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pUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />;.. Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />BAILEY PATRICK & EMMA <br />6905 BEVERLY BLVD <br />EVERETT WA 98203 <br />PHONE: <br />4X PARCELID # 28050700106000 <br />DESCRIPTION OF PROPOSED WORK: <br />ADDITION OF KITCHEN <br />Date: <br />Public Works Permit #: <br />Buildinp Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />r <br />8/812011 <br />PW1108-006 <br />C1108-002 <br />$ 0.00 <br />PHONE: <br />SITE ADDRE33: 6905 BEVERLY BLVD <br />PERMIT CONDITIONS <br />1. All calls for inspeclion shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and curtent City oi Everett Design and Construction Standards <br />and Specifications. � <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 871 <br />4. Connect rooftop downspouts ro the drainage system provided for this lot. �,_ -_� r' <br />erosion blankets. P ty P i ���. �� �.� <br />5. Install erosion control measures er Ci of Everett Standards for small arce,s � r— ����, �r,"- �; <br />6. No dirt, mud, rocks or debris to be tracked onto roadway. �+ "' <br />7. No building materials to be stacked on roadway and roadway to be kept clean and ope�or pedestrian travel�j <br />ro <br />CALL CLIFF LINDMAN AT 425-339-7404 WITH QUESTIONS AND FOR FINAL INSPECTION <br />TO POSTING $"' b-'2' <br />�( �iJ"I�ri'1�Y c���'��� <br />App ved for Construction Date� <br />�� � �.,�. ---- � <br />as Constructed <br />� <br />� <br />c^n <br />N� V � Y <br />F A NY 41 <br />L'r� f.� f 1� fH <br />O_1L'1GfOt-F+ <br />��d��8'�`:� <br />G� <br />x <br />r <br />F <br />►� <br />� <br />� <br />h <br />z <br />0 <br />ACKNOWLEOGEMENT OF CONDITIONS <br />The undersigned owner/applicenl heraby agrees lo hold end <br />save hertnless the City ot Everett from ony and all clefms to� <br />damages, costs, expenses, or causes of adion that may arlse <br />because �t installalion end mainlenance o( the improvemant <br />or other dghl-of-way use herelo applied for and fu�ther agrees <br />to remove same upon notice fram the City and to replace <br />publlc property damege hereby. <br />� �% 2 � <br />Signature pp icant Dale <br />\40RK AUTHORRED BY TH15 PERMR MUST 8E STARTED WliHIN 180 DAYS OF DATE PERMIT IS ISSUED AND 7HEREAFfER IS TO BE DILIGENTLY <br />pURSUED TO COMPLEl70N. THIS PERMIT MAY BE CANCELLED BY Tf1E CITY UPON ANY STOPPAGE OF WORK ON TH[5 PROJECf OVER 90 DAYS DURATION. <br />