.� .-::7 ...... ..... ... �-, <br />�s <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 />� �� ,,�/� r--� -� �--- 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 />Appro ed for Construction Date public property damaged thereby. <br />FINAL INSPECTION Date <br />��� /c�s-is� <br />Approved as Constructed ignature of App � nt 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 />r;,�- ���%J� �� r.,� ...�.�. <br />,- . �_ t-c � �_ <br />