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PiIaBLIC WORKS PERMIT Date: 10/29/2013 <br /> Public Works Permit#: PW1310•008 <br /> City oF Everett Public Works Department <br /> � 3200 Cedar Street Buildinp Permif#; C1310-009 <br /> Everett, WA 99201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JU81E ALFRED JUBIE ALFRED <br /> 1821 19TH DR 1821 19TH DR <br /> MUKILTEO WA 98275 MUKILTEO WA 98275 <br /> PHONE: 4252901456 PHONE: <br /> TAX PARCEL ID N 00605800000301 SITE AODRESS: 5103 ALTA DR <br /> DESCRIPTION Of PROPOHED WORK: <br /> PUBLIC WORKS FOR NEW HOUSE <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All worf;shall be periormed in accordance with the permit and current City of Everett Design and Consiruction Standards <br /> and Specificatlons. <br /> 3. Call Lacation Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Connect side sewer per City Standard#'s 601,602, 604. � �� <br /> 5. The contractor must meet with the Public Works Inspector to discuss o�n�'i�al�draina e ro�u��rior to� � m <br /> beginning the project. Call Randy Allen at 425-338-7403. ����� ���. ����bale� �""� <br /> 6. Install erosion control measures as determined by the Public W s ir�16r, s� ilt fen � � <br /> swales, or erosion blankets. '�' fn <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. �� <br /> 8. No building materials to be stacked on sidewalk/roadway and side�Iklroadway to be kept clean and open(or � ' <br /> pedestrian travel. ,, � <br /> 9. Pave driveway from the Iront properry line out to the street paving. �� � <br /> 10. Instail pressure reducing valve on water serv(ce. �� �� � <br /> �O S',�£ii�c�'G+o:1��'�'r�'ki <br /> TO POSTING ��� � ��`� �"��R�g�'g��'�$�� <br /> � O <br /> � a <br /> �,,v,"� ��./'°���, � .� `� <br /> �j� //� ���'• ACKNOWLEDGEMENT OF CONDITIONS <br /> j�fT The undersigned owner/applicant hereby agrees lo hold and <br /> save harmless the Cily of Everett from any and all claims for <br /> damages,cosls, expenses,or causes of ection ihal may arisa <br /> because ot installalfon and maintenance ot the improvement <br /> � '�_�0�� or olher righ4o4way use hereto applled for and fuAher agrees <br /> A ro d f r C nstruc ' Date �a remove same upon notice from the Cfly and to replace <br /> pp q public p e amaged ereby. � <br /> g�9-/�f <br /> FI AL INSPE ION Date � r" <br /> Approved as onstructed Slgnawre of pplicant e�e ^p�l ^I � <br /> WORK AUTNORIZED BY TNIS PERMII'MUST BE SfARTED WITHIN 180 DAYS OF OATE PERMR IS(SSUED AND TNEREAFfER IS TO 8E DIU ENTLY <br /> VURSUED TO COMPLEf10N. THIS PERMR MAY BE CANCEL�ED BV THE CfTV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAY.S DURATION. <br /> � W <br />