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���7����?� <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department ' <br />3200 Cedar Street <br />Everett, WA 98201 ' <br />(425) 257-8810 <br />Date: 11 /25/2013 <br />hublic Works Permit #: PW1311-014 <br />Buildinq Permit #; C1311-005 <br />Planning Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />LESYNA MARK W& MADSEN ROBIN LESYNA MARK <br />�3709 SHORE AVE <br />EVERETT Wq 98203 <br />PHONE: 4257173337 PHONE: 4257173337 <br />TAX PARCEL ID # 00433600001200 SITE ADDRESS: 3709 SHORE AVE <br />DESCRIPTION OF PROPOSED WORK: <br />ATTACHED GARAGE, SFR REMODEL <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. 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 />5. No dirt, mud, rocks or debris to be tracked onto roadway. `' "` �` `' ' <br />, -, <br />, <br />6. No building materials to be stacked on sidewalk/roadway and sidewalk/r�'��+w�t �;(�' k��tit �te;ah��riC1 ¢�S�n fpF <br />pedestrian traveL �� _- - = � ` �='� - "- - <br />; <br />:: <br />_ _ _ , ,..,.. <br />r -i �: . ,... <br />_�.... ::., <br />��"' r�::1 �:..:.a <br />,. <br />7. The contractor must meet with the Public Works Inspector to discuss po�ential df�it�age routing prior to - <br />beginning the project. Call Randy Allen at 425-339-7403. _: <br />8. Install erosion control measures per City of Everett Standards for small par,r„�Is ''� <br />;,�::,�� <br />�� <br />�;�a <br />�,�-:� �"i <br />,_., �. <br />'�y�l ��� .N'1. .C: F i�.� .�}t <br />_y ' £+�!t .3':f � f:r i_ ..I I.�. .�t � �.... i._�.d I—� <br />T:� II �.....:I (+._7 ('....1 i�_� 'F:1� •..l.i '.,:' 1"_ I'`:1 <br />� p �� .. �.� _..... �.. ~ <br />:� : <br />�.a. I '���q �`t 6 • � —� �:__' `..i_� — <br />C�:�'I �� t e-Yy �. .._ � �. ..�..� .,,—. .....5 �_? I , '�I .�1 <br />�� ���'��R4� I"� J 1 � <br />,. �r ... t,�.:s C,. k �+ � ._�...,.�._,�_.__...,�y <br />,. � <br />ppr e�For Const j ' Date <br />� ;� <br />�' �� _ � —�� <br />NAL INSP T Date <br />>pproved Constructed <br />ri', <br />-�-I .;�,... <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 />public erty damaged thereby. <br />� � /�j' 7 �� <br />Signature of Applicant <br />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 PROJECf OVER 90 DAYS DURATION. <br />P� <br />