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PUBLIC WORKS PERMIT Date <br />�� City of Everett Public Works Deparimenl Public Works Permit #: <br />�y-`,3 ;� 3200 Cedar Street Buildinp Permit #; <br />� � '�''l�`� Everett, WA 98201 <br />�: Planninq Reference #: <br />(425)257-8810 <br />Public Works Fee $ <br />Other $. <br />OWNER NAME AND ADDRESS: I APPIICANT NAME AND ADDRESS: <br />POHLAND TODD 8 HOLLY POHLAND TODD 8 HOLLY <br />314 HEATfiER RD <br />EVER[TT WA 98203 <br />PHONE: <br />AX PARCEL 10 tl 00392000000602 <br />DESCRIPTION OF PROP05ED WORK: <br />PUBLIC WORKS FOR NEW SFR <br />314 HEATHER ROAD <br />EVERETT WA 98203 <br />PHONE: 4253459003 <br />SITE ADDRESS: 7116 BEVERLY LtJ <br />SS1202-2007-026 POHLAN[ <br />snzi2oia <br />P W 1409-013 <br />C1409-001 <br />$ 65.00 <br />PERMIT CONDITIONS <br />1 All calls for inspection shall be made 24 hours in advance <br />2 All work shall be performed in accorda�ce with the permit and currenl Crty of Everett Design and Construchon Standards <br />and Spacdications <br />3 Call Location Underground Servlce 48 hrs be(ore you dig TOLL FREE NUMBER 811 <br />� <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 a s�orm waler system pnor to beginnin'g tht� �_ j <br />pro�ect Call Randy Allen at 425•339�7403 ,_ � '' �• `- ,l , . �. `. �f �- • �j � � <br />5 Inslall erosion control measures as det^rmined by lhe Public Wo�ks�mspector;such as sill �ence ;,s(rew_:bales, F <br />swales, or erosion blankets � � " ' , •- � � • =^ � � � � � �• ~ <br />� . � : � � <br />6 All excavated material from (oundation, sidewalk and dnveways shall bP f�auled fo an approvedj permitted si:e a <br />No washng of material Is allowed on Uus buddmg lot �;: �:� � <br />7 No dirt, mud, rocks or debns ro be tracked onto roadway �" . C <br />8 No bwlding matenals to be stacked on sidewalk/roadway and sidewalk/roadway to be kepl clean and open (or '�' '~ <br />r .i <br />pedesirian travel " � i� Z <br />Pave drivev�ay from garage to easement drive �� <br />, o.). . C <br />�.�' . �..,,.".. - <br />- ��' . . ��' . . ;,,,', E- <br />l„ ,�, ',r_ ., �;�;�,; � <br />� ' ': r � , r--. : . r <br />� �.". :i V <br />�{(11;., _ .. � _. �', .,�.. i:��^C <br />, .,I„ Q <br />�_. '� <br />ACKNOWL[DGEM[NT OF CONDII�ONS <br />1 he undersi9ncd ownerlappticanl hereby agrees tiold and <br />save harmless Ihc Cdy ol Everett irom any and all ciaim; for <br />damages, wsts, expen ;r.s, or causes ol aclion Ilial may ari;e <br />because of installa�ion and maintenance o( Ihe iniprovement <br />or other nghl of w, ise herelo apphed for and n�hher agrecs <br />lo remove sai up i noti Iro �he Gly and to replacc <br />public pro rty '� y <br />� <br />Signatwc of Applicant Date <br />VJOItK AUTIIORI7CD fiV TI IIS PCRMII IdUST OC STARTED WITHIIJ 100 bAYS OF DATE FER�41T IS ISSUEU AND �I HERFAFTER IS IO fiF DILIGENTLY <br />PURSUEU TO COMPLtTION. TMIS PERFtI l h1AY BE UNCELLtU OY IHE CfTY UPON ANY STOVPAGE OF WORK ON THIS PHOJECT OV[R 90 UAYS DURpI"ION. <br />r W <br />